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Insurance Tips : Making A Claim
How do I make a claim on my Motor insurance policy?
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If something goes wrong - your house is burgled or you crash your car - you can make a claim for compensation if you are insured for these losses. There are 3 steps to make a claim.

Have your BestQuote car insurance policy number and your car registration to hand.
Phone your local BestQuote broker to register your claim.
Take the contact details of any party to the accident and of any witnesses.
Make a note of the registration number of all vehicles involved.
Report the accident to the Gardaí.
Call your local BestQuote broker click on the map above for your nearest BestQuote broker.

When the claim involves personal injuries, you don't have to accept the amount your motor or the parties motor insurance company offers, you can if you wish reject their offer and refer your claim to the Personal Injuries Assessment Board, which is an independent statutory body set up by the Government to decide the right amount of compensation for personal injuries and can help to make the process of claiming less costly as you are not obliged to use a solicitor. You can Download their publication PIBA Guide for injured parties', which explains the PIAB process in more detail. If you decide to reject the PIAB assessment you may take your claim to Court. With any claim you make you can decide whether or not to use a legal advisor to assist you in the process.

Insurers for your motor insurance should normally settle claims by cheque, payable to you.

If the amount of a claim is small, consider whether it is worth making a claim. If you make a claim, you may lose a discount with certain insurers and you may find it more difficult to shop around for certain types of cover the next time you renew your policy.

Can my claim be refused?
The damage you claim for is not covered by your policy.
One of the conditions in your policy is not met - for example, you have not reported a the accident to the police.

If your claim is refused, your insurance company or broker must write to you to explain the reasons why your claim was refused.

How do I make a Claim on my Home Insurance policy?

You will usually receive compensation for the value of the item stolen or damage done. There are 3 steps to make a claim. Read your policy details and house hold insurance certificate. Home Insurance Certificate document.

If your property is lost or damaged you should do the following.

1. Check your Home Insurance schedule and the certificate document (link above) to make sure that the loss is covered.

2. If your property is stolen or maliciously damaged, or if you lose a valuable item you must tell the police as soon as you notice the loss or damage. Please take a note of the name of the police officer, their number and Pulse crime reference (if the claim happens in the Republic of Ireland).

3. If there is an emergency such as a burst pipe, please contact a plumber or other professional to carry out emergency repairs. We will not pay more than N500 for emergency repairs. Then report the matter immediately to OSG Business Solutions before having any further work carried out. If possible, please take photographs of the damage and keep them in case we need them in the future.
4. Contact our appointed claims handling team, OSG Business Solutions, on + 353 1 261 1597, or send them an email with your name and certificate number and contact numbers including brief details of the loss to cnu@osg.ie

5. It is a condition that you report claims within 24 hours of discovering the loss or damage. If you have any doubt or questions, speak to OSG Business Solutions on (+) 353 1 261 1597.

6. Get any documents we may need as evidence such as estimates, police reports or receipts and so on for stolen goods and keep them for the claims consultant who will visit you.

7. You must immediately send us any summons, writ, notice of prosecution, other legal documents or any relevant correspondence you receive.

8. You must give us any help we may need. And you, or any person insured under the certificate, or anyone acting on your or their behalf must not negotiate, admit, settle or deny any claim without our written permission.

11 Claims Contact Details:

OSG Business Solutions
Nutley Building
Merrion centre
Nutley Lane
Dublin 4

You may want to hire an assessor for larger home insurance claims, such as a buildings claim on your home. The idea with this is that the assessor works on your behalf and can often negotiate with your home insurance company to settle your claim. Remember though these fees are not covered by your home insurance policy so you will have to pay for this yourself. Your Home insurance company considering your claim will check whether your policy covers you for the costs or damage you are claiming for. When they respond you can decide to accept what they are willing to settle for or you can negotiate with them directly or through your broker. When the claim involves personal injuries, you don't have to accept the amount your home insurance company offers, you can if you wish reject their offer and refer your claim to Personal Injuries Assessment Board, which is an independent statutory body set up by the Government to decide the right amount of compensation for personal injuries and can help to make the process of claiming less costly as you are not obliged to use a solicitor. You can Download their publication PIBA Guide for injured parties', which explains the PIAB process in more detail. If you decide to reject the PIAB assessment you may take your claim to Court. With any claim you make you can decide whether or not to use a legal advisor to assist you in the process.

Insurers for you home insurance should normally settle claims by cheque, payable to you. If you have arranged home insurance through your mortgage lender, the insurance company may pay the money to your lender who will then pass it on to you.

If the amount of a claim is small, consider whether it is worth making a claim. If you make a claim, you may lose a discount with certain insurers and you may find it more difficult to shop around for certain types of cover the next time you renew your policy.

