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Bajaj Allianz General Insurance Company Limited

CLAIMS
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Bajaj Allianz General Insurance Company Limited

INSURANCE SERVICES BECOMES TRULY MEANINGFUL TO CLIENTS AT THE TIME OF SETTLEMENT OF CLAIMS
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PROMTITUDE IN SETTLEMENT OF CLAIMS DEPEND MUCH ON ADMINISTRATIVE EFFICIENCY AND PROCEDURAL SIMPLICITY FAIRNESS DEMANDS A SOUND KNOWLEDGE OF THE SUBJECT

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Bajaj Allianz General Insurance Company Limited

PROCESSING OF ANY CLAIM INVOLVES EXAMINATION OF THREE QUESTIONS


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WHAT IS THE PROXIMATE CAUSE OF LOSS

ASCERTAINED PROXIMATE CAUSE OF LOSS COVERED BY THE POLICY

WHAT IS THE AMOUNT OF LOSS IN TERMS OF THE POLICY


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Bajaj Allianz General Insurance Company Limited

Proximate Cause
Active Efficient cause that sets in motion a train of events which bring about results without the intervention of any other active, new independent force Every event is the effect of a cause
Predominant Cause Intervention of excepted perils Onus of Proof
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Bajaj Allianz General Insurance Company Limited

Amounts Payable Sum insured is limit of liability

Extent of indemnity depends on


Value at the time of loss SI on the affected item Depreciation Underinsurance Salvage value Deductibles Contribution
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Bajaj Allianz General Insurance Company Limited

Stages of Claims settlement Intimation of loss Appointment of surveyor Survey report


Date and time of loss Cause of loss Estimation and adjustment Recommendations Time limits

Payments
On accounts Final reinstatement issues
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Bajaj Allianz General Insurance Company Limited

A quick and effective claims disposal therefore presupposes The claimant is made aware of his rights and remedies and responsibilities in the event of a claim Surveyor takes total responsibility to take up the assignment immediately, completes the survey quickly and provides all necessary data to substantiate and assess the loss. Insurer acts with speed from the beginning and finalizes the disposal of claims as per the conditions of the policy immediately after receipt of all documentation and the survey report.
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Bajaj Allianz General Insurance Company Limited

KEYNOTES ON GETTING INTIMATION OF LOSS


ON GETTING INTIMATION OF LOSS TRY TO GET THE TYPE OF LOSS AND OTHER DETAILS OF LOSS TO APPOINT A SURVEYOR BASED ON THE DETAILS OF LOSS AND ALSO THE EXPERIENCE /EXPERTISE OF SURVEYOR SURVEY WAIVED IF LOSS ARE SMALL IN CASE OF DOUBTFUL CLAIM, INVESTIGATOR BE APPOINTED SURVEY /INVESTIGATION TO BE COMPLETED FAST CALL RELAVENT PAPERS/DOCUMENTS FROM INSURED VALUE OF SALVAGE IF RETAINED BY THE INSURED RIGHTS OF RECOVERY AGAINST CARRIERS TO BE PRESERVED SURVEY REPORT MUST HELP INSURER TO DETERMINE LIABILITY UNDER 8 THE POLICY Copyright 2005

Bajaj Allianz General Insurance Company Limited

KEYNOTES ON SETTLEMENT OF CLAIMS


LOSS HAS BEEN CAUSED BY OPERATION OF AN INSURED PERIL LOSS HAS NOT BEEN CAUSED BY AN EXCLUDED PERIL LOSS HAS OCCURRED DURING THE PERIOD OF POLICY THERE WAS NO DELAY IN EFFECTING CLEARANCE/APPLYING FOR INSURANCE SURVEY TO LOOK FOR ANY AGGRAVATION OF LOSS DUE DELAY RIGHTS OF RECOVERY AGAINST PORT/SHIPOWNERS RAILWAY/ROAD/AIR CARRIERS ARE PRESERVED/EXERCISED VALUATION FOR THE SALVAGE NO UNDERINSURANCE IS APPLICABLE ALL DOCUMENTS IN SUPPORT OF THE CLAIM ARE SUBMITTED COMPLIANCE OF 64 V (b)
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Bajaj Allianz General Insurance Company Limited

Plus Points Speedy Claim Settlement Largest No. of offices all over India ever held by a private Insurer. Largest No. of Motor Claims paid with ease since incorporation.

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Bajaj Allianz General Insurance Company Limited

Strength of BAGICS Claim Department


Limited

No. of Independent Surveyors on the company's


Panel In-house

with good deal of expertise Knowledge in different technical fields


Surveyors & Doctor for Motor & health claims
Web

based claim Registration

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Bajaj Allianz General Insurance Company Limited

The Company team is guided by following aims in dealing with the claims: Speed in claim settlement

Quality in claims disposal


Customer appreciation Loss minimization

Effective support mechanism for the Companys business policy


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