Car Insurance Claim Settlement

Car Insurance Claim is the process under which a car insurance policyholders requests the insurer to compensate for the expenses/damage incurred by him/her due to an unfortunate event involving his/her car. The amount and extent of the claim amount depend on the Insured Declared Value (IDV) of your car and the type of car insurance policy bought by you - third party, own damage or comprehensive.

Types of Car Claim Settlement

A car insurance claim can be settled in either of the two ways:

1) Cashless Claim

If you get your car repaired at a garage authorised by the insurer then you enter a cashless claim settlement process. As the name suggests, under this type of claim the entire process is cashless which means that the policyholder is not required to pay any cash/money to the insurer authorised garage for the repair of his/her car. The insurer makes the payment to the garage directly subject to the claim amount. The policyholder is only liable to pay for the compulsory deductible and voluntary deductible if opted for at the time of policy purchase.

2) Reimbursement Claim

When you get your car repaired at a garage/workshop outside the authorised network of the insurer, you enter a reimbursement claim settlement process. Under this process, the policyholder makes the payment for the repair cost at the garage of his/her choice and gets the repair cost reimbursed from the insurer later subject to the claim amount. The insurer reimburses the entire claim amount to the policyholder after factoring in the applicable deductibles - compulsory and voluntary (if opted for).

Car Insurance Plans In Own Damage Claim Settlement Ratio (FY 2019-20)

The claim settlement ratio of different car insurance companies for the FY 2019-2020 is as follows -

(Source: IBAI’s General Insurance Claim Insights Handbook For Policyholders - 5h Edition)

Documents Required for Car Insurance Claim Settlement

You need the following documents at the time of claim settlement of your car insurance:

• Duly signed and filled claim form
• Insurance Policy Document
• Car’s Registration Certificate (RC)
• Driver’s licence (DL)
• Pollution Under Control (PUC) Certificate
• Original receipt/bills of repairs (in case of reimbursement claim)
• FIR (in case of fatal injuries/accidents or third party liabilities)
• A copy of PAN Card (if the claim amount is more than Rs. 1 lakh).
• Duly signed Satisfaction Voucher (SV) or Discharge Voucher (DV)

Given below is the insurance claims process for car accidents which is generally observed with most of the insurers. However, the actual process may vary from insurer to insurer:

Step 1: Intimate Claim With Insurer

Inform the insurer immediately about the road accident or any other mishap involving the insured car and initiate a claim process. You can do this by calling the customer care number of the insurer or through the insurer’s official website or mobile app (if available). The insurer will provide you with a claim reference number after registering your claim.

Step 2: Assessment of Damage Sustained

After the claim has been successfully registered, the insurer will assign a surveyor to you who will assess the extent of damage/loss sustained by the insured car or will send you a self-inspection link on your registered mobile number.

In the former case, the surveyor will send the damage report to the insurer after the inspection whereas in the latter case the insurer will estimate the repair cost and reach out to you as soon as possible. Provide all the required documents to the insurer at this stage for easy and quick settlement of your claim request.

Step 3: Towing and Repair of Car

Get your car towed to a garage authorised by the insurer for repairs. You can also ask the insurer to provide a towing service for your insured car. Insurers generally provide free towing facility up to Rs.1,500, however, this varies from insurer to insurer.

Step 4: Claim Settlement

The insurer will pay for the repairs directly to the garage according to the entitled claim amount. The policyholders can take back their repaired car after paying the necessary deductibles.

Reimbursement Car Insurance Claim Settlement Process

Given below are the common steps needed to be followed for a reimbursement car insurance claim process:

Step 1: Claim Intimation

The first step is to inform the insurance provider about the accident/mishap involving the insured car immediately. This can be done by contacting the insurer’s customer care team on call or via email. The insurer will provide you with a claim reference number after registering your claim.

Step 2: Survey and inspection

After the registration of your claim, the insurer will assign a surveyor to you who will inspect your insured car and assess the extent of damage/loss sustained by it in the accident/mishap and report it to the car insurance company. Policyholders must submit all the required documents to the surveyor to help process the claim settlement.

Step 3: Towing and Repairs

After the inspection of the insured car, policyholders can get their car towed to a garage of their choice to proceed with the car repairs. Most insurance providers provide free towing facilities up to Rs.1,500.

Step 4: Final Reimbursement

Since the insured car is getting repaired at a garage outside the authorised network of the insurer, the policyholder needs to pay the entire repair cost to the garage and initiate a reimbursement process for the paid amount with the insurer. The insurer will reimburse the repair cost subject to the entitled claim amount after deducting the applicable deductibles.

Common Insurance Claim Rejection Reasons

Below are some of the common reasons which lead to rejection of car insurance claims by insurers:

• Occurrence of accident/mishap involving the insured car outside the geographical location stated in the insurance policy.
• Occurrence of accident when the driver is under the influence of intoxicants.
• Occurrence of accident when the insured car is being used for illegal activities.
• Expiry of insurance policy.
• Fraudulent claim

How to File for Car Insurance Third Party Insurance Claim?

