Non Motor Claim Procedures

Notify the Company
The first step in the claim process is for the policyholder (known as “the insured”) to notify the Company about loss. The insured can contact the insurance agent, who will then notify the company or the insured may notify the company directly. In either method insured will be expected to provide some basic information: When the loss occurred; The Policy number, the names and contact information of the people involved (if the loss was an accident involving another person); a description of what happened; whether anyone was injured; a description of any property that was damaged; and locations where the claim surveyor can inspect the damaged property along with the contact number of the person (Insured or some one acting on behalf of insured).

Investigation
The company after receiving the intimation and ensuring that Policy is in force will appoint a surveyor to survey the claim. He will determine whether the insurance applies to the loss (Claim is payable or not). If he concludes that the insurance does not apply, he will inform the insured of that and close the process (and will issue the No Loss Report to us, on behalf of that report we will further write to insured about the basis on what the loss has been rejected) . If he determines that the insurance does (or at least, might) apply, he will investigate further. He may inspect damaged property; interview the insured and any witnesses; and speak with physicians, contractors, mechanics or anyone else involved in treating injuries or repairing damage who seems to be involved and need to been inquired or investigated. Documents are sought by the surveyors relevant to the claim. Please note that the surveyors are instructed to issue report within 30 days of being appointed and in either case he will furnish us a progress report enabling us to provide us the maximum customer satisfaction by processing his claim on time after all the required documents are received by the surveyors.

Coverage Decision
When the surveyor has gathered sufficient information, he will make a final determination as to whether coverage applies, if he concludes that coverage applies, he will develop an estimate.

Negotiation
At this point, the company is ready to make a settlement offer. For property damage, the offer will be for amounts to repair or replace the property. For injuries, the offer may include amounts for medical costs and any necessary therapy. The insured then has the choice of accepting the offer or rejecting it. Most insurance policies specify procedures for the insured and the company to follow in the event that they do not agree on a claim settlement, up to and including arbitration.

Payment
When an agreement is reached, the company will issue payments. These can go directly to the insured, to the repair shop or contractor doing the work, to health care providers, or to vendors. Once the company has made all agreed-on payments and the insured or injured person has signed a release, the claim surveyor closes the claim process.

 

In Case of Non Motor Claims

Insurance policies are contracts of insurance between the insured and Insurer. The insured needs to understand the policy issued to him before the loss occurs.
Filing the Claims:

  • Contact UIL Office immediately.
  • Kindly ensure that as far as possible the policy details are available with you before you intimate the loss.
  • In case of Fire loss:
  • Contact the fire brigade / police.
  • Try to minimize the loss and protect the property. This is also your moral duty strive for minimizing the loss to full extent.
  • In case of Theft/ Burglary claims:
  • Loss should be reported to Police Authorities.
  • In case of Marine transit loss:
  • If you observe the damage to packing insist on open delivery.
  • Qualify the BL/LR/RR/MTD/AWB.

 

 

Submitting Documents:

In support of your claim the insured may be required to submit the following documents:-
In case of Fire Policy Claims:

  • Claim form, duly filled in & signed by the Insured.
  • Inventory of loss. Repairs bills. Lab. Test reports, if required Photographs, if taken by the Insured Departmental Note about the incident Fire Brigade Report FIR & Police Roznamcha.

 

In case of Marine Claims:

  • Policy/ Certificate of Insurance duly endorsed
  • Invoice
  • Packing List
  • Surveyor’s Report
  • Contract of Carriage i.e. Bill of lading, Air Way Bill, Lorry Receipt (Consignment Note), Railway Receipt (Original in case of Non – delivery)
  • Documents pertaining to recovery.

 

In case of Engineering Claims:

  • Claim Form
  • Photographs
  • Police report (first and final)
  • Fire Brigade report

 

Note: 3 & 4 may be waived where the survey report is clear and does not cause any doubt on occurrence as well as extent of loss. Where Occurrence of riot is in public knowledge, production of Final Police Investigation Report and Fire Brigade report may be waived.

 

  • Give your contact details i.e. Phone Number / Cell number / Email Id and address where you are available.
  • Maintain all the records of expenses incurred and all the copies of documents and correspondence exchanged in respect of the loss.
  • Do not dispose off the damaged item before the surveyor has seen the damaged goods and permits to dispose it.

 

Stock Loss:

 

  • Try and make the detailed list of the stock damaged.
  • If possible try to minimize the loss by segregating the damaged goods from the undamaged goods.
  • Try to ascertain if the damaged goods can be restored to its original shape / state if so try to take steps to do so but in consultation with the surveyor.
  • Keep the details of stock statement ready as on date of loss (before loss).
  • Segregate the stock position into Raw materials, Stock in process, semi-finished goods /finished goods/ others.

Property Loss:

  • Make detailed lists, of all damaged items identifying make and model numbers. Identify where and when you bought the item and its original purchase price.
  • If it is safe to do so, take a good look around your property and make a note of any structural damage. Don’t forget to look at all structures on the property such as sheds, fences, garage, etc.
  • Obtain detailed written repair estimates from reliable, licensed contractors. The estimate should clearly give detail of labour and material needed.

