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Claims Process

At Zurich, we believe in making your claims process as easy and as hassle free as possible.

All that we ask in return is that you notify us immediately, or as soon as practically possible, of any potential claims so that we can assist you with your claim without delay.

General Insurance

  • Motor
    • Express Claim
    • Own Damage
    • Theft
    • Windscreen

    Applicable for motor accident claim up to RM3,000. Just scan the QR code below or WhatsApp us, your claim will be approved within 1 hour.

     

    Step 1

    WhatsApp icon

    Scan the QR code

    QR Code icon

    or WhatsApp to
    03-2109 6845

     

    Step 2

    sms chat

    Send ‘Hi’ to initiate the chat via WhatsApp

    Step 3

    Pinned_doc icon

    Upload required document(s) and your claim will be approved within 1 hour*

    *Operating hours from 8:30AM to 5:15PM only

    Step 4

    document_checked icon

    Get your payment within 5 working days upon receipt of your acceptance of our offer

    Just got yourself into a motor accident? Here's what you need to do:

    Step 1

    call

    Call our 24-hour Roadside Assistance at 1-300-88-5566 to help you on getting your vehicle to any authorised or panel workshop

    Take photos of the accident scene.

    Make police report within 24 hours.

    Step 2

    submit

    Submit all required documents to the authorised or panel workshop within 7 days from the date of incident.

    • Police Report
    • Copy of Insured’s and / or Driver’s Driving License
    • Copy of Insured’s Identity Card or Business Registration Card
    • Copy of Driver’s Identity Card
    • Copy of Vehicle Registration Card or Vehicle Ownership Certificate
    • Copy of Policy Schedule or Cover Note (for workshop’s verification)

    Sign on the Zurich claim form provided to you by our panel workshop.

    Step 3

    full documents

    Upon receipt of full documents, the authorised or panel workshop will submit your claim to Zurich for processing within 3 working days*

    You may check your claim status here (for Private Cars and Commercial Vehicles only).

    Step 4

    sms

    Look forward to receiving an SMS at the point of successful registration and approval.  

    The authorised or panel workshop will contact you as soon as your vehicle is ready for collection.

    Note: Duly completed and signed Motor Accident Claim Form is required for submission if your vehicle is sent to a non-panel workshop. We may also request for additional documents or information if further investigation is required.

    *Excluding claims under further investigation and claims with severe vehicle damage.

    Just realised that your vehicle has been stolen? Here’s what you need to do:

    Step 1

    police report

    Make a police report within 24 hours.

    Step 2

    submit

    Submit all required documents to any Zurich General Insurance branch within 7 days from the date of incident.

    • Duly completed and signed Theft Claim Form
    • Police Report
    • Copy of Insured’s and / or Driver’s Driving License
    • Copy of Insured’s Identity Card or Business Registration Card
    • Copy of Driver’s Identity Card
    • Copy of Vehicle Registration Card or Vehicle Ownership Certificate

    Step 3

    full documents

    Upon receipt of full documents, Zurich will be in touch with you as part of the processing procedures.

    For Agreed Value policy, we shall get back to you on the claim decision within 21 working days*.

    For Non Agreed Value policy, this shall be within 48 working days*.

    Note: We may request for additional documents or information if further investigation is required.

    *Subject to the outcome of the investigation.

    Broken windscreen? Here’s what you need to do:

    Step 1

    documents

    Prepare all required documents before proceeding to our recommended authorised or panel workshop / windscreen specialist.

    • Copy of Insured’s and / or Driver’s Driving License
    • Copy of Insured’s Identity Card or Business Registration Card
    • Copy of Driver’s Identity Card
    • Copy of Vehicle Registration Card or Vehicle Ownership Certificate
    • Copy of Policy Schedule or Cover Note (for workshop’s verification)

    Step 2

    24 hours windscreen repairs

    Bring your vehicle to any of our authorised or panel workshop / windscreen specialist for a 24-hour windscreen repair or replacement*

    Sign the Zurich claim form provided to you by our authorised workshop / windscreen specialist.

