Sabtu, 18 Nopember 2017
Indonesian (Indonesia)English (United Kingdom)
Reliance Insurance's Personal Accident Insurance Claims Procedures

A. REPORTING

In the event of an accident that is guaranteed policy, then:

  • Insured must immediately take steps to obtain assistance for the necessary treatment and care of injuries from a doctor.
  • Insured or the legal representative or his family shall inform PT. Asuransi Reliance Indonesia within 5 (five) calendar days (unless agreed otherwise) since the accident to PT. Asuransi Reliance Indonesia.
    Notice is made in writing or orally, followed in Written to PT. Asuransi Reliance Indonesia.
  • In the event of death as a result of an accident, the Insured Heirs or family must:

    3.1.  Report to the local village chief (Lurah) to get a Death Certificate

    3.2.  Request a Certificate of Inspection Bodies (Visum et Repertum) from a doctor or hospital, and

    3.3. Provide a chance to the Insurer to conduct an audit body (if possible before the implementation of the cemetery or burning of the bodies (cremation) .

  • If the obligations of the above are not met then all rights to compensation or reimbursement is void.
  • Miscellaneous Insurance
    Other Property Insurance that have not been mentioned above will be classified as different products, including; Money Transfer Insurance, Money Saving Insurance, Theft Insurance with burglary, Hole in One Insurance, Personal Accident Insurance, Liability Insurance, Advertising boards Insurance, etc.
  • B. CLAIM SUPPORTING DOCUMENTS

    In the event of an accident that might lead to demands substitute for, the Insured shall submit the documents supporting the claim as follows:

  • A claim form and accident Chronology following the accident that occurred
  • Original policy and proof of premium payment
  • Copy of resident identity card (KTP)
  • Copy of Family Card (KK)
  • Police Interrogation Certificate (BAP)
  • Reimbursement evidence from other parties or ASTEK (if any)
  • X-ray photograph (if available)
  • In the event that the insured died:

    8.1. Certificate Regarding Bodies Examination Results (Visum et Repertum)

    8.2.  Copy of Death Certificate from the Village chief (Lurah) or the local Police

    8.3. Letter to witnesses

  • In the event that the insured / that insured were loss:

    9.1. Certificate About Accidents and authorities termination of Search

    9.2. Statement from the heirs that they would restore the benefit when the insured / that insured rediscovered alive.

  • In the event that the insured / that insured suffered permanent disability:

    10.1. Examination Certificate (Visum) of physicians doing the medication & treatment.

    10.2. Certificate of witnesses.

  • Original receipt from doctors, hospitals, laboratories, pharmacies, in the case of the insured / that insured undergoing treatment or medication.
    If original receipts are used to obtain reimbursement from the insurance which is mandatory then the Insured must submit a photo copy of a receipt that has been legalized by the compulsory insurance company.
  • Other supporting documents that are relevant, appropriate and worthy of requested by the Insurer in relation with settlement of claims.
  • C. CLAIM PAYMENT

    Payment of claims for reimbursement will be done by PT. Asuransi Reliance Indonesia to the Insured / Insured Heirs who is named in the Schedule at the latest within 30 (thirty) days from the existence of a written agreement between the Insurer and the Insured on the claim amount to be paid.