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FAQs: Settling an Insurance Claim

 
 

Loss of a loved one can be a traumatic experience. It would be more agonising if the grieving family had to run from pillar to post to claim the insurance amount. While the claim intimation and settlement process varies from insurer to insurer, there are some common steps like notifying the company, document submission and receiving the pay-out.

Here are answers to some of the FAQs about insurance claims at Max Life Insurance:

Q1: Whom do I approach in case of a claim?

A: There are several ways in which you can notify us about a claim:

Q2: Can I call up the Max Life office and make a verbal intimation of the claim?

A: Sorry. Claim intimation is an important step and should be done in written format. The claim format can be obtained from the branch office or downloaded from our website.

Q3: Which documents need to be submitted while making a claim?

A: The following documents need to be submitted:

Further,

In case of natural death, certain additional documents are required:

  • The report of the attending physician (Form C)
  • Medical records (Admission form, test reports, death or discharge summary, etc.)

In case of accidental or unnatural death the additional documents required are:

  • Copy of the FIR /police complaint
  • Copy of the post mortem /autopsy and viscera report
  • Copy of the final police investigation report or charge sheet.

Q4: How long does it take for a death claim to be paid?

A: As per IRDAI mandate, a normal claim needs to be settled within 30 days and a claim that requires investigation needs to be settled within 6 months. 99.61% of the death claims were settled within 10 working days (till FYTD Jun'16, Src: Public Disclosure) of receiving the completed claim form and the necessary documents.

Q5: What happens if the death claim is not settled within 10 days?

A: We pay interest for the outstanding amount @6% per annum, basis necessary requirements are fulfilled.

Q6: Do you settle all death claims?

A: We ensure that we pay the death claims for all policies that have completed 3 years as policy term.

The claim settlement ratio of Max Life Insurance is among the best in India. As quoted in Public Disclosure, we had a claim settlement ratio of 96.23% for FY16 and an outstanding claims ratio of 0.01%.

Table 1: Claim Settlement Ratio of MLI from 2012-2016

YearClaim Settlement Ratio (%)
2015-1696.23
2014-1596.03
2013-1493.86
2012-1394.25

In case of any other queries and clarifications, feel free to reach us though the various touch points mentioned above. Max Life Insurance takes pride in a "fair, fast and the friendly" claim process.

 
 
 

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