    Step 3

    pay nothing

    Got it fixed at our authorised or panel workshop / windscreen specialist?

    Great! You can check-out your vehicle without paying a single cent**

    Note: Duly completed and signed Windscreen Claim Form is required for submission if your vehicle is sent to the non-panel workshop.

    *Subject to the availability of the parts.
    **Provided your windscreen is adequately insured.
  • Non-Motor

    Step 1

    police report

    Make a police report within 24 hours for the following types of claims*:

    • Incidents where there is evidence of a criminal act
    • Involving foreign workers’ compensation due to fatal/motor accidents, (loss of) money, personal accident or public liability

    Step 2

    documents

    Prepare all required supporting documents

    Kindly note that the following list of required documents may not be exhaustive. You may talk to us regarding your claims by writing in to us.

    Step 3

    notify zurich

    Kindly notify us through one of the following channels below:

    *Disclaimer: We may also request the police report for claims which are not listed above if deemed necessary.
    CLASS OF INSURANCE SUPPORTING DOCUMENTS REQUIRED
    Burglary
    • Police report
    • List of items you are claiming for along with the purchase and sales invoices, stock records, cash receipts, collection records, bank statement, etc.
    Fire
    • Police report
    • Fire brigade report
    • Chemist report (in certain cases)
    • Purchase and sales invoices, stock records, company balance sheets, bank statements, quotation for repairs / replacement, etc.
    Marine
    • Claim bill
    • Original policy
    • Original Bill of Lading
    • Packing list, outward and inward survey reports, commercial invoices, tally sheets
    • Correspondence exchange with Port Authority, Carrier and Shipping Sales Advisor, etc.
    Personal Accident Injury or Permanent Disablement:

    • Original medical bill & receipts
    • Medical report and/or specialist report
    • Medical certificate
    • Police report and valid driving license; if related to a motor vehicle accident
    Fatal:

    • Death certificate
    • Post mortem report
    • Police report and valid driving license; if related to motor vehicle accident
    • Beneficiary identity card
    • Marriage certificate (if married) or birth certificate (if single), etc.
    Travel To download the Travel Insurance Claim forms, please click here.
    Foreign Workers' Compensation Scheme Injury or Permanent Disablement:

    For accidents within working hours:

    • Labour assessment (PP5 for Injury, PP6 for Permanent Disablement)
    • Original medical bill & receipts
    For accidents outside working hours:

    • Accident form (PP2)
    • Original medical bill & receipts
    • Medical certificate
    • Medical report (Lab 90) and/or specialist report
    • Passport
    • Work permit
    Fatal:

    • Accident Form (PP2)
    • Labour assessment (PP7)
    • Death certificate
    • Original repatriation bill & receipts
    • Airway bill
    • Passport
    • Work permit
    • Police report, etc.

General Takaful

  • Motor
    • Express Claim
    • Own Damage
    • Theft
    • Windscreen

    Applicable for motor accident claim up to RM3,000. Just scan the QR code below or WhatsApp us, your claim will be approved within 1 hour.

     

    Step 1

    WhatsApp icon

    Scan the QR code

    QR Code icon

    or WhatsApp to
    03-2109 6845

     

    Step 2

    sms chat

    Send ‘Hi’ to initiate the chat via WhatsApp

    Step 3

    Pinned_doc icon

    Upload required document(s) and your claim will be approved within 1 hour*

    *Operating hours from 8:30AM to 5:15PM only

    Step 4

    document_checked icon

    Get your payment within 5 working days upon receipt of your acceptance of our offer

    Just got yourself into a motor accident? Here's what you need to do:

    Step 1

    call

    Call our 24-hour Roadside Assistance at 1-300-88-5566 to help you on getting your vehicle to any authorised or panel workshop

    Take photos of the accident scene.

    Make police report within 24 hours.

    Step 2

    submit

    Submit all required documents to the authorised or panel workshop within 7 days from the date of incident.

    • Police Report
    • Copy of Person Covered's and / or Driver’s Driving License
    • Copy of Person Covered’s Identity Card or Business Registration Card
    • Copy of Driver’s Identity Card
    • Copy of Vehicle Registration Card or Vehicle Ownership Certificate
    • Copy of Certificate of Takaful or Cover Note (for workshop’s verification)

    Sign on the Zurich claim form provided to you by our panel workshop.

