No, your vehicle must first be repaired, after which we shall process and settle the claim based on the policy terms and conditions. Spot survey is compulsory for commercial vehicles. existing policy has not expired or when buying a policy for a new vehicle. You can also mail the i-claim form to the Universal Sompo contactclaims@universalsompo.com. The bills are settled by patient & the relevant documents and bills are then submitted to the TPA. Is spot survey compulsory for commercial vehicles? +91 9004097042 These are the hospitals that form part of the TPA's network to provide cashless service to you upon presentation of health-card. It is very important that you take immediate and suitable actions to minimize the loss for all concerned. Original Commercial Invoice from Suppliers with copy of Packing / Weight List. Private Car/Two Wheeler/Commercial Vehicles, Erection All Risk /Contactor All Risk /Contractor Plant & Machinery, Machinery Break down /Electronic Equipment. In extreme emergency medical conditions prohibiting getting in touch with assistance co., get admitted to the nearest facility/hospital. In case the claim is being notified by email, the attached I claim notification to be filled in and sent to enable the concerned claims handler to contact you immediately for further update. What is the extent to which i am covered? 3) Ambulance charges for transportation of insured person to hospital following accident. Download universal-sompo Motor claim-form Subject: Download universal-sompo Motor claim-form Keywords: Download universal-sompo Motor claim-form Download Proposal Forms, Claim Forms, Brochures and Policy Wordings of Insurance Products from www.insureatclick.com Insure your trip and enjoy a hassle free journey. Place & contact details of the insured person (in case person intimating the claim is other than the policyholder). Date & Time of Loss in case of accident, commencement date of symptom of disease in case of sickness. Universal Sompo General Insurance Company Limited (USGICL), India’s first PPP general insurance player with an established presence in motor, health, auto and crop insurance has launched its very own, personalised, mobile application the USGI ALLy.Riding on the wave of digitalisation, the app has been launched with the main intention of enhancing service delivery. Our claims officials shall soon get in touch with you and shall be happy to help you with the claim procedures. Formal monetary claim on Carrier / Custodian should be filed immediately on final quantification of loss. Original bills from chemists supported by proper prescription. Name of Insured person who is Sick or Injured. In case of damage/accident, please do not disturb the packages or accident site till a survey is held. The amount of claim generally payable depends on the value of the affected property less residual value of damaged property less under-insurance, if any, less compulsory excess as defined in your policy. "Cashless Service" at all our Network Providers for all eligible ailments/conditions. Contact customer care: +91 80 2530 0343. Scan to download Arogya Setu App for iOS and Android. Family to contact TPA help-line as mentioned in the policy. In event of any claim arising due to accident, please intimate immediately to our nearest office or on our call centre number or on toll free number 1-800-22-4030 (from MTNL & BSNL Lines.) The claim must be filed within 30 days from the date of discharge from the Hospital or completion of treatment. Through this website you are able to link to other websites which are also not under the control of USGI. What if the accident takes place in a city other than where the policy as issued? Claim No. A cashless claim is when you, as the insured, do not have to pay for the medical expenses when hospitalised as the insurer will directly settle the bills at the network hospital. Place & contact details of the Insured Person. We pay the claim to the Insured. How much time does it take to settle the bills? (Note: In the case of third-party death/injury or theft of the vehicle, the first thing to do before the claim intimation is to lodge an FIR and a copy of the same must be submitted to the company). Any reliance you place on such material is therefore strictly at your own risk. Claims Payment- Within two working days from the finalization of claim. The amount of depreciation as per the rate indicated in the policy document. Unless it is required by local authorities, please do not disturb the location of loss so that the surveyor can get first hand information of the circumstances of loss. The insured vehicle shall be treated as a Constructive Total Loss, if the aggregate cost of retrieval and/or repair of the vehicle subject to the terms and conditions of the policy, exceeds 75% of the IDV of the vehicle. My ... Bought a new Car? Do be aware that a 'low cost' policy may not provide a level of cover you require; often 'low cost' means 'low cover' and