– Help the client intimate the claim to the insurer through

     • Online portals
     • Customer care email/phone
     • Direct contact with the claims department

– Collect and submit basic details

• Policy number
• Type of claim (death, accident, hospitalization, theft, etc.)
• Date and description of the incident
• Name and contact of claimant

– Ensure Timely Submission of Documents

• Share a claim document checklist (customized to the policy type).
• Help the client collect, fill, and submit forms such as:
  • Claim form
  • Death certificate (life)
  • Hospital bills, discharge summary, reports (health)
  • FIR, RC, photos (motor)
  • Invoices, fire report, inspection (property)

– Coordinate with the Insurance Company.

• Liaise with claims department, surveyor, or TPA (Third-Party Administrator) for
  • Vehicle inspection
  • Home/asset survey
  • Death claim investigation
• Schedule inspections or medical evaluations if required
• Track the claim status and give timely updates to the client

– Represent the Client’s Interests

• If the claim is delayed, raise a follow-up with the insurer.
• If the claim is partially paid or rejected:
  • Help understand the reason
  • Assist with clarification, additional documents, or appeal

– Educate and Set Expectations

• Explain the turnaround time (TAT) for:
  • Claim assessment
  • Approval or rejection
  • Payout
• Clarify if any deductibles, co-pay, or depreciation apply

– Support in Payout or Settlement

• Ensure the client gets the payout in the right bank account
• Assist with NEFT details, discharge form, or indemnity if needed
• Confirm if TDS has been deducted and help with tax documents if applicable

– Document the Claim Process

• Maintain a record of all emails, submissions, and conversations.
• Update my tracker for future reference or reviews

– Post-Claim Guidance

• Policy reinstatement (if required)
• Renewal of remaining coverage
• Suggesting additional protection (if gaps are found)