    Step 3

    full documents

    Upon receipt of full documents, the authorised or panel workshop will submit your claim to Zurich for processing within 3 working days*

    You may check your claim status here (for Private Cars and Commercial Vehicles only).

    Step 4

    sms

    Look forward to receiving an SMS at the point of successful registration and approval.  

    The authorised or panel workshop will contact you as soon as your vehicle is ready for collection.

    Note: Duly completed and signed Motor Accident Claim Form is required for submission if your vehicle is sent to a non-panel workshop. We may also request for additional documents or information if further investigation is required.

    *Excluding claims under further investigation and claims with severe vehicle damage.

    Just realised that your vehicle has been stolen? Here’s what you need to do:

    Step 1

    police report

    Make a police report within 24 hours.

    Step 2

    submit

    Submit all required documents to any Zurich General Takaful branch within 7 days from the date of incident.

    • Duly completed and signed Theft Claim Form
    • Police Report
    • Copy of Person Covered's and / or Driver’s Driving License
    • Copy of Person Covered’s Identity Card or Business Registration Card
    • Copy of Driver’s Identity Card
    • Copy of Vehicle Registration Card or Vehicle Ownership Certificate

    Step 3

    full documents

    Upon receipt of full documents, Zurich will be in touch with you as part of the processing procedures.

    For Agreed Value certificate, we shall get back to you on the claim decision within 21 working days*.

    For Non Agreed Value certificate, this shall be within 48 working days*.

    Note: We may request for additional documents or information if further investigation is required.

    *Subject to the outcome of the investigation.

    Broken windscreen? Here’s what you need to do:

    Step 1

    documents

    Prepare all required documents before proceeding to our recommended authorised or panel workshop / windscreen specialist.

    • Copy of Person Covered's and / or Driver’s Driving License
    • Copy of Person Covered’s Identity Card or Business Registration Card
    • Copy of Driver’s Identity Card
    • Copy of Vehicle Registration Card or Vehicle Ownership Certificate
    • Copy of Certificate of Takaful or Cover Note (for workshop’s verification)

    Step 2

    24 hours windscreen repairs

    Bring your vehicle to any of our authorised or panel workshop / windscreen specialist for a 24-hour windscreen repair or replacement*

    Sign the Zurich claim form provided to you by our authorised workshop / windscreen specialist.

    Step 3

    pay nothing

    Got it fixed at our authorised or panel workshop / windscreen specialist?

    Great! You can check-out your vehicle without paying a single cent**

    Note: Duly completed and signed Windscreen Claim Form is required for submission if your vehicle is sent to the non-panel workshop.

    *Subject to the availability of the parts.
    **Provided your windscreen is adequately insured.
  • Non-Motor

    Step 1

    police report

    Make a police report within 24 hours for the following types of claims*:

    • Incidents where there is evidence of a criminal act
    • Involving foreign workers’ compensation due to fatal/motor accidents, (loss of) money, personal accident or public liability

    Step 2

    documents

    Prepare all required supporting documents

    Kindly note that the following list of required documents may not be exhaustive. You may talk to us regarding your claims by writing in to us.

    Step 3

    notify zurich

    Kindly notify us through one of the following channels below:

    • Submit your claim online or,
    • Head over to any of our
      Zurich General Takaful branches with completed claim form and other supporting documents or,
    • Talk to your respective servicing agent.
    *Disclaimer: We may also request the police report for claims which are not listed above if deemed necessary.
    CLASS OF INSURANCE SUPPORTING DOCUMENTS REQUIRED
    Burglary
    • Police report
    • List of items you are claiming for along with the purchase and sales invoices, stock records, cash receipts, collection records, bank statement, etc.
    Fire
    • Police report
    • Fire brigade report
    • Chemist report (in certain cases)
    • Purchase and sales invoices, stock records, company balance sheets, bank statements, quotation for repairs / replacement, etc.
    Marine
    • Claim bill
    • Original certificate
    • Original Bill of Lading
    • Packing list, outward and inward survey reports, commercial invoices, tally sheets
    • Correspondence exchange with Port Authority, Carrier and Shipping Sales Advisor, etc.
    Personal Accident Injury or Permanent Disablement:

