How to make a motor personal accident insurance claim

How to Make a Motor Personal Accident Insurance Claim

 

Car accidents happen, even to the most careful driver among us. While your car can rely on your comprehensive car insurance poliy to take care of the damages incurred, what about your precious self?

That's where Motor Personal Accident cover, also known as Drivers and Passengers Personal Accident (DPPA) steps in.

Think about this. If you were involved in a car accident and sustained injuries (whether it's a broken leg, a dislocated shoulder, or even back spasms) that require attention, you’ll have to face up to costly medical expenses, that will not be covered by your regular car insurance.

Motor personal accident insurance on the other hand, can shield you against potentially heavy financial losses that will otherwise have to be borne by yourself.

This guide will walk you through how to make a motor PA insurance claim properly, the steps you need to follow to ensure your insurance claim is successful, and what happens after you make a claim.

 

Injured leg at the hospital
Picked up a leg fracture from your car accident? Your motor personal accident insurance can help you

 

I got into an accident, how do I file a Motor PA claim?

Filing a claim against your insurance company can be daunting if you are not familiar with the procedure  or if it's your first time! 

That's what the Bear is here for. Check out these easy peasy steps and memorise them!

1. Notify your insurer ASAP

Make motor PA insurance claim: notify insurer

Reach out to your insurance company as quickly as possible the moment you are involved in an accident.

If you’re unable to contact them on your own, your nominee can get in touch with your insurer on your behalf.

GoBear tip: Keep details of your insurer and other related enforcement agencies close. From hotline numbers to this guide, make sure you can easily find what you need. 

2. Submit your claim form

Make motor PA insurance claim: submit form

After informing your insurer about the accident, you need to get your hands on a claim form.

The claim form can be found on your insurer’s website. Once downloaded, fill in the details and attach it with the required documents.

Note that it’s best to inform your insurance company as urgently possible about the accident. The time limitation for filing claims can be up to 30 days after the crash. Do find out from your insurer and plan accordingly - no one likes to wait unnecessarily!

3. Get a police report

Make motor PA insurance claim: get police report

Most insurance companies require a police report and an original copy of the investigation result by the police.

File a police report within 24 hours of the accident if you want to avoid paying a fine of RM300!

4. Gather the relevant documents

Make motor PA insurance claim: gather documents

Depending on the insurance company, the insurer will require you to submit different documents. Nonetheless, the documents required typically are as follows:

  • Copy of NRIC /Copy of passport (for expats)
  • Original medical bill or receipts
  • Hospital admission/discharge note or summary
  • Police report
  • Death certificate (for death claims)
  • Other satisfactory evidence required by your insurer

Keep copies of all your documentation and bills related to the accident.

5. Submit the claim form together with all documents requested

Make motor PA insurance claim: submit claims

After it has been received by your motor personal accident insurance company, a claim assessor will ensure the validity of the materials you submitted and assess your injury claims.

On average, the claim process takes between seven to 14 days upon submission of all documents requested. You will not need to do anything during this period, unless there are any additional documentation required by the claim assessor.

 

| See also: What is Motor Personal Accident Insurance? |

 

What else should I take note of?

Before you submit your documents, run through this checklist to ensure a successful motor PA claim.

Read the questions in the claim form carefully

Put on your glasses and comb through the questions in the claim form thoroughly! Focus on avoiding misrepresentation when answering the questions, otherwise, your claims may be denied.

Answer the items on the claim form correctly

Take your time – and reasonable care to answer all the questions on the claim form honestly and to the best of your knowledge. Again, you run the risk of having your claim rejected or not getting fully paid out if it's found to be misleading or untruthful.

Double check all the necessary requirements

Lastly, ensure that you have all the required documents one more time. The supporting documents attached to your claims are some of the most essential parts of your claims.

 

Fine print and signature
Have you read through all the finer points in your motor personal accident policy before submitting your claim?

 

So, what happens after I make a claim?

After a successful claim, you are still able to make further claims during the policy period if you are very unfortunately involved in another car accident and sustained yet another injury. Generally, there’s no limit for the number of claims you can make.

What this means to you and your wallet is that you don’t have to re-purchase a new policy. The only time you need to make a new purchase is when the policy has reached its expiry date.

It’s worth nothing that every claim filed is subjected to claim approval accordingly. Each claim you make is based on the table of benefits provided to you when you purchase your motor personal accident insurance policy.

You can ask your insurance provider on the number of claims you can make within a one-year period if you have any doubts.

 

My motor PA claim was denied! What happened?

Imagine your precious car completely written off after a major accident! And to complicate matters, your motor personal accident claim was rejected!

A lot of rejected claims can easily be avoided. So here’s a list of the common reasons why your claim was rejected:

Making claims not under the policy

There are instances where the insured files a claim for injuries that were not covered in the policy. These include pre-existing illnesses and other injuries that are excluded. As much as the Bear knows how much you hate reading the fine print, you do need to find out what the exclusion clauses are.

Lack of supporting documents

The documents that you have are the main pillars of your claims; without them, the insurer will have trouble providing you with the compensation you are entitled to. As already mentioned above, you need to run through your checklist again and again.

Misleading or wrong information

You might have provided wrong or misleading information. If this happens, your claim can be voided. There are even cases where these situations had led to legal wrangles by parties involved.

 

What if I was not satisfied with the claim?

If you feel that your insurer failed to sufficiently and adequately provide compensation to you, there are other alternatives you can seek help:

Contact the insurer directly

Talk to your insurer about your concerns and try to work out a solution that satisfies both parties. If the agent fails to resolve the issue, request to speak with a supervisor.

File a complaint

You can get in touch with the Corporate Communications Department of Bank Negara Malaysia or Financial Mediation Bureau if you have not been satisfactorily served or compensated.

Seek legal advice

If you are wrongfully denied payment on a covered insurance loss, you reserve the right to take the matter to court.

 

Final Thoughts

Filing a motor PA insurance claim can be daunting and time-consuming. The Bear strongly recommends that you prepare yourself by understanding your coverage and take the best steps provided after getting hurt. 

Always check what the insurer requires for your Motor PA claim and make sure you provide all the necessary documents and follow the instructions carefully. Your insurance company will work with you to make sure your claim is paid out so you can get back on the road.

 

Buckled seat belt
Stay buckled always!

 

Above all else, always practice safe driving and stay buckled!

 

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