Claim Miscellaneous

We commit to provide our valued Policy Holder with the best quality of claim services through prompt and responsive claims service.

These guides are designed for your convenience to file an insurance claim.

For enquiries on your insurance claim, you can contact us at:
 
Hunting: (021) 2523110
Fax: (021) 2524084, 2524083

Procedure Personal Accident - Medical Expense Claim

Document Personal Accident - Medical Expense Claim

Claim Supporting Document :
1. Original Claim Note (duly completed and signed) and do not forget to write the detailed chronology and diagnosis.
2. Original Medical Invoices
3. Medical Record from the attending doctor ( if medical expense is exceeding IDR 5,000,000.00).
4. Statement letter from Company informing employment matter of the insured.
5. Copy of Employee ID Card
6. Police report and copy of driving license. ( if related with to accident).

Procedure Personal Accident - Death Benefit Claim

Document Personal Accident - Death Benefit Claim

Claim Supporting Document :
1. Original Claim Note (duly signed by company).
2. Death Statement Letter from Company.
3. Death Statement Letter or Death Certificate from Local Government.
4. Statement Letter of Legal Heir.
5. Copy of ID Card / KTP of Legal Heir.
6. Accident Report from Company (detailed of accident's Chronology.
7. Accident Police report and driving license (if the accident related with traffic accident).
8. Coroner's Report from Hospital (Visum et Repertum).
9. Copy of Kartu Keluarga.
10. Copy of ID Card / KTP of the insured person.
11. Statement Letter from company regarding appointed person and bank account for death benefit payment.

Procedure Personal Accident - Sequela Benefit Claim

Document Personal Accident - Sequela Benefit Claim

Claim Supporting Document : 
1. Original Claim Note (duly completed and signed) and do not forget to write the detailed chronology and diagnosis.
2. Original Medical Invoices
3. Medical Record from the attending doctor which stated part of the body with permanent disablement.
4. Statement letter from Company informing employment matter of the insured.
5. Copy of Employee ID Card
6. Police report and copy of driving license. (if related to traffic accident).
7. Photograph part of the body which shown permanent disablement.