    • Original medical bill & receipts
    • Medical report and/or specialist report
    • Medical certificate
    • Police report and valid driving license; if related to a motor vehicle accident
    Fatal:

    • Death certificate
    • Post mortem report
    • Police report and valid driving license; if related to motor vehicle accident
    • Participant's identity card
    • Marriage certificate (if married) or birth certificate (if single), etc.
    Travel To download the Travel Insurance Claim forms, please click here.
    Foreign Workers' Compensation Scheme Injury or Permanent Disablement:

    For accidents within working hours:

    • Labour assessment (PP5 for Injury, PP6 for Permanent Disablement)
    • Original medical bill & receipts
    For accidents outside working hours:

    • Accident form (PP2)
    • Original medical bill & receipts
    • Medical certificate
    • Medical report (Lab 90) and/or specialist report
    • Passport
    • Work permit
    Fatal:

    • Accident Form (PP2)
    • Labour assessment (PP7)
    • Death certificate
    • Original repatriation bill & receipts
    • Airway bill
    • Passport
    • Work permit
    • Police report, etc.

Life Insurance

  • Individual
    • Individual Life
    • Medical

    Step 1

    submit

    Prepare the required documents as stated below.

    Step 2

    Step 2

    Complete the required form(s) and get your attending doctor to complete the required Physician’s Statement form (if applicable).

    Step 3

    Document Checked

    Kindly notify/ submit your claim via one of the following options:

    Step 4

    Email

    Check your claim status by calling us at 1-300-888-622 or writing in to us.

    • Hospitalisation
    • Personal Accident
    • Critical Illness
    • Death
    • Total and Permanent Disability
    A. Compulsory documents:
    1. Claimant’s Statement Form
    2. CTC of Claimant’s NRIC / Passport / Residence card
    3. Attending Physician’s Statement (Accident & Hospitalisation Claim) Form (for claim amount exceeding RM500 or certificate duration of less than 2 years from the Issue Date or Reinstatement Date, whichever is later)
    4. CTC of Admission and Discharge Notes / Summary or Hospital Bills/Invoices
    5. CTC of Histopathology Report (applicable for Female Illnesses claims i.e Fibroid, Ovarian Cyst etc)
    6. CTC of Blood Test / Pap Smear / Mammogram / Abdomen / Pelvis Ultrasound Report (applicable for Annual Medical Check Up Allowance claim)
    7. CTC of Child’s Birth Certificate (applicable for Newborn Allowance claim)
    8. Original Bills and Receipts (applicable for reimbursement claims i.e Fibroid, Ovarian Cyst, Annual Medical Check Up etc that are under Maaster / Maax Wanita)

     

    B. Additional documents (if any):
    1. CTC of MRI, X-ray, CT Scan or other Radiology / Medical Reports

     

    A. Compulsory documents:
    1. Claimant’s Statement Form
    2. CTC of Claimant’s NRIC / Passport / Residence card
    3. Attending Physician’s Statement Form (Note: For claim amount less than RM 500, Attending Physician's Statement will be waived but the date of accident, cause and extend of injuries have to be endorsed by Attending Doctor on the Medical Chit or Receipt with attending doctor's signature and official stamp)
    4. Original/CTC of Medical Certificates or Light Duty Certificates
    5. Original Bills and Receipts (applicable for reimbursement claims)


    B. Additional documents (if any):
    1. CTC of other relevant Medical Reports
    2. CTC of Police Report
    3. Newspaper Cutting (Please translate to English or Bahasa Malaysia if article is not in either of these languages)
    4. Photograph of Dismemberment / Injured Part (applicable for Permanent Dismemberment / Disablement claims)
    5. CTC of Imaging reports i.e MRI, X-ray, CT Scan (applicable for Broken Bones and Burns claims)
    A. Compulsory documents:
    1. Claimant’s Statement Form
    2. CTC of Claimant’s NRIC / Passport / Residence card
    3. Confidential Medical Questionnaire or Life Claim Questionnaire (Download ONE of the following forms which is applicable to your illness)