Before making a claim, you should also consider the excess on your policy. This is the amount of each claim that you will have to pay yourself. The amount varies but is generally between €100 and €300. You will not be able to claim for amounts less than the excess.

Can my Home Insurance claim be refused?
Your claim can be refused for some of the following reasons:
The damage you claim for is not covered by your policy.
One of the conditions in your policy is not met - for example, If you have taken advantage of the burglar alarm discount on the basis that your alarm meets standard set out in the policy details, you must be able to provide the certification we need if you make a claim. The alarm must also be regularly serviced. Loss or damage by stealing is not included unless the alarm is set and working when your home is empty.
The damage is caused by wear and tear rather than a specific risk covered by your policy.

If your claim is refused, your insurance company or broker must write to you to explain the reasons why your claim was refused. If you have underestimated the cost of rebuilding your home and replacing your belongings when taking out home insurance, you could also get less money than you claimed for. This is due to an 'average clause', which is included in some policies. Say the contents of your home are worth €60,000 but you insure them for just €30,000. If your contents are say completely destroyed , the most you will get from your insurance company is €30,000. So even if you claim €15,000, the insurance company will look at the overall amount you insured your contents for and will consider that you are only half insured. So they may pay out only €7,500 i.e. half the total damage.

What is your complaints procedure for Home Insurance?
We at bumblebee.ie want to make sure you are happy with your Home insurance policy and understand the importance of any feedback from our customers.

1. You should write down details of your complaint and the circumstances surrounding it and send it to:
The Operations Manager
Bumblebee.ie
Sliebhroe
Co Sligo
Republic of Ireland.

2. When we receive the written complaint, we will:
- create a log noting the complaint;
- investigate the circumstances;
- contact you regularly throughout the procedure; and
- work towards a fair solution as quickly and efficiently as possible.

3. If you are not satisfied with the way a complaint has been dealt with you may ask the Lloyd's Underwriters' Sole General Representative in Ireland to review your case without prejudice to your rights in law.

The address is:
Raymond P. McGovern
Lloyd's Underwriters' Sole General
Representative for Ireland.
W. G. Bradley & Sons,
8 Exchange Place,
International Financial Services Centre,
Dublin 1,
IRELAND
Tel: (00 353) 1 829 1222
Fax: (00 353) 1 829 1444
E-mail: Lloyds-Dublin-Rep@Mktmail.com

4. If you are still not happy after receiving Mr McGovern's response, you may contact:
The Insurance Ombudsman of Ireland
77 Merion Square
Dublin 2
Republic of Ireland.

Following the above does not affect any of your legal rights.

How do I make a claim on my travel insurance policy?
Emergency & Medical Service

In the event of a serious illness or accident which may lead to in-patient hospital treatment or before any arrangements are made for repatriation or in the event of Curtailment necessitating Your early return Home or in the event of You incurring inpatient medical expenses in Excess of €350, You must contact AXA Assistance. The service is available to You and operates 24 hours a day, 365 days a year for advice, assistance, making arrangements for hospital admission, repatriation and authorisation of medical expenses. If this is not possible because the condition requires immediate emergency treatment You must contact AXA Assistance as soon as possible. Private medical treatment is not covered unless authorised specifically by AXA Assistance.

Medical Assistance Abroad
AXA Assistance has the medical expertise, contacts and facilities to help should You be injured in an accident or fall ill. AXA Assistance will also arrange transport Home when this is considered to be medically necessary or when You have notice of serious illness or death of a Close Relative at Home. Payment for Medical Treatment Abroad

If You are admitted to a hospital/clinic while abroad, AXA Assistance must be contacted who will arrange for medical expenses covered by the policy to be paid direct to the hospital/clinic. For out-patient treatment, You should pay the hospital/clinic yourself and claim back medical expenses from Us on Your return Home. Beware of requests for You to sign for excessive treatment or charges. If in doubt regarding any such requests, please call AXA Assistance for guidance.

Reciprocal Health Agreements
If You are an Irish resident You are entitled to health care through the public system in countries of the European union (EU), European Economic Area (EEA) and Switzerland if You become ill or injured while on a temporary stay there.
If You are travelling to another EU/EEA country or Switzerland, We strongly recommend You apply for and obtain a European Health Insurance Card for yourself and/or family and make sure that any medical treatment is provided at hospitals or by doctors working within the terms of the reciprocal health care agreement, unless AXA Assistance agree otherwise. If You are admitted to a private clinic You may be transferred to a public hospital as soon as the transfer can be arranged safely. If You are travelling to Great Britain or Northern Ireland You do not require a European Health Insurance Card to obtain the necessary healthcare but need to provide proof that You are ordinarily resident in Ireland (in practice this means a driving license, passport or similar document). If You are currently a VHI, BUPA and VIVAS member You must notify the relevant private medical insurance assistance company at the time of claiming as per contact details below.