 

Liability Loss:

  • Inform UIL of the happening of an event, which may give rise to a claim under the policy.
  • Don’t forget to take down the Name, address and telephone number of the witness which will help us if contributory negligence is there and to be proved.
  • Collect full details of the happening of the event like:-

 

Property Damage

 

  • Nature and extent of loss / damage, valuation, depreciation
  • Contributory negligence
  • Loss of use, loss of profits, increased cost of working, etc. as claimed.

 

Bodily Injury / Death

 

  • Age, Occupation, status, Income, Dependency, Age of the Dependents etc.
  • Percentage of Disability supported by Medical Certificate.
  • Contributory negligence.
  • Forward the notice of the claim that may be received without admitting the liability to UIL.

 

Inquiry Procedure:
As your Insurer, UIL strives to maintain the highest standard of service at all times. If you have an inquiry or concern regarding your policy or claim we encourage you to

 

  • Ask us Call us on 111-845-111 or your insurance broker and agent for an explanation.
  • Have all the pertinent information and documentation available.
  • Make sure that you keep a record of who you talked to and what was said.

 

If your concern is still not addressed to your satisfaction we urge you to write to the Claims Head of the UIL office that issued you the policy.

We will of course make every effort to resolve any problem in a fair and reasonable manner.

Settling Your Claim

Once we agree on the terms of the settlement, payment will be sent promptly

In case of Personal Accident Claim

If any person meets with an accident, attend the person first. Give him the necessary first aid. Arrange to shift the injured person to the nearest hospital.

It is mandatory to intimate the accident to UIL

UAN: 111-845-111
Email Id: info@ublinsurers.com, Abdul.patel@ublinsurers.com, ahmed.waqar@ublinsurers.com

Keep the following information ready before intimating the claim

  • Policy No. (Policy to be issued before registration if not done earlier)
  • Name & contact details of person intimating the claim
  • Date & time of accident / loss
  • Nature of loss, Place of loss and Brief description of loss
  • Name of the hospital if insured is hospitalized
  • Name and address of police station if FIR filed
  • Name of person who took insured to hospital
  • Contact no. and address if insured is not at the address given in the policy
  • Designation and grade of the person and since when he is covered under the policy (for group policy)
  • Name of attending physician and family physician
  • e-mail id of insured for future correspondence

 

Note:

Terms and conditions of policy apply.

In case the insured is hospitalized, kindly collect all the hospitalization documents at the time of discharge.

Submit the claim documents to UIL office for claim processing within 7 days of completion of the treatment.

Claim settlement will take approximately 7 days from the date of submit of final document, provided all document are in order.

 

Contact us :
Ph.: 021-111-845-111 For Branches in Karachi
042-111-845-111 For Lahore Branch
061-111-845-111 For Multan Branch
051-111-845-111 For Islamabad Branch
041-111-845-111For Faisalabad Branch
Email: info@ublinsurers.com

Travel Claim Procedure

HOSPITALIZATION – DIRECT SETTLEMENT.

In case of Emergency condition where insured is being hospitalized for medical treatment, A direct settlement option can be availed by reporting it to out 24/7 International Helpline 00603 7628 3395. Everything within the ambit of policy terms and conditions limited to the sum insured; our TPA ASIA ASSISTANCE will look after all the payments.

 

REIMBURSEMENT.

Claim can be intimated via email on below mentioned addresses.

  • a.asghar@ublinsurers.com
  • Arsalan.ali@ublinsurers.com

 

DOCUMENTATION.

  • Passport Copy,
  • Visa Copy
  • CNIC
  • Policy copy

Other documentation can vary from case to case bases since more than 20 perils are covered under each Travel Policy.

TIME PERIOD.

After intimation depending on intricacy of claim the time period can vary, If it requires verification internationally it may take upto 90 working days.

Health Claim Procedure

Type of Process Claims
Category Group Health
SOP No. SOP-10/14/2015

Network Panel Hospital Claims (IPD)

 Credit facility at the Health eConnex panel hospitals (TPA)

 

As per UIL Company agreement with Health eConnex “The Service provider for GHI Claims to UIL”

  1. The Health eConnex looks after the IPD Claims as per Health eConnex Standard operating procedures.
  2. After scrutiny and assessment of IPD claims received from panel hospital, the Health eConnex forwards the Approved/Processed claims to UIL for Cheque Payments to Network Hospitals.

 

The UIL pays all eligible expenses directly to the panel hospitals. In respect of non-eligible expenses the panel hospital may seek deposit money from the insured employee/patient.  The insured employee shall pay all non-eligible expenses directly to the hospital before the patient is discharged.

Health eConnex Network Panel Hospital List (Annexure-A)

Reimbursement Claims

Reimbursement of claims for treatment received at non-panel hospitals

If an insured person wishes to be hospitalized in a non-panel hospital, the bills will then be reimbursed according to the rates/charges of the company’s panel hospital as per reasonable and customary deduction in the same city/town and reimbursement claim bills should be assess/verified by Health eConnex.

OPD Reimbursement Claims

It is declared and agreed that cover under this policy is extended to include out-patient medical treatment. Out-patient medical treatment means reasonable and customary charges for all medically necessary treatment and services provided by or on the order of a licensed physician to the insured person, as a result of day to day sicknesses or injuries.