%%EOF 0000020020 00000 n << For senior citizens: seniorcitizen@bajajallianz.co.in. /L 21696 /Prev 21456 Overall rating: 0 out of 5 based on 0 reviews. 0000047016 00000 n stream 0000040672 00000 n 27 0 R ] /Font << Email id: bagichelp@bajajallianz.co.in. 722 333 389 722 611 889 722 722 556 722 xref trailer 0000027528 00000 n 0000010293 00000 n We understandthat thisis adifficult timefor you andit isour responsibility to offeryou the bestsupport inthis hour of need. 0000045590 00000 n >> The plan coverage offered is good, the premium is less and the claim process is easy. /O 37 3. /ID [ <129EF8B0D4CF37D337794C3BBC403B1C> /Linearized 1 endstream /Descent -216 Get the best medical care: The health insurance plans enable you to get treatment from the best hospitals and doctors. 0000001382 00000 n Download bajaj-allianz health claim-form Subject: Download bajaj-allianz health claim-form Keywords: Download bajaj-allianz health claim-form Download Proposal Forms, Claim Forms, Brochures and Policy Wordings of Insurance Products from www.insureatclick.com 0000047672 00000 n >> Cashless settlement: You can get cashless treatment at any of the network hospital after informing the company. /Text 0000046156 00000 n : +91 20 3030 5858, 1800 22 5858, 1800 102 5858 1. Download bajaj-allianz Group-Personal-Accident claim-form Subject: Download bajaj-allianz Group-Personal-Accident claim-form Keywords: Download bajaj-allianz Group-Personal-Accident claim-form Download Proposal Forms, Claim Forms, Broc hures and Policy Wordings of Insurance Products from www.insureatclick.com 0000016191 00000 n /E 17189 Sample Claim form-Reimbursement . 0000002841 00000 n 722 722 722 722 722 722 889 667 611 611 /Type /Catalog /Length 0 endobj >> 11 0 obj 0 Bajaj allianz is a great insurer. endobj endobj Bajaj Allianz bike insurance has an impressive claim settlement ratio of 91.46% (in the financial year 2017-2018). /F1 18 0 R >> /N 3 36 0 obj Bajaj Allianz Life Insurance Death Claim Form. /Info 34 0 R 0000001789 00000 n Tollfree: 1800-209-0144 | 1800-209-5858 Email id: bagichelp@bajajallianz.co.in For senior citizens: seniorcitizen@bajajallianz.co.in Fax no: 020-30512246 All the grievances are closed within the stipulated time frame of 15 days. /Length 594 It has successfully settled thousands of claims through its seamless and easy claim settlement procedure. IRDAI Registration No.113 Regd. 0000001869 00000 n Registered Address: Bajaj Allianz House, Airport Road, Yerawada, Pune-411006 0000001287 00000 n /ImageC endobj >> x�c```b``MgP```��p� �)@�Bج��������� (f`p ��"�"$n����| �*�HK�@ZH_b= ^�0�����'�v u_� 0000046804 00000 n 0000039049 00000 n >> /Filter /FlateDecode 0000028301 00000 n 0000027016 00000 n s8W,anb0TCjE[TE6\2WiCoA@gV`/k(Bq*&6^Y.T3oDJRdrr2oqrr2N`qD!&n$!Np- FIDELITY GUARANTEE INSURANCE CLAIM FORM The issue of this form does not constitute admission of liability. 0000023016 00000 n Bajaj Allianz Car Insurance Claim The purpose of buying any kind of insurance is incomplete if you are not aware of the company’s claim process. 107 0 obj /F2 20 0 R 3. 0000001933 00000 n Car Insurance. CLAIM FORM FOR HEALTH INSURANCE POLICIES OTHER THAN TRAVEL AND PERSONAL ACCIDENT – PART A. 0000021611 00000 n Download bajaj-allianz Health-Guard proposal-form Subject: Download bajaj-allianz Health-Guard proposal-form Keywords: Download bajaj-allianz Health-Guard proposal-form Download Proposal Forms, Claim Forms, Brochures an d Policy Wordings of Insurance Products from www.insureatclick.com Tollfree: 1800-209-0144 | 1800-209-5858. T"`n0jmZ'&\HPiu%UYo%LUi\\eer(e##pNba)VFip@@_O9AF;Q7R*Zg?.l4=.BCm 0000000017 00000 n << 0.0 rating based on 12,345 ratings. 2 Original Discharge Summary stating the date of admission, date of discharge, presenting complaints with duration ,clinical condition, detailed line of treatment, final diagnosis and past medical and surgical history with duration. Email id:-customercare@bajajallianz.co.in. Bajaj Allianz Health Insurance Health Insurance Download Policy . << 0000005636 00000 n 17 0 obj Hassle-free claims: Bajaj Allianz has a hassle-free claim … 0000037464 00000 n 0000037813 00000 n 0000022868 00000 n /ID [] Bajaj Allianz General Insurance Company Limited Ground Floor, 32/2 Ashoka Plaza, Next to Weikfield Company, Nagar Road, Pune - 411 014. But, ever since in have chosen bajaj allianz, i am happy and satisfied. /H [ 1994 847 ] /XObject << 0000046981 00000 n %%EOF 564 444 921 722 667 667 722 611 556 722 /CapHeight 891 0000027272 00000 n 0000025060 00000 n << 0000024549 00000 n 15 0 obj endstream [ /PDF << 0000022662 00000 n 611 778 778 333 333 444 444 350 500 1000 << /ABCpdf 7008 667 556 611 722 722 944 722 722 611 333 0000009543 00000 n 0000047176 00000 n Bajaj Allianz General Insurance Company Limited. endobj 0000022495 00000 n /F4 24 0 R Free Bajaj Allianz Health Insurance Claim Form - PDF Form Download. 