    4. CTC of relevant Diagnostic Imaging / Post-Surgical Report
    5. CTC of Histopathology / Histology Report (for cancer claim only)


    B. Additional documents (if any):
    1. CTC of other Medical Report (if applicable)
    2. Original Policy Contract
    3. Original Letter of Consent (4 copies)
    A. Compulsory documents:
    1. Claimant’s Statement Form
    2. CTC of Claimant’s NRIC / Passport / Residence card
    3. CTC of Death Certificate


    B. Additional documents (if any):
    1. CTC of Marriage Certificate (if claimant is spouse) or Birth Certificate of Claimant (if claimant is child) or Birth Certificate of Deceased (if claimant is parents) as Proof of Relationship
    2. Original Policy Contract
    3. Original Letter of Consent (4 copies)
    4. CTC of report of death abroad from National Registration Department (NRD) - if Insured died abroad
    5. Letter of Administration / Grant of Probate / Distribution Order (applicable for policy without nomination)
    6. CTC of Deceased’s NRIC / Passport / Residence card


    C. Documents to be completed if death due to sickness or natural cause:
    1. Physician’s Statement Form (for policy duration within 2 years from the Issue Date or Reinstatement Date, whichever is later, except for Senior Gold policies)


    D. Documents to be submitted if death due to accident:
    1. CTC of Post Mortem / Coroner’s Report (for policy duration of less than 5 years from the Issue Date or Reinstatement Date, whichever is later)
    2. CTC of Toxicology Report, if any
    3. CTC of Police Report
    4. Newspaper Cutting, if any (Please translate to English or Bahasa Malaysia if the article is not in either of these languages)
    A. Compulsory documents:
    1. Claimant’s Statement Form
    2. CTC of Claimant’s NRIC / Passport / Residence card
    3. Total and Permanent Disability Claim Form (Part B - Attending Physician’s Statement)
    4. Neurological Examination Report (NER)


    B. Additional documents (if any):
    1. CTC of other Medical Report (if relevant)
    2. CTC of EPF Withdrawal letter, if applicable
    3. CTC of SOCSO Offer Letter/ SOCSO “Keputusan Jemaah Doktor Mengenai Keilatan” (if applicable)
    4. Original Letter of Consent (4 copies)
    5. Original Policy Contract
    6. CTC of Employment Termination Letter, if applicable


    C. Documents to be submitted if the disability due to accident:
    1. CTC of Police Report
    2. Newspaper Cutting, if any (Please translate to English or Bahasa Malaysia if the article is not in either of these languages)

    If you wish to talk to us regarding your claim and have any queries on the above, you may call us at 1-300-888-622 or write in to us.

    Important Notes:
    1. CTC - Certified True Copy
    2. To facilitate the processing, please submit to us all required documents.
    3. The copy of documents must be certified by Zurich Chief Agency Manager / Zurich Officer / Judge / Magistrate / Solicitors.
    4. The list of required documents for Life Insurance Claims serves as a guideline for claims submission. The Company reserves the right to request for further information or documents if deemed necessary.
    5. For Waiver of Premium claim (on Death / Critical Illness / Total and Permanent Disability), please refer to the required documents as listed under Death / Critical Illness / Total and Permanent Disability.

    • Cashless
    • Reimbursement

    Enjoy cashless hospital admission at our panel hospitals with your Zurich medical card (subject to the terms and conditions as stipulated in the policy).

    Please call the hotline number that is printed on your medical card prior to your hospital admission.

    Step 1

    submit

    Present the following:

    • Medical Card,
    • NRIC or Passport &
    • Referral Letter

    Step 2

    Step 2

    Upon receipt of the requested documents for hospital admission, the hospital will liaise with the Third Party Administrator (TPA) for validation and authentication of the information. The TPA will issue the initial guarantee letter if the admission is eligible for cover.

