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| CLAIMS FORMS |
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| Home > Claims >
Forms & Guideline |
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As part of our policy to provide its clients and the market with quick, efficient and user friendly service, certain usefull Claim Forms and Claim guidelines from Asia Insurance (Cambodia) are available here.
When experiencing a claim, in order to get the full benefit of Asia Insurance (Cambodia)'s 24 hour Claim Service, we would recommend that you immediately call upon our Claim Officers, via our Claim Hotline number, who will then be able to provide assistance, and ensure a smooth and efficient settlement, especially in stressful and difficult situations.
If you however, were not able to do so at the time of the incident, you can advise us of a claim via email. Simply fill in the details required inside the provided fields in either related form, and submit it to us via email. Please note that once submitted, the completed form will be placed inside your email software's Outbox until you perform the Send & Receive function.
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| Our Claim Department will get in touch with you once your duly completed application is received by our office. |
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| CLAIMS GUIDELINES |
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| Guideline for claim procedure on Burglary Insurance |
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In cases when property insured was burglarized
or stolen, the following procedures are necessary to facilitate
and accelerate the claim process :
Step 1 : To take necessary action
1. Do not disturb the crime scene, or
move anything for verification by the Police and our Claims
Department Officer;
2. Examine the condition and assess the extent of loss and/or
damage;
3. Immediately notify Asia Insurance (Cambodia)s Claims Department
at 012 816 669;
4. Notify the Police and obtain a copy of the Police report;
Prepare the details of the claim in writing, including the
following information :
1. Name of Insured and Policy number;
2. Value of items or subject matter insured;
3. List of loss and/or damaged property;
4. Date, time and place of the occurrence;
5. Details of event;
6. Name list of eyewitnesses (if any);
7. Copy of the Police report;
8. Asset report and/or stock card (if any);
9. Other insurance policy covering the same property (if any);
10. Family register & identity card;
11. Rental and security contracts duly signed with the security
company (if any).
After the investigation is completed and all requested documents
are duly submitted, we will assess the loss and inform the
insured of the claim consideration result as soon as possible. |
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Guideline
for claim procedure on Fire |
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In such cases when the insured property suffers
damages or loss due to a fire or other extended perils, the
following steps are necessary to facilitate the claim procedure
and consideration:
1. Immediately notify Asia Insurance (Cambodia)s Claims Department
at 012 816 669;
2. Assess the condition and extent of the damage or loss to
the insured property;
3. Notify the incident to the Police and obtain a copy of
the Police report;
4. Do not move the damaged property or other concerned evidence
until permitted so by the Insurance Company;
As fire cases go, an official surveyor is usually appointed
to investigate the circumstances of the event and losses incurred.
So as to facilitate the Claims procedure, please prepare the
following documents giving details of the damaged or lost
property :
1. Name of the insured and policy number;
2. Details, quantity and value of items or subject matter
insured;
3. Date, time and location of occurrence;
4. Cause of loss and details of event;
5. Name list of eyewitnesses (if any);
6. Copy of the Police report;
7. Documents showing the existence and value of the insured
property at the time of the incident;
8. Copy of identity card and household residence registration
of the Insured;
9. Document showing the repair assessment issued by a qualified
contractor;
10. Copies of any other Insurance Policy covering the same
property (if any);
11. Any other documents as required by the appointed surveyor.
After the investigation is completed and all requested documents
are duly submitted, we will assess the loss and inform the
insured of the claim consideration result as soon as possible.
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| Guideline for claim procedure on Industrial All Risks Insurance |
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In
such cases when the insured property suffers a loss or damage,
to facilitate and accelerate the claim procedure, please proceed
as follows:
1. Notify Asia Insurance (Cambodia)s Claim
Department immediately at 012 816 669;
2. Determine the material & Financial extent of the damage
or Loss;
3. In cases when property is lost, the Police Department has
to be notified, and a copy of their report is to be obtained;
4. The damaged property must be left as is as much as possible,
for further investigation by our company officer, or the appointed
surveyor.
To prepare the details of loss and/or damage
in writing, revealing information as below :
1. Name of insured and policy number;
2. List and value of damaged or lost property;
3. Date, time and place of accident or incident;
4. Names of eye witnesses (if any);
5. List of insured Assets and according accounting documents;
6. Any other insurance policy covering the same property.
In case the property was missing through theft,
this additional document is required :
1. Copy of Police report.
After the inspection is completed and all
documents are duly submitted, we will assess the extent of
damage or loss and inform the insured of the claim consideration
result as soon as possible. |
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Guideline for claim procedure on Marine Cargo |
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In such cases when the insured cargo is received
in damaged condition, the insured or his agent are kindly
requested to proceed as follows :
1. To issue a notice of claim in writing to
the carrier within 3 days of the delivery date;
2. Do not give the Clean Receipt to the carrier when your
cargo is in doubtful condition;
3. When delivery is made by container, ensure that the container
and its seals are examined immediately by their responsible
officer.
4. If the container is received in damaged condition, or with
its seals broken, or with seals other than as stated in the
shipping documents, make an according remark (know as an exceptional
clause) on the delivery receipt accordingly, and retain all
defective or irregular seals for subsequent identification.
