Insurance claims must be filed within the limitation period. If the insured or beneficiary fails to file a claim with the insurer after the limitation period, providing the necessary documents and receiving the insurance money will be regarded as a waiver of rights. Different types of insurance have different time limits. The limitation of life insurance claims is generally 5 years; The limitation of other insurance claims is generally 2 years.
The limitation of claim shall be calculated from the date when the insured or beneficiary knows the occurrence of the insured accident. After the occurrence of an insurance accident, the applicant, insurer or beneficiary shall immediately stop the insurance and report the case, and then make claims.
Extended data
Claims settlement is the behavior of insurance companies to fulfill their contractual obligations, which is based on insurance contracts and insurance-related laws. Any reason or explanation such as trade regulations and international practices cannot be used as the basis for claims settlement.
Insurance claim settlement refers to the insurer's business activities of accepting insurance claims put forward by the insured, surveying, determining losses, adjusting and implementing compensation according to the insurance contract or relevant laws and regulations. It is an important part of the insurance legal system and the main form for insurers to fulfill their obligations. In order to make the insured get economic compensation as soon as possible, the insurer should take the initiative to make claims. Claims are based on insurance contracts, abide by international practices and relevant international conventions, and pay in a timely and reasonable manner.
Generally speaking, insurance claims should go through six stages: survey, inspection or entrusted inspection, verification of the case, adjustment of compensation amount and payment of compensation. According to the provisions of China's Maritime Law, "after the occurrence of an insured accident, the insurer may require the insured to provide certificates and materials related to confirming the nature and loss degree of the insured accident before paying insurance compensation to the insured."
Claim principle
Honor contracts and keep promises. The rights and obligations stipulated in the insurance contract are protected by law. Therefore, insurance companies must honor contracts and keep promises, and correctly safeguard the rights and interests of policyholders.
Insist on seeking truth from facts. In the process of claim settlement, we should deal with it realistically and correctly determine the insurance liability, payment standard and payment amount according to the specific situation.
Active, fast, accurate and reasonable. Let the insured feel at ease and convinced.
References:
Baidu encyclopedia-insurance settlement of claims