    *Please allow waiting time for the hospital and TPA to process issuance of the initial guarantee letter (subject to complexity of the claim).

    Step 3

    Deposit

    Pay a deposit (if requested by the hospital).

    Step 4

    full documents

    The hospital will fax all relevant documents and bills to the TPA for issuance of the final Guarantee Letter (if eligible for cover). Patient to pay for uncovered charges (if any).

    *Please allow waiting time for the hospital and TPA to process issuance of the final guarantee letter (subject to complexity of the claim).

    Step 1

    submit

    Prepare the following documents.

    A. Compulsory documents:
    1. Hospitalisation Claim Form (TPA - Integrated Health Plans (Malaysia) Sdn Bhd)
    2. Original Hospital Bill(s), Itemized Detailed Bill(s) & Receipt(s)
    3. Copy of Claimant's NRIC / Passport / Residence card
    4. Copy of MRI, X-ray, CT Scan, HPE & other radiology/ lab reports & other relevant reports (if any, depends on the tests performed by the doctor(s))

    B. Document to be submitted if due to an accident:
    1. Copy of Police Report (if any)
    2. Copy of Incident Report (if required)

    Step 2

    Step 2

    Complete the required form(s) and get your attending doctor to complete the Attending Physician’s Statement (if applicable).

    Prepare additional documents (if any):
    1. Copy of Referral Letter (if any)
    2. Copy of Excess Letter (if any)

    Step 3

    full documents

    Ensure all the required documents are complete and submit them via any one of the following options:

    • Our appointed TPA - Integrated Health Plans (Malaysia) Sdn Bhd
    • Your servicing agent
    • Your nearest Zurich branch

    Step 4

    call

    Check your claim status by contacting our appointed TPA.

    Integrated Health Plans (Malaysia) Sdn Bhd
    24 Hours Service Hotline
    1-800-82-6100
    zurichmedical@ihpmy.com

    For assistance on medical claims, you may contact our appointed Third-Party Administrator, Integrated Health Plans (Malaysia) Sdn Bhd, at their toll-free hotline 1-800-82-6100 or write an email to zurichmedical@ihpmy.com

    Important Notes:

    1. If Emergency Accidental Out-Patient Treatment claim amount is less than RM500, treating doctor can indicate the diagnosis on the receipt itself and Section E- Attending Physician’s Statement of Hospitalisation Claim Form will be waived.
    2. For a post-hospitalisation claim following a cashless admission with a Zurich medical card, the claimant is not required to complete Section E: Attending Physician’s Statement in the Hospitalisation Claim Form.
    3. To facilitate prompt processing of claims, please submit all required documents.
    4. The list of required documents for Life Insurance Claims serves as a guideline for claims submission. The Company reserves the right to request for further information or documents if deemed necessary.

Family Takaful

  • Individual
    • Individual Takaful
    • Medical

    Step 1

    submit

    Prepare the required documents as stated below.

    Step 2

    Step 2

    Complete the required form(s) and get your attending doctor to complete the required Physician’s Statement form (if applicable).

    Step 3

    Document Checked

    Kindly notify/ submit your claim via one of the following options:

    Step 4

    Email

    Check your claim status by calling us at 1-300-888-622 or writing in to us.

    • Hospitalisation
    • Personal Accident
    • Critical Illness
    • Death
    • Total and Permanent Disability
    A. Compulsory documents:
    1. Claimant’s Statement Form
    2. CTC of Claimant’s NRIC / Passport / Residence card
    3. Attending Physician’s Statement (Accident & Hospitalisation Claim) Form (for claim amount exceeding RM500 or certificate duration of less than 2 years from the Issue Date or Reinstatement Date, whichever is later)
    4. CTC of Admission and Discharge Notes / Summary or Hospital Bills/Invoices
    5. CTC of Histopathology Report (applicable for Female Illnesses claims i.e Fibroid, Ovarian Cyst etc)
    6. CTC of Blood Test / Pap Smear / Mammogram / Abdomen / Pelvis Ultrasound Report (applicable for Annual Medical Check Up Allowance claim)
    7. CTC of Child’s Birth Certificate (applicable for Newborn Allowance claim)
    8. Original Bills and Receipts (applicable for reimbursement claims i.e Fibroid, Ovarian Cyst, Annual Medical Check Up etc that are under Maaster / Maax Wanita)