a less-than-reassuring service when you most need it! You should not offer, admit, compromise or promise any payment to third party without the consent of the insurance company in writing. Record of Labour involved in activities related to claim. However, irrespective of that you remain liable to pay for deductibles - compulsory and voluntary (if opted for at the time of purchasing the policy). We shall take the following steps immediately once the claim is notified to us: The investigator, after inspection shall assess the loss and inform the assessment to the insurer. What is the claim procedure after that the claim is notified? Don't panic, If you receive a bill or notice from a provider or collection agency, simply forward it to. In cases like Engineering or burglary, please lodge requisite complaints immediately to the local authorities. Yes, Universal Sompo allows policyholders to track their claim process. Insurance is the subject matter of solicitation. I know that each policy overview on the website is authentic. This cover is applicable only if the death is due to an accident. Post Repairs - Non Cashless Workshop Insured have to make the payment to the workshop. Is the personal accident the personal accident cover applicable to any other person driving my vehicle? Any condition, ailment, injury or related condition(s) for which you had signs or symptoms, and / or were diagnosed, and/ or received medical advice / treatments within stipulated months as mentioned in your policy prior to your first policy with us. What are the benefits USGIC is providing in personal accident policy? In case there is no nominee made under the policy, then USGIC will insist upon a succession certificate from a court of law for disbursing the claim amount. The sooner you submit the documents requested by surveyor, the faster he finalizes his report and our claims team shall process the claim without any delay. Please remember that if the survey is time barred by the shipping company, your claim could stand prejudiced. Photographs if arranged Fire Brigade Report, Repair agency's report detailing their findings on Cause and the repair procedure suggested, Departmental Note on incident and repairs to be undertaken, Specification of Repair form filled by the repairer, Abstract of relevant portion of Running Account Bill. You need to obtain an FIR in any of the following cases: Bodily Injury to any Third Party involved in the accident. The insurance company generally accept it but they may ask you to obtain estimate from another repairer, if they so wish. On receipt of the estimate and claim form, the insurance company appoints an independent automobile surveyor to assess the loss. After the successful registration of the claim, the insurer will assign a surveyor to assess the extent of damage and losses suffered by the insured car in the accident/mishap. Once you stop paying the premiums, the policy would be discontinued. We strive to build outstanding customer service through our commitment to exemplary claims service. Premium -is your premium check cleared by the bank? Universal Sompo General Insurance Company Limited is a joint venture between Indian banks - Allahabad Bank, Karnataka Banka and Indian Overseas Bank, an Indian investment company, Dabur Investments and a Japanese insurance company, the Sompo Japan Insurance Company. Our claims officials shall soon get in touch with you and shall be happy to help you with the claim procedures. Quadruplicate copy of Duty Paid Bill of Entry (that is with TR-6 challan). Tow the insured vehicle to the garage of your preference or you can also request the insurer to arrange a towing service. What is the first step that i need to take in event of a loss? For a successful claim, your first step would be download car insurance claim form of Universal Sompo in pdf version. Location of the accident Remember, it is your property and it is in your interest to ensure the loss is restricted to a minimum. A death caused due to a disease or natural death is not covered. Unless it is required by local authorities, please do not disturb the location of loss so that the surveyor can get first hand information of the circumstances of loss. AMC/Repair agency's report detailing Extent of damage, Cause and suggested repair procedure. The ICR of Universal Sompo for FY 2018-19 is 92%. IRDAI Registration Number - 134. The surveyor will schedule an inspection and then the assessor will submit the report to Universal Sompo, you must furnish all the necessary documents to initiate the claim settlement process. To intimate Universal Sompo about the damage suffered by your insured car, call their customer service toll-free number at 1800-200-4030 or chargeable number at 022-27639800. He shall verify the damaged property and check documents related thereto. No. Copy of Claim Notice served on Carrier/Custodians along with postal receipt and acknowledgement card. Do make sure that you have disclosed