The following steps will guide you in filing a third party insurance claim:

Step 1: Contact the insurance providers helpline and inform them about the situation as soon as possible. Make sure to let them know before the stipulated time as delays can lead to claim rejection.

Step 2: File an FIR at the nearest police station, you will need a copy of this document for filing the claim.

Step 3: Submit the documents that are required along with the duly filled insurance claim form. The documents required may vary according to your insurance provider and situation, make sure to clarify what you are required to submit when contacting the insurance provider.

Step 4: After the required documents have been submitted the insurance provider. All third party claims are settled in the Motor Accident Claims Tribunal. The third party must file a claim in the tribunal who will decide on the claim amount.

Step 5: If there is a case where you are required to compensate the third party the insurance provider will take care of it for you.

How Many Car Insurance Claims Can You Make in a Year?

There is no limit to the number of insurance claims you make within a year. However, it is advisable to refrain from filing a claim if the damage is not significant. The cost of the damage should ideally be higher than your NCB amount and your deductibles. Moreover, multiple claims can make your premium rate higher during your next renewal.

What are the Types of Covers Available in Car Insurance for Accidents in India?

How to File for a Car Accident Claim?

The following is what you must to when filing a claim for a car accident:

• Make sure to take note of the registration numbers of the vehicles involved in the accident, the time, location and date.
• File an FIR at the nearest police station. You will need a copy of the document for filing the claim.
• Inform the insurance provider about the situation as soon as possible. Make sure to do it before the stipulated time or you risk claim rejection.
• Submit the required documents along with the claim form duly filled to the insurance provider.
• Next the surveyor will be sent to assess the damage of your vehicle and the claim will be approved accordingly.
• Once the claim is approved you can take your car to a network garage and get it repaired.

How to File for Car Accident Death Insurance Claim?

The personal accident cover is available for covering the death of the owner-driver and the third party insurance covers the death of a third party in case of a mishap. The following steps will guide you in filling for claim under both:

Under the accident cover, the immediate family or the nominee of the deceased receives 100% compensation from the insurance provider.

• In the event that a mishap involving the policyholder’s car leads to a death either of the policyholder or a third party, the immediate family must complete the legal requirements such as obtaining a death certificate of the deceased.
• At the time of the accident or as soon as possible an FIR will need to be filed.
• Inform the insurance provider about the mishap as soon as possible. Depending on your situation and their requirements the documents required will be specified.
• Submit the required documents and forms. Once these have been checked and assessed the insurance company will issue the reimbursement to the nominee of the deceased.

How to Claim Insurance for Car Theft?

The following steps will guide you in filing an insurance claim for car theft:

• As soon as you find out that your vehicle is missing file an FIR at your nearest police station. You will require a copy of the document for the claim process.
• Inform the insurance provider as soon as possible as well. Make sure to clarify what documents you will be required to submit for the claim.
• Once the police submit the no-trace report, give the insurance providers the required documents and forms. Before the reimbursement is handed to you, you will be required to give them all your car documents and any spare keys that you may still have of the vehicle.
• The claim amount you receive for theft will depend on the IDV of the car and will take into account the depreciation rate of the car.

Can you File for Insurance Claim for Scratches on your Car?

Yes, you can file for an insurance claim if your car has scratches. However, keep in mind that policyholders are always advised to refrain from filing a claim unless the damage to the car is significant. This is because you will lose your NCB and secondly, multiple claims can lead to higher premiums when renewing your car insurance policy.

What is the Maximum Time in Which the Insurance Provider Should Settle a Claim When All Documents are Submitted?

After you submitted all the required documents processing the car insurance claim should not take more than 30 days. In rare cases, when there is some complication that requires further investigation it should be completed within six months.

How to Negotiate Car Insurance Claim Settlement?

Many people even with the knowledge of claim settlement process are unable to get the claim:

1. Initiate the Car Insurance Claim at the Earliest: One should immediately contact the insurance company and claim should be raised as soon as possible.

2. Create and Maintain Records: Maintain the records of the accident with medical bills, car repair invoice, bills, FIR copy, etc., to explain the event correctly, which can expedite the process.

3. Set a Claim Settlement Amount: Examine the damage and derive a minimum acceptable amount by the insurance company. However, you should be flexible with the amount.

4. Send a Letter of Demands: Write a letter to your insurer explaining the injuries suffered by you, medication and treatment taken, damage and loss incurred, etc. Justify your demand with necessary documents.

5. Negotiate Your Terms and Demands: If you are not convinced with the offerings or compensation provided by the insurance company, bargain for your demands before reaching the final amount.

6. Get the Settlement in Writing: Develop notes of communication with the insurer and emphasis that all the claim settlement offers are sent by them in writing. Also, once the claim is settled, try to get a signed and dated hard copy of the contract.

7. Seek the Legal Advice: If you are unable to reach a settlement even after several negotiations with your insurer, try to get in touch with the car insurance expert or lawyer to explore legal options, evaluate the event, and expedite the negotiation process.