Claim Process - Royal Sundaram General Insurance

  1. Intimation     
  2. Compilation/ Submission of claim file 

How to intimate travel claim with Royal Sundaram General Insurance

Intimation shall be done immediately to Alarm Center of TPA and it’s assistance co-operation partners.
E-Mail
customer.services@royalsundaram.in
Claim Helpline
1860 425 0000
Nearest Branch

Details required for Registration/ Intimation of Claim

To register a claim/seek assistance through the above contact points, the following information has to be provided to the customer support executive:-
  • Timeline specification
  • Address
  • Telephone number

Points to Remember

  • Assistance service provider is to be intimated in the event of any treatment, non intimation may invalidate the claim. 
  • Cashless will be extended for all in-patient treatments only when service provider is intimated & pre approval obtained (as per policy T & C)
  • OPD Claims  & claims other then In-Patient will be reimbursed upon return to India.
  • Policy does not cover traveling abroad for obtaining medical treatment & travelling against medical advice.
  • Assistance service provider is to be intimated in the event of any treatment, non intimation may invalidate the claim. 
  • Cashless will be extended for all in-patient treatments only when service provider is intimated & pre approval obtained (as per policy T & C)
  • OPD Claims  & claims other then In-Patient will be reimbursed upon return to India.
  • Policy does not cover traveling abroad for obtaining medical treatment & travelling against medical advice.

The claim file has to be submitted at the below mentioned addresses within 30  days  after returning from the trip. 

The claim file has to be submitted at the below mentioned addresses within 30  days  after returning from the trip. 
Courier Address
Vishranthi Melaram Towers No.2/319 , Rajiv Gandhi Salai(OMR) Karapakkam,Chennai - 600097




List of Documents

  • The original bills and vouchers must be submitted along with all claims.
  • Bills/ Prescriptions/vouchers/ reports/ discharge summary must contain the name of the person treated, the type of illness, details of the individual items of medical treatment provided and the dates of treatment. Prescriptions must clearly show the medicines prescribed, the price and the receipt stamp of the pharmacy. In the case of dental treatment, the bills/ vouchers/ reports must give the details of the tooth treated and the treatment performed.
  • For reimbursement of the extra costs of transporting the mortal remains to the Republic of India or of the costs of burial abroad, an official death certificate and a physician’s statement giving the cause of death. Medical statements from relations or spouses will not be accepted.
  • For reimbursement of extra expenses of transportation of Insured Person to the Republic of India, a medical statement indicating the cause of illness and the necessity of the transportation. Medical statements from relations or spouses will not be accepted.
  • In case of loss of baggage, a Property Irregularity Report or other report usually issued by the carriers in the event of loss of baggage.
  • For personal liability, proof of judicial decision rendered by a court of law.
  • For personal Accident, bills/vouchers/reports/discharge summary, Death Certificate, First Information Report, Post Mortem Report, Legal Heir Certificate and such other documents as may be required. The relevant documents must contain the name of the person treated, the cause of Accident, details of the individual items of medical treatment provided and the dates of treatment
  • Any other document(s) that the Company requires from the Insured Person to process the claim.
  • If TPA or it’s assistance cooperation partners or the Company requests that bills/ vouchers in a foreign language be accompanied by an appropriate translation in English then the costs of such translation must be borne by the Insured Person.

Process of Claim

01
Insurer will inform about any deficiency within 7 days.
02
Duly filled claim forms along with all necessary documents are to be submitted within prescribed timelines.
03
If the claim is approved, amount will be transferred within 30 days.
06
All prescriptions, investigation reports & medicine bills are to be kept handy.
05
The treatment is to be intimated with respective service providers within prescribed timelines.
04
If the claim is rejected, letter with details are to be shared with Insured.
07
The claim file is to be prepared with ref to check list & to be submitted upon return to India.
08
Post receiving of all required info, the claim will be processed within 30 days.
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