any pre-existing medical conditions to your insurer when you take out the policy (including yourself and your dependent family). Within how many days should I submit the claim? Pre existing diseases are covered or not? - Dependent Parents upto 70 years of age. Details of Savings affected in Standing Charges. Documents Required For Universal Sompo Car Insurance Claim Settlement. In rare casesWe may consider the other supporting documents such as a report issued by the airlines, newspaper reports, TV and other media coverage with regard to the particular hijacking incident. In case of Hijacking, the fact of the incident having occurred should be confirmed by the proper police authorities. Normally, the bills are settled within 7 working days of receiving the relevant documents. Submit your complaint or review on Universal Sompo customer care. If your vehicle under hire purchase or hypothecation is a total loss on account of accident damage or theft, the claim is paid to the hypothecator with whom the vehicle is leased/hypothecated. You need to show the health card at the hospital. Yes. Which family members can get covered in one policy? Universal Sompo Health Insurance. “Cashless facility” is a facility extended by the insurer to the insured where the payments of the costs of treatment undergone by the insured in accordance with the policy terms and conditions are directly made to the network provider by the insurer to the extent Cashless/ Pre-authorization approved, The insured or the network service provider seeks an approval and guarantee of payment from the insurer before the hospitalization for planned treatment and during Hospitalization for emergency treatment. Universal Sompo Health Insurance - Buy & Renew Universal Sompo health insurance plan online. After receiving the relevant documents, Universal Sompo settles the bills within 7 working days. Person - whether you have an insurable interest in the damaged property? In case of a planned hospitalization or emergency services, use your Health ID Card at any of network hospitals and avail cashless service. DO keep all Original bills and receipts, travel documents, original medical reports for easy process of reimbursement claim. Claims. In case of loss or damage due to theft or burglary, inform the police authorities. When the vehicle was not being used according to the ‘Limitations as to Use’. The help desk of InsuranceDekho is always on their toes to help the customers. Remember, it is your property and it is in your interest to ensure the loss is restricted to a minimum. FIR (in case of fatal injuries/accidents). Any loss or damage to the vehicle by miscreants, rioters, terrorists, arsonists, etc. InsuranceDekho is a one-stop solution for all insurance-related needs. Universal Sompo contact information and services description. Are cosmetic treatments or medical attention for cosmetic purposes covered? At worst it can help you get the assistance you need - at best it could help save your life. The insurance claim amount is disbursed by the insurer basis the assessment of the damage or loss sustained and as per the type of policy purchased. Policy Number and Membership ID number (as reflecting on the Health Card). Any damage caused to the property of some other individual by your vehicle. A form is included in the policy kit that you must have received. Step 1: Inform the Insurer about the mishap. 2) Cost of clothing damaged in the accident. Though we shall provide all assistance to you for assessing the loss, however, a delayed notification would mean alteration of pristine circumstance of the loss and hence will entail additional enquiries and documents by the surveyor. Welcome Please login to continue..... * Username Username * Password Devloped By Ops-IT Yes, there is a tax benefit available under Section 80D of the income tax act 1961. FOR CLAIMS UNDER DUTY AND INCREASED VALUE POLICIES (IMPORTS). Health insurance will shield you and your family against any financial unforeseen event arising due to a medical crisis. ... Complaint Status [Apr 17, 2017] Universal Sompo customer support has been notified about the posted complaint. Remember, it is your property and it is in your interest to ensure the loss is restricted to a minimum. Universal Sompo Health Insurance Claim Process You can make a claim under Universal Sompo Health Insurance plans in two ways viz, Cashless and Reimbursement. Regd & Corp Office : Universal Sompo General Insurance Co Ltd. Office No 103, First Floor, Ackruti Star, MIDC Central Road,Andheri (East), Mumbai-400093,Maharashtra Tel : 022-29211800, Fax : 022-29211844. As soon as a loss is noticed, please intimate immediately to our nearest office or on our call centre number or on toll free number 1-800-22-4030 (from MTNL & BSNL Lines) for inland transit claims or to our Overseas worldwide Claims Settling Agent, W.K. Yes, foreigners living in India can be covered under a health insurance policy. Policyholders can