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Claims support · We stand with you

A claim is when insurance matters most. We guide you through every step.

Buying the policy is only half the job. When something goes wrong — an accident, a hospital admission, a loss — we help you register the claim, deal with the insurer, surveyor, hospital or TPA, and follow it all the way to settlement. You focus on recovering; we handle the paperwork and the follow-ups.

Illustration of a support agent helping a customer — InsureDost claims assistance
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Why it matters

As a broker, we work for you — especially at claim time

An agent represents one insurer. As a licensed broker, we represent you. If a claim is delayed, under-assessed or disputed, we take it up on your behalf — that's the whole point of buying through us.

  • We register the claim fast. Prompt intimation protects your claim — we help you report it correctly, the same day.
  • We coordinate the moving parts. Insurer, surveyor, TPA, hospital or garage — we liaise so you don't have to chase five people.
  • We get your documents right. A clear checklist and a review before submission — missing papers are the No. 1 cause of delay.
  • We track and follow up. We chase the file, keep you updated, and explain any deduction or query in plain language.
  • We escalate if needed. If a claim is unfairly denied, we help you raise a grievance and, if required, approach the Insurance Ombudsman.
Get claims help
One point of contactTalk to us — we deal with the insurer and surveyor
Cashless coordinationNetwork hospitals & garages — we help set it up
Document checklistKnow exactly what to submit, and by when
We chase, you healFollow-ups, reminders and dispute support
How it works

The claims process, in 6 simple steps

Every insurer's forms differ, but the journey is broadly the same across all products. Here's what to expect — and where we step in for you.

Claims by type

What each claim needs — and how it works

Tap a section for the essentials: when to claim, the documents to keep ready, key checks, and the process. This is a general guide — your policy wording and insurer set the exact terms, and we'll walk you through your specific case.

Motor — Own Damage (car & two-wheeler)

When to claim: accident damage to your own vehicle, theft, fire, or damage from floods, riots or falling objects.

Documents: claim form · policy copy · Registration Certificate (RC) · driving licence · FIR (theft, third-party injury or major accident) · repair estimate · original repair bills & payment receipts · photos of the damage · (theft) the vehicle keys and RC.

Key checks: intimate before repairs begin; don't move or repair the vehicle before the surveyor inspects it (except to prevent further damage/for safety); prefer a cashless network garage; you pay only the compulsory deductible and any depreciation not covered by zero-dep.

Process: intimate → surveyor inspects at the garage → repair approved → cashless settlement with the garage (or you pay and claim reimbursement) → your No Claim Bonus resets unless you have NCB Protect.

Motor — Third-Party (injury or damage to others)

When to claim: your vehicle causes injury/death to a person, or damage to someone else's property. Third-party cover is compulsory by law.

Documents: FIR · your policy copy · RC and driving licence · details of the affected person/property. Third-party injury/death claims are decided by the Motor Accident Claims Tribunal (MACT), not paid over the counter.

Key checks: never admit liability or settle privately at the scene; report to police and to us immediately; keep a copy of the FIR and any notices you receive.

Process: intimation → the insurer's legal team defends and represents you at the Tribunal → the Tribunal determines compensation. We help you notify the insurer correctly and stay informed.

Health / Mediclaim

When to claim: hospitalisation (usually 24+ hours as an in-patient), day-care procedures, and eligible pre- and post-hospitalisation expenses.

Documents: claim form · discharge summary · all hospital bills & payment receipts (originals for reimbursement) · investigation/diagnostic reports · doctor's prescriptions · ID proof · cancelled cheque/bank details · policy or health card.

Key checks: at a network hospital, ask for cashless pre-authorisation — for planned admission get it approved before admission; for an emergency, intimate within 24 hours. Keep every bill and report, including for tests done just before and after hospitalisation (these are often payable). Watch waiting periods for pre-existing conditions and specific illnesses.

Process: Cashless — hospital raises pre-auth with the TPA/insurer, treatment is approved, insurer settles the hospital directly and you pay only non-covered items. Reimbursement — pay the hospital, then submit the full document set within the days allowed after discharge; the insurer assesses and credits your bank account.

Life / Term insurance

When to claim: a death claim (raised by the nominee) or a maturity claim (paid to the policyholder at the end of the term for savings-type plans).

Documents (death claim): claim intimation/form · original policy document · death certificate · nominee's ID & bank details (KYC) · and, for unnatural/early death, the FIR, post-mortem report and hospital records.

Documents (maturity): discharge/maturity form · original policy · ID and bank details, submitted before the maturity date.

Key checks: make sure the nomination is registered and up to date; keep the policy document safe and tell your nominee where it is; declare health and habits honestly at purchase — non-disclosure is the main reason death claims are contested. Claims are strongest once the policy has crossed the initial period and premiums are paid up to date.

Process: nominee intimates → submits documents → insurer verifies (may investigate early/large claims) → the sum assured is paid to the nominee's account.

Travel insurance

When to claim: medical emergency abroad, trip cancellation or curtailment, flight delay, lost/delayed baggage, or loss of passport.

Documents: claim form · passport & visa copy · tickets/boarding passes · medical reports & original bills (medical claims) · police report (theft/loss) · airline's Property Irregularity Report (PIR) for baggage · receipts for expenses claimed.

Key checks: for a medical emergency, call the 24×7 assistance number on your policy first — they arrange cashless treatment or a guarantee of payment. Report theft to local police and get a written report. Keep every receipt while you're travelling.