     

    B. Additional documents (if any):
    1. CTC of MRI, X-ray, CT Scan or other Radiology / Medical Reports

    A. Compulsory documents:
    1. Claimant’s Statement Form
    2. Attending Physician’s Statement Form (Note: For claim amount less than RM 500, Attending Physician's Statement will be waived but the date of accident, cause and extend of injuries have to be endorsed by Attending Doctor on the Medical Chit or Receipt with attending doctor's signature and official stamp).
    3. CTC of Claimant’s NRIC / Passport / Residence card
    4. Original/CTC of Medical Certificates or Light Duty Certificates
    5. Original Bills and Receipts (applicable for reimbursement claims)

    B. Additional documents (if any):
    1. CTC of other relevant Medical Reports
    2. CTC of Police Report
    3. Newspaper Cutting (Please translate to English or Bahasa Malaysia if article is not in either of these languages)
    4. Photograph of Dismemberment / Injured Part (applicable for Permanent Dismemberment/ Disablement claims)
    5. CTC of Imaging reports i.e MRI, X-ray, CT Scan (applicable for Broken Bones and Burns claims)

    A. Compulsory documents:
    1. Claimant’s Statement Form 
    2. CTC of Claimant’s NRIC / Passport / Residence card
    3. Confidential Medical Questionnaire (Download ONE of the following forms which is applicable to your illness)


    4. CTC of relevant Diagnostic Imaging / Post-Surgical Report
    5. CTC of Histopathology / Histology Report (for cancer claim only)

     

    B. Additional documents (if any):
    1. CTC of other Medical Report (if relevant)
    2. Original Certificate Contract
    3. Original Letter of Consent (4 copies)
    A. Compulsory documents:
    1. Claimant’s Statement Form
    2. CTC of Claimant’s NRIC / Passport / Residence card
    3. CTC of Death Certificate

     

    B. Additional documents (if any):
    1. CTC of Marriage Certificate (if claimant is spouse) or Birth Certificate of Claimant (if claimant is child) or Birth Certificate of Deceased (if claimant is parents) as Proof of Relationship
    2. Original Certificate Contract
    3. Original Letter of Consent (4 copies)
    4. CTC of report of death abroad from National Registration Department (NRD) - if Person Covered died abroad
    5. Letter of Administration / Grant of Probate / Distribution Order (applicable for certificate without nomination)
    6. CTC of Deceased’s NRIC / Passport / Residence card

     

    C. Documents to be completed if death due to sickness or natural cause:
    1. Physician’s Statement Form (for certificate duration within 2 years from the Issue Date or Reinstatement Date, whichever is later)

     

    D. Documents to be submitted if death due to accident:
    1. CTC of Post Mortem / Coroner’s Report (for certificate duration of less than 5 years from the Issue Date or Reinstatement Date, whichever is later)
    2. CTC of Toxicology Report, if any
    3. CTC of Police Report
    4. Newspaper Cutting, if any (Please translate to English or Bahasa Malaysia if the article is not in either of these languages)

     

    A. Compulsory documents:
    1. Claimant’s Statement Form
    2. CTC of Claimant’s NRIC / Passport / Residence card
    3. Total and Permanent Disability Claim Form (Part B - Attending Physician’s Statement)
    4. Neurological Examination Report (NER)

     

    B. Additional documents (if any):
    1. CTC of other Medical Report (if relevant)
    2. CTC of EPF Withdrawal letter, if applicable
    3. CTC of SOCSO Offer Letter / SOCSO “Keputusan Jemaah Doktor Mengenai Keilatan” (if applicable)
    4. Original Letter of Consent (4 copies)
    5. Original Certificate Contract
    6. CTC of Employment Termination Letter, if applicable

     

    C. Documents to be submitted if the disability is due to accident:
    1. CTC of Police Report
    2. Newspaper Cutting, if any (Please translate to English or Bahasa Malaysia if the article is not in either of these languages)

    If you wish to talk to us regarding your claim and have any queries on the above, you may call us at 1-300-888-622 or write in to us.