avail hassle-free The entire repair cost subject to the claim amount will be paid by the insurer directly to the garage. In the case of commercial vehicles, especially goods carrying vehicles which meet with accidents involving major damage, the insurance company arranges a 'Spot Survey' for immediate inspection of the vehicle to ascertain the damages sustained. Universal Sompo reviews and complaints. Regd & Corp Office : Universal Sompo General Insurance Co Ltd. Office No 103, First Floor, Ackruti Star, MIDC Central Road,Andheri (East), Mumbai-400093,Maharashtra Tel : 022–41659800, 022-41659900. CIN # U66010MH2007PLC166770. We shall co-ordinate through our offices and network to ensure that you are guided through the procedures without any hassles. The towing charges are reimbursable by the insurer up to Rs 1,500. Don't drive the vehicle before the necessary repairs are affected, as any extension of the damage or any further damage is not payable under the policy. The Vehicle is to be shifted to garage for repair only after Spot Survey is conducted. Don't accept lavish hospitality extended by strangers/ unknown persons especially while shopping for jewellery and expensive items. Obtain approval from the TPA. Your liabilities at the time of claim settlement depend on the type of policy and add-ons purchased. Since in this case, your car is getting repaired at a garage out the Universal Sompo workshop network, you need to make the payment to the garage and raise a reimbursement claim with the insurer. What are the claim documentsnecessary for claim settlement? After that, select ‘Motor’ and download the claim form. Click here to Search Network Hospital. Fill up the form that opens up; Click on “Submit” The claim status is shown You will be able to access your claim status. Universal Sompo car insurance does not accept claims for accidents and liabilities that occur when the driver of the vehicle is under the influence of intoxicants, drugs or alcohol. A new page with a short form will appear on the screen. If i am disabled during earthquake, will i get compensation? Do i need to report the accident to the police? Incurred Claim Ratio (ICR) of Universal Sompo Health Insurance. Only third party insurance liability coverage does not cover loss or damage to your insured vehicle. Though a driving licence and registration certificate are cr... Have you made a claim in the previous year? Don't keep your properties, travel documents unattended. Page 2. In case of damage due to natural calamities like storm, floods, lightning, obtain the meteorological report for the weather broadcast at the time of disaster. Visit Network hospital and show your Health Serve Card issued by the company along with Valid Photo ID proof and get ‘Cashless Request Form’ from Insurance helpdesk of the hospital, Fill your details in the ‘Cashless Request Form’ & submit it to the Hospital Insurance helpdesk, Hospital verifies the patient details and sends duly filled Cashless Request Form by Fax to Universal Sompo-Health Office toll free fax 1800 200 9134. Save up to … Do not dispose the Salvage until advised by the surveyor or Insurance Company. Are accidental damages to my vehicle covered under the policy? The claim form is available on our company website www.universalsompo.com, The benefits will depend on the extent and type of disability. Otherwise, they won't pay if evacuation is self-arranged. In case of an unfortunate event of damage to your insured property or an injury to any third person consequent to use of your insured property, you need to immediately contact us. Place & contact details of the Insured Person (in case person intimating the claim is other than the insured person. Universal Sompo General Insurance Company Limited, Health Claims Management Office5thFloor ,Assotech OneC-20/1 A, Block- CSector- 62, NoidaUttar Pradesh, Pincode:201309. Webster & Co. Ltd. by electronic notification of loss on their website www.wkwebster.com / "report new claim". CIN # U66010MH2007PLC166770. Yes, you can have more than one Health Insurance policy. You can read any Universal Sompo General Insurance review, and you will be satisfied enough to buy a policy from them. For the financial year of 2016-17, Universal Sompo won the “Fintelekt-Insurance awards 2017” for its effective claim service in the general insurance industry. Universal Sompo General Insurance Company Limited is a joint venture between Indian banks – Allahabad Bank, Karnataka Banka and Indian Overseas Bank, an Indian investment company, Dabur Investments and a Japanese insurance company, the Sompo Japan Insurance Company. Contact customer care: +91 80 2530 0343. Reimbursement claim is when the expenses incurred during Hospitalization or bills of Hospitalization are directly settled by the Insured with the Hospital and post discharge from Hospital claimed by the Insured from the Insurer for reimbursement. What is the effect of my claim on my policy? What is the amount