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LI Claim Process

How will I receive the claim amount?

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We honour claim payments through cheque or Electronic Clearance System (ECS)^ as per your convenience.

Cheque Payments:

  • A cheque is drawn on ICICI Bank
  • It is sent to you at the address mentioned in the intimation form* or statement
  • In non-serviceable areas, the cheque is sent to a local branch with an instruction to forward it to you

Electronic Clearing Service:

  • You need to submit the ECS instructions along with a cancelled cheque
  • The claim amount will be transferred directly to your bank account

^Electronic Clearance System or ECS is the mode to transfer your money electronically from one bank account to another. It can be used for debit and credit purposes.

*Claim intimation form is the document in which you provide all the relevant details required while reporting the claim.

How much time does it take to settle a claim?

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Once we receive a written intimation and all the required documents, we assess, settle and communicate the decision within 12 calendar days. We transfer most of our pay-outs through electronic modes, to speed up the claim settlement process.

Turn Around TimeInsurance Regulation and Development Authority of India (IRDAI) mandated timelines
Raising Claim Requirements15 Days
Non-Early cases (cases where the claim is made after 3 years of taking the policy)30 Days
Early cases (cases where the claim is made within 3 years of taking the policy)180 Days

Which documents do I require to report a claim?

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To get a list of the documents required while reporting a Death Claim, please click here

 

To get a list of the documents required while reporting a Hospitalisation Claim, please click here

When is a claim rejected?

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A claim is rejected if 'non-disclosure' or 'mis-statement' of facts is discovered during an investigation. When a fact that affects the policy issuance decision is not disclosed in the proposal, it is termed as, 'non-disclosure'. Similarly, withholding information or providing incorrect information while answering questions in the proposal form^^ is termed as, 'mis-statement'.

 

For example, when an applicant suffering from kidney failure does not inform the insurer about the same in the proposal form, it is termed as non-disclosure. Similarly, when an applicant overstates his or her income, then it is called a mis-statement.

 

^^Proposal form is the document in which you provide all the relevant details while applying for an insurance policy.

How do I report a claim?

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To report your claim you can:

  • Visit the claims section of our website for online claim intimation
  • Call us at our 24X7 Customer Care number - 1860 266 7766^
  • Visit the nearest ICICI Prudential Life Insurance branch
  • E-mail us at lifeline@iciciprulife.com
  • SMS ICLAIMPolicy No to 56767

Your claim will be formally registered only after receiving a written claim intimation at our branch/Claims Cell.

 

^For calls within India. Our overseas customers can call us on +91 22 6193 0777.

Where can I submit claim documents?

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You can submit your claim documents at:

  • The nearest ICICI Prudential Life Insurance branch. Click here to locate a branch around you.
  • Our Life claims cell / Health claims cell:

ICICI Prudential Life Insurance Company Ltd, 
1st Floor, C-wing, Office No. 115, 116, 117,
BSEL Tech Park, Opp. Vashi Station,
Sector 30, Vashi, Navi Mumbai- 400703.

What is the claim process of ICICI Prudential Life Insurance?

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We have a 3-step claim process:

 

Step 1: Claim Reporting
The first step involves reporting your claim. You can report your claims online, at our branches, central office through SMS, e-mail or by calling our Customer Care as per your convenience. However, claims reported online, through SMS or e-mail will not be considered as intimation. Physical documents will be required to start the process.

 

Step 2: Claim Processing
Our special Claim Care team will assess your claim, and inform you in case any further documents need to be submitted. Post receiving all the necessary documents, we will process your claim request within 12 calendar days.

 

Step 3: Claim Settlement
Once your claim request is approved and we receive all the relevant documents, we will settle your claim.

Who is entitled to receive the claim benefit?

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The claim benefit can be received by:

  • The nominee* or the guardian (in case of minor nominee), if you are the Life Assured
  • The proposer, in case you are not the Life Assured^
  • Assignee, in case the policy is assigned
  • Life Assured, in case of living benefit claims such as, claims under disability, critical illness and major surgery rider.

* Nominee is the person you appoint at the time of purchase for receiving the benefits of your insurance policy in your absence.

^Life Assured is the person for whom the life/health insurance policy has been issued.

What happens when there is no nomination or in case of a pre-deceased nominee at the time of death claim?

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In such circumstances, we would require the proof of title/succession certificate issued by a competent court. The claim would then be paid to the person specified in the said proof. Such a condition is called 'Open Title' situation.

If we have accepted the claim but are waiting for the issued certificate of proof, we hold the money till the proof is submitted and pay interest as directed by the Insurance Regulatory and Development Authority of India.

What is the time frame within which the claim has to be reported?

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You should report a claim as soon as possible, to help us process it faster. You can report the disability claim within 120 days from the date of disability. For critical illness or major surgery, you have to report the claim within 60 days from the date of diagnosis or surgery.

Under what circumstances is a claim declined?

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A claim will be declined if it does not comply with:

  • Declaration and Authorisation agreed at policy inception, as mentioned in the application form
  • Terms and Conditions in the policy document

Where can I send a written intimation to the claims department?

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You can send a written claim intimation either to your nearest branch or directly to the Life or Health claims cell at the following address:

 

ICICI Prudential Life Insurance Company Limited,
1st Floor, C wing, Office No. 115,116,117,
BSEL Tech Park, Opp. Vashi Station,
Sector 30 Vashi, Navi Mumbai - 400706

How do I communicate my concerns with respect to claim decision?

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Our Grievance Redressal Committee is chaired by an external member. You can communicate your concerns to this committee by sending a letter to the address given below:

Grievance Redressal Committee (Chaired by external member)
ICICI Prudential Life Insurance Company,
Raheja Tipco Plaza, Ranisati Marg,
Malad (East), Mumbai – 400097

What is a claim form? Where can I get a claim form and list of documents required for submission?

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To report a claim, you have to fill in the required details that are listed in the claim form. You can get this claim form and the list of required documents by:

  • Taking it from the policy document in the welcome kit provided to you when your policy was issued
  • Visiting your nearest ICICI Prudential Life Insurance branch
  • Reaching out to our advisor
  • Checking the Claims section of our website

Why is it essential to produce all the records or documents as required?

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We examine and settle claims on the basis of all records related to the claim. Once you report a claim, we request you to submit the required documents. The sooner the documents are submitted, the faster your claim will be processed. In case you need any clarification or assistance, you can contact our officials by calling us on 1860 266 7766* or visiting the nearest ICICI Prudential Life Insurance branch.
*For calls within India. Our overseas customers can call us on +91 22 6193 0777 (call charges as applicable)

Which parameters are considered while asking the claimant* to submit particular records or documents?

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We consider the cause, duration of the policy and circumstances of the claim while asking for the requirements. For example, for accidental death claim, specific documents such as post-mortem and police report are required. Whereas for death due to an illness, records from the hospital and test reports will be needed to process the claim.

*Claimant is the person who reports the claim.