Please select from the menu below for your claim submission guide.
Step 1: Attach supporting documents
The table below lists the actions that you are required to take and the main supporting documents that you need to supply for selected claims.
|Claims||Main Action and / or Supporting Document Required|
|All kinds of accidents||
|Accidental Medical Expenses Claim||The original medical, hospital bill(s) and diagnosis issued by the medical practitioner.|
|Permanent Total Disablement Claim||The original medical report showing the extent of injury and the percentage of permanent disability.|
|Death||Death certificate issued by the appropriate authorities and Visum et repertum|
Please fill in the form to lodge your claim :
Step 2: Submit your documents
Submit it to our claims department Claim Forms that have been completed with supporting documents, stamped and signed by the Company / Insured.
Telephone: +62 21 5723737 (Monday-Friday, 08.30 – 17.30)
Fax: +62 21 5710547/48
Midplaza 2, 23 floor
Jalan Jenderal Sudirman Kav. 10-11
Jakarta 10220 Indonesia
(or the closest branch in your city)
After verifying, we will contact you to submit the status of your claim.
We understand the importance of giving a quick response, and therefore we will contact you as soon as possible. Thanks.