1. Original Insurance policy or certificate;
2. Invoice & Packing list;
3. Original or true copy of Bill of Lading or Airway bill;
4. Wharf survey note and/or any other documentary evidence
issued by the carrier showing the damage of insured cargo;
5. Certificates of weight and quantity at the Point of Origin
and Destination;
6. Correspondences exchanged with the carrier regarding their
liability;
7. Claim letter to insurance company.
After the inspection is completed and all
documents are duly submitted, we will assess the extent of
damage or loss and inform the claim consideration result to
the insured as soon as it is possible. |
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| Guideline for claim procedure on Money Insurance |
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In
such cases when a robbery occurs, and money is lost as a result,
to facilitate and accelerate the claim procedure, please proceed
as follows :
1. Notify Asia Insurance (Cambodia)s Claims
Department immediately at 012 816 669;
2. Do not disturb the crime scene, or move anything, for verification
by the Police and our Claims Department Officer;
3. Verify the exact amount of lost money;
4. Notify the Police and obtain a copy of the Police report.
Prepare the details of the claim in writing
including the following information :
1. Name of Insured and policy number;
2. Amount of Money Robbed;
3. Accounting documents attesting to the existence of the
money prior to the loss occurrence;
4. Date, time and location of robbery;
5. Details of event;
6. Name list of eye witnesses(if any).
If the Money was robbed during transit, please
prepare additional information as follows :
1. Itinerary of normal route of transportation and details
of transportation;
2. Details of the custodian responsible for the money whilst
it was robbed or missing;
3. Copy of family register and identify card;
4. Copy of the involved staff member(s) full personnel file;
5. Copies of any other insurance policy concerned, if any;
6. Security contract made with the security company (if any).
After the investigation is completed and all
requested documents are duly submitted, we will assess the
loss and inform the insured of the claim consideration result
as soon as possible. |
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Guideline for claim procedure on Public Liability |
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In cases when a severe liability in incurred
by your organization or company whilst operating your activity
within your compound, the following procedure should be followed
to facilitate and accelerate the claim process :
1. Immediately notify Asia Insurance (Cambodia)s Claims Department
at 012 816 669.
2. Verify the extent of the damage or injury.
3. If medical care is required, proceed accordingly, while
informing the details to the appointed Claims Officer.
4. In cases of property damage, leave the damage property
as is for our inspection.
In cases of property damage, prepare a report
of damage containing the following details :
1. Date, time and place of occurrence;
2. Details of event;
3. List of damaged property;
4. Quotation of repair or replacement (if any);
5. Copies of any other insurance policy covering the same
property (if any);
6. Evidence proving the right of ownership of the damaged
property;
In cases of injury, prepare a report containing
the following details :
1. Date, time and place of occurrence;
2. Details of event;
3. Details of injury;
4. Receipt of Medical treatment;
5. Family register, identity card and/or other concerned document
of the injured;
Remark : In no case shall the insured take
responsibility for any mistake to the third party without
the consent of the Insurance Company.
After the inspection is completed and all
requested documents are duly submitted, we will assess the
loss and inform the insured of the claim consideration result
as soon as possible. |
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| Guideline for claim procedure on Personal Accident |
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In case of accident causing injury to your
self or a member of your personnel, the following procedure
should be followed to facilitate and accelerate the claim
process :
1. Immediately notify Asia Insurance (Cambodia)s Claims Department
at 012 816 669;
2. Verify the extent of the injury;
3. If medical care is required, proceed immediately, while
informing the details to the appointed claims officer
In cases of injury, prepare a report containing
the following details :
1. Date, time and place of occurrence;
2. Details of event;
3. Details of injury;
4. Receipt of Medical treatment;
5. Doctor certificate;
6. Doctor prescription;
In cases of death, prepare the additional documents from the
above as follows:
1. Certificate of death issued by the district
officer, or relevant authority;
2. Family register, Identity card.
After the inspection is completed and all
requested documents are duly submitted, we will assess the
loss and inform the insured of the claim consideration result
as soon as possible. |
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Guideline for claim procedure on Workmen Compensation |
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In such cases when a work related accident
occurs, and an employee is injured whilst carrying out is
duty, or within the time limit of the coverage, the following
procedure should be followed to facilitate and accelerate
the claim process :
1. Immediately notify Asia Insurance (Cambodia)s Claims Department
at 012 816 669.
2. Verify the extent of the injury.
3. If medical care is required, proceed accordingly, while
informing the details to the appointed Claims Officer.
4. In cases of property damage as well, leave the damage property
as is for our inspection.
Prepare a report containing the following
details:
1. Date, time and place of occurrence;
2. Details of event;
3. Details of injury;
4. Receipt of Medical treatment;
5. Company ID Card;
6. Employee Time Card, showing time in for work on day of
event;
7. Employment details of injured employee;
a. Position Held;
b. Scope of work;
c. Job Description;
d. Basic Salary;
e. Employment History;
f. Any other details.
8. Family register, identity card and/or other concerned document
of the injured
After the inspection is completed and all
requested documents are duly submitted, we will assess the
loss and inform the insured of the claim consideration result
as soon as possible. |
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IMPORTANT NOTICE |
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In accordance with Article 17, the insurance
policy will not be in force until the premium for such policy
has been received and accepted by the company. In accordance
to Article 21 of the same Law, If it is found that the risk
is intentionally created by the insured, whether the claim
already settled or not, in the case that the insurance company
has found the fraudulent or risk creation which have proofs
and evidences, the insurance company shall have the rights
to refer to the court to void the liability or claiming back
the settled amount. |
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