Process: call assistance → they coordinate cashless care abroad where possible → for reimbursement, submit documents on return → insurer settles to your account.

Home / Property & Fire

When to claim: loss or damage to your home, contents or business premises from fire, burglary, or natural calamities (flood, storm, earthquake), per your policy.

Documents: claim form · FIR (theft/burglary) · fire brigade report (fire) · proof of ownership/occupancy · purchase invoices or valuation of damaged items · photographs · repair/replacement estimates.

Key checks: intimate immediately and preserve the scene — don't clear away or dispose of damaged items before the surveyor's inspection. Take dated photos. Under-insuring the property can lead to proportionate ("average") deduction, so keep the sum insured realistic.

Process: intimation → surveyor assesses the loss → insurer approves after applying limits/deductibles → settlement to your account.

Personal Accident

When to claim: accidental death, permanent or temporary disability, or (if covered) hospitalisation and weekly benefits following an accident.

Documents: claim form · FIR/accident report · treating doctor's certificate · disability certificate from a government hospital (for disability claims) · medical records & bills · death certificate and post-mortem report (fatal claims) · nominee KYC and bank details.

Key checks: report the accident and intimate promptly; obtain the correct medical/disability certificate — the benefit payable depends on the exact degree and nature of disability defined in the policy.

Process: intimation → submission of medical evidence → insurer assesses the benefit per the policy table → settlement to the insured/nominee.

Business & Commercial (marine, liability, workmen, property)

When to claim: cargo loss/damage in transit (marine), a third-party liability event, an employee injury (Workmen's Compensation / Employees' Compensation), or damage to business assets.

Documents: vary by cover — typically the claim form, policy copy, invoices/transport documents (marine), survey report, FIR or incident report, legal notices (liability), medical & wage records (WC), and photographs.

Key checks: notify immediately (marine claims are time-sensitive — lodge a claim on the carrier too); preserve evidence and damaged goods for the surveyor; keep transit and purchase documents. For liability and employee claims, don't correspond with the claimant without informing the insurer.

Process: intimation → surveyor/loss adjuster assessment → insurer approval → settlement. We coordinate the survey and documentation for you.

Avoid the pitfalls

Why claims get rejected — and how we help you avoid it

Most rejections are avoidable. Knowing these in advance — and buying the right cover — is exactly where a broker earns their keep.

Non-disclosure

Not declaring a pre-existing illness, past claims or the true facts. Always answer proposal questions fully and honestly — we help you do it right at the start.

Late intimation

Reporting a claim too late. Tell us as soon as it's safe to; prompt intimation keeps the claim valid.

Policy lapsed

A claim during a break in cover because a renewal was missed. We remind you before every renewal so your cover never lapses.

Waiting period / exclusion

Claiming for something still in its waiting period or specifically excluded. We explain what's covered from day one and when.

Invalid licence / DUI

Motor claims fail if the driver had no valid licence or was under the influence. Keep documents valid and current.

Under-insurance

Setting the sum insured or IDV too low to save premium leads to reduced payouts. We help you size cover correctly.

Know your rights

Timelines, free-look & how to escalate

Settlement timelines

  • Insurers must act within IRDAI-prescribed timelines once you submit all required documents.
  • Health cashless requests are approved on priority under IRDAI's health-claim norms; keep the hospital in the loop.
  • Reimbursement and death claims are ordinarily settled promptly after documents are complete; larger or early claims may need verification.
  • Exact timelines are governed by your policy and current IRDAI regulations — we track the clock for you.

Free-look & escalation

  • Free-look: if a new life or health policy isn't what you expected, you can return it within the free-look window for a refund (less small deductions).
  • Grievance: if a claim is unfairly handled, raise it with the insurer's grievance cell and with us — see our Grievance Redressal page.
  • IRDAI: escalate via the Bima Bharosa portal.
  • Ombudsman: for eligible policy disputes, approach the Insurance Ombudsman. We'll help you prepare the case.

Timelines, free-look duration and eligibility are governed by the insurer's policy wording and prevailing IRDAI regulations.

FAQs

Claims — your questions answered

Do you charge extra for helping with a claim?

No. Claims support is part of our service as your broker — it's why buying through us is worth it. Our remuneration comes from the insurer, so our help at claim time costs you nothing extra.

What's the difference between cashless and reimbursement?

Cashless: the insurer settles the hospital or garage directly and you pay only your share (deductibles/non-covered items). Reimbursement: you pay first, then submit documents and get the approved amount credited to your bank account. Cashless is usually smoother — we help you set it up at a network provider.

How quickly should I report a claim?

As soon as it's safe to — ideally within 24–48 hours. For theft, fire or an accident with injury, also file a police FIR. Prompt intimation is one of the biggest factors in a smooth claim.

My claim was rejected. What now?

Don't give up. Send us the rejection letter — we'll review the reason, help you supply anything missing, and if the denial is unfair we'll help you raise a grievance and, if needed, approach the Insurance Ombudsman.

Can you help even if I bought the policy elsewhere?

We can offer general guidance to anyone, and we give full end-to-end claims support on policies placed through us. The simplest way to get that support on every future policy is to move your cover to us at renewal.

Have a claim? You don't have to face the insurer alone.

Tell us what happened and we'll guide you from the first phone call to the final settlement.

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