that i would have to bear for the claim? Obtain damage certificate/open delivery certificate/landing remarks certificate from carriers/ port trust/ airlines/ transporter etc. Certificate from government hospital doctor confirming the nature and degree of disability, Termination letter for claim under "Loss of Employment", Photograph of the injured with reflecting disablement. In either case, when being admitted as a patient, you shall show the concerned Medical Practitioneror personnel this Policy, if requested. Makers report detailing Extent of Loss, Cause and suggested repair procedure. Details of our offices can be found in the USGICL Office locator. Do ensure that you take all documentation of your travel policy with you on holiday, especially the emergency assistance telephone number. Can I avail this policy if I am not an Indian National but living in India? In case of theft, immediate inform the police authorities. What if i have an accident with an uninsured vehicle? Avail easy and quick cashless and reimbursement claim settlement facility of Universal Sompo Health Insurance, the first private partnership in the general insurance segment. Infiniti Mall, Link Road, Andheri (West), Mumbai - 400 058. I gave some details a... Easy process and best premium for my Volkswagen bento car bumper to bumper insurance. How long does it take to get an approval from TPA? To initiate a reimbursement claim, submit all the documents including the original repair bills the company. Original Repair/ Replacement Bills with receipt. The amount, accordingly, is reimbursed to the patient. Visit hospital and undergo your treatment. Open delivery Certificate or copy of application for open delivery, reply received from the Railways refusing open delivery, copy of the letter of protest sent to Railways with the acknowledgement thereto and certified extract of the remarks made in the station delivery or complaints book. Claims can be made up to the limit of sum insured under the policy. Claim bills: Detailed claim bills with necessary bills/vouchers. Can i claim for accumulated damages over a period of time ? The insured vehicle shall be treated as a Constructive Total Loss, if the aggregate cost of retrieval and/or repair of the vehicle subject to the terms and conditions of the policy, exceeds 75% of the IDV of the vehicle. Discharge summary of the treating hospital clearly indicating the Hospital Registration No. Contact numbers I just met with an accident recently with my Mahindra Armada. In case of a medical emergency, you can call on these numbers for queries, clarifications and for seeking any kind of assistance. … Activities carried out at other premises. Normally, insurers will not grant cover once a journey has commenced, leaving you exposed to a significant financial risk and a delay in the assistance you may desperately need. This is the amount you have opted to be deducted from claim amount at the time of purchase of insurance. What is the claim procedure after the claim is notified? Unless it is required by local authorities, please do not disturb the location of loss so that the surveyor can get first hand information of the circumstances of loss. It is essential that the policyholders intimate the claim to the company immediately. Step 3: Survey And Submission Of Documents. What are the documents required for filing a claim? Loss of baggage must be reported to the carrier and a Property Irregularity Report to be obtained. Universal Sompo has been aggressively focused on its digital initiatives. In case of death claim, the amount is paid to the nominee of the policyholder. In the event of an accident or sudden illness where it is not possible to do sobefore consulting a Medical Practitioneror going to the Hospital, You shall contact the Alarm Centre as soon as possible. Original certificate of damage / loss issued by the postal authorities (for Damage Claims). If the policyholder has failed to pay the insurance premiums or the tenure of policy has expired. The health cards need to be renewed or re-issued during the policy tenure. In case of loss of passport, the police authorities to be informed, contact the nearest Indian embassy for further guidelines? Name of Insured policyholder Original Open delivery / Damage certificate or copy of notice given to carriers advising about survey, protest made to them (for Packages delivered apparently in damaged condition). However for your convenience our representatives will supply the claim form for you. ajinkya.parbhane@universalsompo.com. At Sompo International, our claims team is an integral component of the underwriting process, and we align our claims professionals with each of our specialty product lines and geographies. Original Landing Remarks Certificate (for damage claims), Original Non Delivery Certificate (for Non Delivery Claims), Original Short Delivery Certificate (for Short Delivery Claims). 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