General Insurance

Notify of New Claims

1. How do I make a claim?

You will need to fill out a Claim Form and submit the completed form together with those documents that are relevant to the nature of your claims and coverage.

2. How fast does your insurer settle a claim for Accident and Health policies?

Our insurer’s benchmark is to issue payment within 7-14 working days upon receipt of full documentation.

3. How soon should a claim be notified?

Some policies may state a specific period to notify of a claim. You are advised to study your own policy’s terms and conditions as one policy may differ form another. Alternatively, you could always just contact us directly for these details.

4. How long will it take to handle my claim?

The timeline may vary, depending on the complexity of each claim , how serious the damages or injuries are, and how willingly other involved parties are to cooperate. As an Insurer claims representative, we will always work towards a prompt resolution on each claim. If a claim requires follow-up, rest assured that we will be there with you on each phase of the process - no matter how long it takes. Furthermore, if your claim had been concluded and additional damage or injuries were to be identified, we will reopen the claim and help determine if your policy provides coverage for the additional expense.

5. How do I know if my claim will be covered?

A good place to start is by reviewing your policy. You may also want to speak to us or the insurer claims representative assigned to your claim, to help you understand what coverage you have purchased, and how it applies to your particular claim.

Car Insurance Claims

1. How fast does your insurer settle damage repair claims?

Our insurer’s benchmark is to approve damage repair claims within 7 working days for non-severe damages upon receipt of the repair estimate/notification, and within an additional 7 days for extensive damage.

2. Can I send my car for repair at any PIAM authorized workshop?

No. You are required to send your car to our insurer’s appointed workshop or to the franchise workshop. 

3. Does your insurer have panel workshops nationwide?

Yes. Please refer to the workshop panel list provided within your car insurance policy. Alternatively, you may get in touch with us as we will be able to provide you with the updated panel list.

4. What is the time frame for notifying a claim?

In line with the standard motor policy, you are required to notify the claim in writing with full details as soon as possible.

5. What should I do when I am involved in an accident, or if my car is stolen? What documents do I need to submit?

You may refer to the claims guide attached within your motor policy. Otherwise, you may  get in touch with us for more details.

6. Does your insurer pay for consequential loss or for hire of another car, as a result of damages to my car in the event of an accident?

No. Currently the standard comprehensive motor insurance policy will only cover for the cost of repairs to your vehicle, but not for any consequential losses as a result of damages to your car.

7. Does your insurer pay for the full sum insured in the event my car is rendered a total loss or stolen?

The amount payable for the total loss or theft of your car will be based on the Agreed Value / Market Value.  

P Lines Claims ( Personal Accident / Hospitalisation )

1. Does your company recognize claims made in respect of a traditional treatment?

We recognize claims made from any provider that is approved and licensed by the Health Ministry.

2. Are original medical bills/invoices required to support my claim for hospital income and medical expenses reimbursement?

Claims for medical expenses must always be supported with original bills/invoices. As for hospital income claims, you will only need to submit photocopies of the hospital bills indicating the dates of admission and discharge, as evidence of the hospitalization period.

3. If my medical expenses are being paid by my employer or are being considered for payment by another insurance company, am I still entitled to seek for reimbursement from my medical insurance policy purchased from your company?

As medical claims are always paid on reimbursement basis, you will not receive payment for any medical expenses that you did not incur personally. If your employer or another insurance policy is paying you in full for the medical expenses incurred, you are not entitled to claim for any reimbursement from your medical insurance policy purchased from the insurer.

However, if there is any excess amount from the incurred medical expenses which had not been paid by your employer or the other insurance policy, you are entitled to claim the excess amount from your medical insurance policy purchased from the insurer, subjected to the limits, terms and conditions of the policy.

4. Why should I purchase another policy from your company when I am already insured with another insurance company, or when my employer is paying for my medical expenses?

Aside from medical expenses, our insurance policies provide other benefits such as hospital income, disability and death, depending on the policy you purchase. These benefits are paid, in addition to any other coverage that you may already have from your employer or policies you purchased from other insurance companies. Purchasing additional insurance with these benefits would bring you additional protection.

5. Does your insurer provide a guarantee to hospitals for the payment of medical expenses incurred by its policyholders?

All policyholders are required to settle the hospitalization bill upon discharge, and to submit the original invoices/bills to insurer for reimbursement.

6. How is a death benefit paid under a PA insurance policy?

The death benefit is paid to the beneficiary nominated by the policy owner. In the case where no beneficiary is nominated, the death benefit will be paid to the legal representative of the deceased’s estate, or alternatively, to Amanah Raya Berhad (the corporatized government trustee) as provided by the law.

7. Does your insurer pay for the cost of the medical report?

No. It is up to the claimant to prove his claim with reasonable evidence, at his own expense.

8. Under what circumstances can I claim for hospital income?

Provided that the reason for your hospitalization is one that is covered under the policy, a hospital income claim is paid if the Insured Person is hospitalized for at least 24 hours, as an inpatient, in a licensed hospital.

FAQ On E-Payment ( Refund / Receive of Claims Reimbursement ) 

1. Why should I choose to receive funds via e-payment?

i) Faster – the funds should be available on the 2nd working from the day the payment had been approved by the Company’s authorized personnel

ii) Convenient - removes the need to travel and to deposit the cheque at a bank, as payments are credited directly into your bank account

iii) Safer - misplaced, lost, fraud or expired cheques will no longer be an issue

2. Will there be any registration fee imposed for the use of e-payment?

No, you are entitled to enjoy this service, completely free-of-charge.

3. How do I apply to receive funds via e-payment?

You need to complete the Fund Transfer Authorisation Form / E-Payment Authorisation (“the Form”), and to provide your bank account information as stated in the Form when you submit your claims form. 

4. Is there any restriction on the type of bank account that can be used for e-payment?

You can assign any of your existing active savings or current account held under your name, or in the case of a joint account, that has your name as one of the accountholders. Note that the savings or current account must be maintained by one of the financial institutions offering MEPS Inter-Bank GIRO (IBG) service.

Please refer to the following website for a current list of IBG members: http://www.myclear.org.my/faqs/interbank-giro-faqs/

5. What will happen to funds that cannot be credited into my bank account?

In the event that funds had not been credited into your bank account due to one of the following reasons: incorrect bank account number, closed or inactive bank account, inconsistency of NRIC/Passport number or Business Registration number; you will be contacted by us or the insurer to validate your bank account details. This may lead to unnecessary delay to the payment process. Hence to avoid this issue, please ensure that your bank account details are correct and active upon providing such information to us. 

6. What if I die before the insurer pays out my claims proceeds and if the bank had frozen my account? Where does the money go?

All monies due to a policyholder in the event of his death will go to the administrators of his estate, or to the nominees named in the policy.