Making a Claim
MAKING A CLAIM
Our Role is to guide you through the claims process in a friendly, informative and compassionate manner. We understand the worry that comes with being out sick and facing financial uncertainty and so we work on your behalf to get claims process and paid promptly. We would advise you to contact our offices once your leave commences to request claim forms as the claims process can take between approximately 8 – 12 weeks. Once your full claim application has been received the Insurance
Important Late Notification of Claims
Sometimes, when a significant period of time (approx. 3 months) has elapsed after the end of the Deferred Period, it is often not possible to retrospectively assess the validity of a claim. For this reason, it is vital that you register your claim promptly in line with the guidelines given (8-9 weeks before the end of the Deferred Period). In the case of a late notification of a claim, cases will be assessed on individual merit and the insurer reserves the right to decline to assess the claim.
Definition of Disability
In order for a claim to be paid, the Insurer must be satisfied that you are totally disabled. This means that you are totally unable to carry out the duties of your normal occupation because of illness or injury and that you are not engaged in any other occupation (whether or not for profit, reward, renumeration or benefit-in-kind).
The insurer’s role is to assess the medical information provided and seek further medical information if necessary. They may request you attend and IME (Independent Medical Examination) or request further medical information from your GP/ Specialist during the process. If an IME is required, the cost will be covered by the insurer.