andhrabank.in RuPay Insurance Program 2016-17 : Andhra Bank

Organization : Andhra Bank
Service Name : RuPay Insurance Program 2016-17
Applicable State/UT: All India

RuPay Insurance Program : https://www.statusin.in/uploads/20738-Annerxure_A-Claims_Process.pdf
Website : http://www.andhrabank.in/English/Home.aspx

RuPay Insurance Program :

1. All the claims where incident has happened on or after 00:00:01 hrs 1st April, 2016 and upto 23:59:59 31st March, 2017 will be intimated to the dedicated claims id rupay@newindia.co.in

Related : Andhra Bank Western Union Money Transfer : www.statusin.in/20736.html

2. The New India Assurance Co. Ltd. will register the claim and provide the claim number to the Member Bank within 2 working days with policy number in subject line.

3. Claim intimation should be within Ninety (90) days from the date of accident. In case where a person is hospitalized (and under a critical condition) and is unable to file claim within 90 days of loss/incident such claim cases will be accepted by The New India Assurance Co. Ltd. for investigation and honoured, if all terms under the policy are met as on date of accident.

Documents Receipt / Follow-up :
All documents are to be received at The New India Assurance Co. Ltd. office at the below mentioned address:
Senior Divisional Manager
Department – RuPay Insurance Program 2016-17
The New India Assurance Co. Ltd.
DO 142300
1st Floor, NCL Premises
Plot No. C-6, Bandra Kurla Complex
Bandra East, Mumbai- 400051

1. Claim intimation should be within Ninety (90) days from the date of accident. In case where a person is hospitalized (and under a critical condition) and is unable to file claim within 90 days of loss/incident such claim cases will be accepted by The New India Assurance Co. Ltd. for investigation and honoured, if all terms under the policy are met as on date of accident.

2. All supporting documents relating to the claim must be submitted within sixty (60) days from the date of intimation.
3. The eligible claims will be settled in ten (10) working days from the date of receiving the complete documents set.
4. In case documents are not received within sixty (60) days of claim intimation, 1st reminder, hard copy letter will be issued to Member Bank, followed by an email communication.
5. 2nd reminder hard copy letter will be sent after eighty one (81) days from claim intimation followed by an email.
6. Closure letter, hard copy letter will be sent to Member Bank on 90th day from claim intimation in case of no communication received from Member Bank.

Investigator Appointment : (Specific cases that need detailed investigation)
** Based on the merit of the claim, The New India Assurance Co. Ltd investigation team shall be appointed.
TAT: T +3 (T is the day on which the claim documents received from the Member Bank).
** In 30 days, Investigation report will be finalized.
** If there is a delay because of some more facts, an interim report will be requested.

Claims Follow up / Processing :
The reminders shall be sent by New India Assurance Co. Ltd. to Member Bank at regular intervals for pending claim documents, a communication via letter in hard copy / email will be sent to client with defined timeline. All emails sent for the purpose of follow up should be marked to NPCI Insurance mail id rupayinsurance@npci.org.in.
Reminder process would be same for the documents deficiency also.
1st reminder T+61
2nd reminder T+81
Closure Letter T+90
T is Date of Intimation

Claim Payment :
Once the claim is approved the payment in the form of NEFT shall be done to the card holder (in case of Disablement) / to nominee or legal heir (in case of Death) along with a covering letter.

Dispute Management :
Committee of 3 people as mentioned below to resolve the dispute.
1. Representative from The New India Assurance Co. Ltd.
2. Representative from NPCI.
3. Representative/s of the disputing Bank/s.

Document check list :
Accidental Death Claim*:-
1. Claim Form duly completed and signed.
2. Original or Certified copy of Death Certificate.
3. Original or Certified copy of FIR, Panchnama / Inquest Panchnama.

4. Declaration from Card Issuing Bank duly signed by authorized signatory and bank stamp:
a Cardholder is holding a RuPay card on RuPay issued IIN and mention the 16 digit card number.
b Meeting 90/45 days usage criteria (include the transaction log from the system).
c Nominee details (including NEFT details)

*Additional documents may be requested by The New India Assurance Co. Ltd. based on the case requirement such as Medical Reports, post mortem report etc.

Permanent Total Disability:-

1. Claim Form duly completed and signed.
2. Discharge card along with case history confirmation therein duration & percentage of disability duly certified by the concerned/treating Physician/Surgeon.
3. All investigation report in original copies* thereof in respect of tests had undergone pertaining to accident.
4. Additional documents, if any, based on merit of the loss.

5. Declaration from Card Issuing Bank duly signed by authorized signatory and bank stamp :
a. Cardholder is holding a RuPay card on RuPay issued IIN and mention the 16 digit card number.
b. Meeting 90/45 days usage criteria (include the transaction log from the system).
c. Beneficiary details (including NEFT details).

** If the original claim documents are submitted to any particular General Insurance co., copies of the same duly certified by Branch in-charge of RuPay card issuing bank can be submitted.