VHI Assistance: Tel +31 - 71 - 36 41 335
VHI Assistance USA: Tel 1 - 866 - 854 34 79
BUPA Assistance: Tel +31 - 71 - 36 41 822
VIVAS Assistance: Tel + 353 - 1 - 619 3620

Australia
If You require medical treatment in Australia You must enrol with a local MEDICARE office. You do not need to enrol on arrival but You must do this after the first occasion You receive treatment. Inpatient and out-patient treatment at a public hospital is then available free of charge. Details of how to enrol and the free treatment available can be obtained by the Australian Embassy in Ireland by contacting 01 664 5300 or www.australianembassy.ie. If You are visiting Australia on a Student Visa You are not covered by MEDICARE. Alternatively please call AXA Assistance for guidance. If You are admitted to hospital contact must be made with AXA Assistance as soon as possible and their authority obtained in respect of any treatment NOT available under MEDICARE.

Making a claim?
You must comply with the following conditions to have the full protection of your policy. If you do not comply We may at Our option cancel the travel insurance policy or refuse to deal with your claim or reduce the amount of any claim payment.

When contacting the claims department, please have the following information to hand:
Ref: Blue Direct Policy
1. Name of Your policy and where it was purchased
2. Policy Number
3. Resort and country visited
4. Value of claim
5. Brief circumstances
6. Travel dates
7. Incident date
Failure to have the above information to hand may result in Your claim being delayed.

Claims
Obtain a claim form online at www.travelclaims.ie

You must notify Us at the address given below, depending on the type of claim: All Claims Except Legal Expenses to:
AXA Assistance Claims
1st Floor
Abco Kovex Building
Swords Business Park
Swords
Co. Dublin
Tel: 01 883 3132 or from outside
Ireland +353 1 883 3132

Legal Expenses Only
AXA Assistance
The Quadrangle
106/118 Station Road
Redhill
RH1 1PX
England
Tel: + 44 845 2712449
The notification must be made within 31 days or as soon as possible thereafter following any Bodily Injury, illness, disease, incident, event, redundancy or the discovery of any loss, theft or damage which may give rise to a claim under this policy. You must also inform Us if You are aware of any writ, summons or impending prosecution. Every communication relating to a claim must be sent to Us without delay. You or anyone acting on Your behalf must not negotiate admit or repudiate any claim without Our written consent. You or Your legal representatives must supply at Your own expense all information, evidence, details of household insurance and medical certificates as required by Us. We reserve the right to require You to undergo an independent medical examination at Our expense. We may also request and will pay for a post-mortem examination. You must retain any property which is damaged, and, if requested, send it to us at your own expense. If We pay a claim for the full value of the property and it is subsequently recovered or there is any salvage then it will become Our property. We may refuse to reimburse You for any expenses for which You cannot provide receipts or bills.

How do i make a Claim on a private Health Insurance

How to make a claim under your plan
If you are in any doubt about whether or not you are covered, you should contact vivas health, prior to undergoing treatment. Vivas Health can then confirm your level of cover which will assist you with your claim. Please provide your membership number when you contact Vivas Health. Please forward all claims that you have settled to Vivas Health within 3 months following the end of your policy year. In patient and day case claims
Vivas Health has a direct payment arrangement with a number of hospitals. This means they will settle the bill directly with the hospital if the claim is for eligible in patient, day case or maternity treatment or for a scan performed in their listed approved treatment centres for scans.

You may call Vivas Health on 1850 717 717 to find out whether a specific hospital has a direct payment arrangement with them. A hospital that has a direct payment arrangement will provide you with the claim form to sign at the end of your stay in hospital. The hospital will then submit the claim form to Vivas Health for settlement.
If the hospital does not have a direct payment arrangement with VIVAS Health you will need to complete the claim form and pay the bill. The hospital will supply you with a claim form or alternatively you can contact Vivas Health to request one or you can download one from their website at Claim form Vivas Health. You will have to settle the claim directly with the hospital and get the treating hospital, doctor or consultant (as appropriate) to complete the form. Please ensure that you send the completed claim form and all receipts to Vivas Health when you are discharged from hospital. In this manner Vivas Health can swiftly assess the claim and reimburse you for all eligible treatment. Out patient claims
If you are making a claim for out patient benefits, you should settle directly with your health care provider. You must retain your receipts. At the end of your policy year you must call Vivas Health to register your claim. After this call, you must send all receipts to Vivas Health to ensure that they can reimburse you for all eligible treatment. Please check that all receipts state:
- the full name of the member receiving treatment,
- the type of treatment received,
- the date the treatment was received and
- the signature and contact details of the treating consultant and the hospital or centre where you were attended.