    Important Notes:
    1. CTC - Certified True Copy
    2. To facilitate the processing, please submit to us all required documents.
    3. The copy of documents must be certified by Zurich Takaful Officer, Judge, Magistrate or Solicitors
    4. The list of required documents for Family Takaful Claims serves as a guideline for claims submission. The Company reserves the right to request for further information or documents if deemed necessary.
    5. For Waiver of Contribution claim (on Death / Critical Illness / Total and Permanent Disability), please refer to the required documents as listed under Death / Critical Illness / Total and Permanent Disability.

    • Cashless
    • Reimbursement

    Enjoy cashless hospital admission at our panel hospitals with your Zurich medical card (subject to the terms and conditions as stipulated in the certificate).

    Please call the hotline number that is printed on your medical card prior to your hospital admission.

    Step 1

    submit

    Present the following:

    • Medical Card,
    • NRIC or Passport &
    • Referral Letter

    Step 2

    Step 2

    Upon receipt of the requested documents for hospital admission, the hospital will liaise with the Third Party Administrator (TPA) for validation and authentication of the information. The TPA will issue the initial guarantee letter if the admission is eligible for cover.

    *Please allow waiting time for the hospital and TPA to process issuance of the initial guarantee letter (subject to complexity of the claim).

    Step 3

    Deposit

    Pay a deposit (if requested by the hospital).

    Step 4

    full documents

    The hospital will fax all relevant documents and bills to the TPA for issuance of the final Guarantee Letter (if eligible for cover). Patient to pay for uncovered charges (if any).

    *Please allow waiting time for the hospital and TPA to process issuance of the final guarantee letter (subject to complexity of the claim).

    Step 1

    submit

    Prepare the following documents.

    A. Compulsory documents:
    1. Hospitalisation Claim Form (TPA - Integrated Health Plans (Malaysia) Sdn Bhd)
    2. Original Hospital Bill(s), Itemized Detailed Bill(s) & Receipt(s)
    3. Copy of Claimant's NRIC / Passport / Residence card
    4. Copy of MRI, X-ray, CT Scan, HPE & other radiology/ lab reports & other relevant reports (if any, depends on the tests performed by the doctor(s))

    B. Document to be submitted if due to an accident:
    1. Copy of Police Report (if any)
    2. Copy of Incident Report (if required)

    Step 2

    Step 2

    Complete the required form(s) and get your attending doctor to complete the Attending Physician’s Statement (if applicable).

    Prepare additional documents (if any):
    1. Copy of Referral Letter (if any)
    2. Copy of Excess Letter (if any)

    Step 3

    full documents

    Ensure all the required documents are complete and submit them via any one of the following options:

    • Our appointed TPA - Integrated Health Plans (Malaysia) Sdn Bhd
    • Your servicing agent
    • Your nearest Zurich branch

    Step 4

    call

    Check your claim status by contacting our appointed TPA.

    Integrated Health Plans (Malaysia) Sdn Bhd
    24 Hours Service Hotline
    1-800-82-6100
    zurichmedical@ihpmy.com

    For assistance on medical claims, you may contact our appointed Third-Party Administrator, Integrated Health Plans (Malaysia) Sdn Bhd, at their toll-free hotline 1-800-82-6100 or write an email to zurichmedical@ihpmy.com

    Important Notes:

    1. If Emergency Accidental Out-Patient Treatment claim amount is less than RM500, treating doctor can indicate the diagnosis on the receipt itself and Section E- Attending Physician’s Statement of Hospitalisation Claim Form will be waived.
    2. For a post-hospitalisation claim following a cashless admission with a Zurich medical card, the claimant is not required to complete Section E: Attending Physician’s Statement in the Hospitalisation Claim Form.
    3. To facilitate prompt processing of claims, please submit all required documents.
    4. The list of required documents for Family Takaful Claims serves as a guideline for claims submission. The Company reserves the right to request for further information or documents if deemed necessary.