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How to pay for the insurance company's claims process?
Insurance claim is defined by time, which refers to the whole process from the occurrence of an insurance accident to the insurer's determination of compensation, and the insured or beneficiary receives the corresponding insurance money. In the whole process of life insurance claims, it can be divided into seven steps: receiving a case, filing a case, preliminary examination, investigation, verification, examination and approval, closing a case and filing a case.
Extended data:
The claim process of major insurance companies is almost the same, and the claim process is roughly as follows: claim reporting-obtaining claim application form-preparing claim information-submitting claim application-claim verification-claim payment.
1, claim report. After the accident, the insured shall notify the insurance company within 10 days after the accident, and provide the policy number of the insured, the name and ID number of the insured, the name and contact information of the informant.
The report can be made by telephone (400-888-8288), fax (400-888-8299) or in person at the insurance company. When reporting the case, it is necessary to explain the accident in detail, and the inpatients need to stay in a public hospital above the second level.
2. Obtain the claim application form. The insured needs to download from the website or call the customer service representative to provide the claim application form.
3. Prepare the claim materials. The claim application form is completed and signed by the insured. Please refer to the "Claim Information Comparison Table" to prepare the required information.
4. Submit a claim.
5. Claim verification.
After receiving the application, the claims department of the insurance company will immediately register and send a short message to the insured to confirm the receipt. For claims with complete information, clear responsibilities and no need for investigation and verification, the claims department will complete the trial within 5 working days; If the claim department finds that the claim information of the insured is incomplete during the claim review, the claim department will notify the insured to fill it up as soon as possible in the form of short messages;
If the claims of the insured are complicated, or the nature, cause and loss degree of the insured accident are difficult to determine, and it is necessary to investigate and verify, the claims department will inform you by SMS and verify it within 30 days. Whether the claim is paid or not, the claim department will send the claim result notice and the original claim materials to the designated postal address by express delivery.
6. Claim payment. If the claim is passed, the insurance company will remit the insurance money to the designated bank account within 3 working days. Please provide the account number of the insured/beneficiary and the detailed name of the bank (specific to the branch) so that the claim can be settled smoothly.
Baidu Encyclopedia-Claim Procedure
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