All receipts must be sent to VIVAS Health, PO box 764, Tougher, Cork within 3 months after your renewal date. If you have also purchased a day-to-day 50 plan, remember that many out patient benefits should be claimed from this plan rather than as an out patient benefit. Please note a benefit cannot be claimed twice as both an out patient benefit and a day-to-day benefit. Day-to-day claims
If you are making a claim for day-to-day benefits you will need to settle directly with your doctor or health care provider. You must retain your receipts.
At the end of your policy year you must call Vivas health to register your claim. After this call you must send all receipts to them to ensure that they can reimburse you for all eligible treatment.

Please ensure that all receipts state:
- the full name of the member receiving treatment,
- the type of practitioner that you attended,
- the date the treatment was received and
- the name, address and qualifications of the practitioner providing the care on the practitioner's headed paper. In the case of claims for prescriptions please provide a copy of the prescription claim form issued by your pharmacist

All receipts must be sent to VIVAS Health, PO box 764, Tougher, Cork within 3 months after your renewal date. Please note a benefit cannot be claimed twice as both an out patient benefit and a day-to-day benefit. Claiming for accident and emergency cover abroad
VIVAS Health will only pay for services under this benefit where a member uses the international assistance number stated on the membership card in advance of receiving any treatment and follows the advice given.
Vivas Health will make their best endeavours to pay your in patient hospital or professional bills directly. However, in the event they cannot do so, please retain all original receipts and contact vivas health on your return. Claiming for overseas treatment
Claiming for procedures that are available in Ireland
If VIVAS Health pre-authorises your overseas treatment they will send you an international claim form. This claim form must be fully completed and signed by both you and your treating consultant. You will need to settle the claim directly with the hospital but once vivas health have received the completed claim form and all corresponding receipts, they can reimburse you swiftly for all eligible treatment.

VIVAS Health will pay for the cost of the procedure, associated hospital charges and the reasonable costs of unforeseen, additional and medically necessary procedures up to the level of benefit that they would have paid for the same procedure and related charges for you in Ireland in a hospital and accommodation type for which you are covered. Travelling costs are not covered. Payment will only be made if a completed international claim form and a receipt or receipted invoices are received by VIVAS Health including sufficient information for them to assess your claim. Payment will always be in line with the cover provided under the plan you are on at the time treatment was received, and as long as your premium payments are up to date and treatment has been pre-authorised. Claiming for surgical procedures that are not available in Ireland
When VIVAS Health pre-authorises your overseas treatment they will send you an international claim form. This claim form must be fully completed and signed by both you and your treating consultant. You will need to settle the claim directly with the hospital but once VIVAS Health has received the completed international claim form and all corresponding receipts they can reimburse you swiftly for all eligible treatment.

VIVAS Health will pay for the cost of the procedure, the associated hospital costs and the reasonable cost of unforeseen additional and medically necessary procedures as agreed during the pre-authorisation process. Travelling costs are not covered under this policy.

How do I make a claim on a Life Insurance policy?

Please call our customer service department on 1890 333 123 We will then send you a claim form, tell you what you need to do and what documents are needed.

Can my claim be refused?
We have made a general summary of situations in which a claim may not be paid below.

- Your claim may be refused if you have given incorrect information or did not tell us something that would have affected our assessment of your application when you first took out the plan. You have to make sure that you tell every relevant thing about your health on your application form. If you do not and you make a claim, your benefit might be rejected. When taking out life insurance you will get a summary of the medical information in your application form. You should check this to make sure that you have answered all the health questions accurately.
- Your claim may be refused if your death is caused by suicide or execution within a year of the plan starting.
- Your claim may be refused for coma, loss of limbs, loss of independence, paralysis or limited payment for loss of one limb in the following situations. - If the injury has been caused by war, riot, revolution or any similar event or by you committing a crime. - If the condition was self inflicted or caused by you drinking alcohol or taking drugs, or if you failed to follow reasonable medical advice.
- If the injury was caused by you taking part in any of the following activities. Abseiling, bobsleighing, boxing, caving, flying (except as a paying passenger on a public airline), hang-gliding, horse racing, motor-car and motor-cycle racing or sports, mountaineering, parachuting, potholing, powerboat racing, rock climbing or scuba diving.

If you are unsure of any details, wording etc in your policy a member of the team at Bumblebee.ie would be delighted to help you. Just call our support team on 1890 333 123 or e-mail us @ info@Bumblebee.ie.

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