0000045556 00000 n 0000026033 00000 n 500 564 250 333 250 278 500 500 500 500 /Encoding /WinAnsiEncoding All the grievances are closed within the stipulated time frame of 15 days. 0000027633 00000 n 0000016946 00000 n /N 3 0000003047 00000 n /Parent 8 0 R << endobj 0000038892 00000 n Self-attested documents submitted : TRC FORM 10 F Bajaj Allianz Life Insurance - Critical Illness Claim Form DD/MM/YYYY Name of the Life Assured: *To be ticked if you are a tax resident in India under the Income-tax Act, 1961. /Filter /FlateDecode 0000023819 00000 n Submit all original medical (pre-hositalisation and post-hospitalisation) documents.. You will receive an approval letter after thorough verification of the documents submitted. 0000046238 00000 n Proof of insurance - … 0000036609 00000 n /im1 30 0 R /H [ 1382 196 ] 0000020836 00000 n … /Length 103 /FirstChar 32 Please return the form duly completed within Fourteen days of the loss together with th. /S 384 /T 66813 278 333 469 500 333 444 500 444 500 444 0000037546 00000 n 564 333 760 500 400 549 300 300 333 576 This Death laim Application form is designed to … /Pages 33 0 R 0000009818 00000 n /P 0 � F �^ � � - ; 1 2 3 4 5 6 7 8 9 : . I had invested in some other insurer a few years back. >> 0000008152 00000 n endobj 0000000012 00000 n Claim Process at Bajaj Allianz Health Insurance. 0000030204 00000 n 444 444 444 444 278 278 278 278 500 500 >> %���� /FontBBox [ -250 -216 1158 1000 ] /S 84 >> 10 0 obj 0000036775 00000 n 0000026707 00000 n 9 0 obj Bajaj Allianz’s move directly connects customers and service providers on the same level. endobj ] Overall, bajaj allianz is … Phone No. /T 21466 endobj /MissingWidth 321 trailer /L 67637 That experience was horrible. The hospital will verify your details and send the duly filled pre-authorization form to Bajaj Allianz – Health Administration Team (HAT) 500 500 500 500 200 500 333 760 276 500 0000036977 00000 n stream /Names << /Dests 29 0 R>> Bajaj Allianz General Insurance Company Limited Corporate Identity Number: U66010PN2000PLC015329. • Claim is payable subject to the policy being in force on the date of event and fulfilment of all terms and conditions of the policy. >> 0000025432 00000 n xref 0000005344 00000 n 0000010229 00000 n 611 611 333 333 333 333 722 722 722 722 Fax no: 020-30512246. 0000046510 00000 n << Bajaj Allianz General Insurance Company. 0000027803 00000 n 0000038624 00000 n 0000001994 00000 n /Size 108 • Claims under multiple policies may be registered by filling a single form & providing all applicable policy numbers. /Type /Page 0000006750 00000 n 0000028149 00000 n The platform also allows for a proactive method of managing customer claims, through an intelligent integration with third-party data providers. << 453 250 333 300 310 500 750 750 750 444 0000020918 00000 n Health Insurance Claim Process simplified by Bajaj Allianz. 12 0 obj /Ascent 891 0000029937 00000 n startxref 556 500 444 444 444 444 444 444 667 444 The Claim is to be Registered by the Policy Holder by Calling the Bajaj Allianz Toll-Free Number 1800-209-5858. 0000036829 00000 n In case of a requirement, Bajaj Allianz … Bajaj Allianz Burglary Claim Form You must prepare Bajaj Allianz Burglary Claim Form to report a break in and file a claim to the Bajaj Allianz Burglary authorities. 35 0 obj /Subtype /TrueType Sample Claim form-Reimbursement . /Resources << & Head Office : GE Plaza, Airport Road, Yerawada, Pune 411 006 Email id:-customercare@bajajallianz.co.in Toll free no:1800-209-5858 020 … 500 500 500 500 500 549 500 500 500 500 Bajaj Allianz General Insurance Company Limite. 0000040400 00000 n 444 480 200 480 541 778 500 778 333 500 with this claim form Total hospitalization bill Signature of the policyholder . 0000029855 00000 n /ProcSet 13 0 R >> /F3 22 0 R 500 500 500 500 500 500 278 278 564 564 >> Regd. 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Submit the duly filled reimbursement claim form to Bajaj Allianz. 16 0 obj Sample Claim form-Reimbursement . /Size 32 %PDF-1.2 0000026138 00000 n >> /Filter /ASCII85Decode 13 0 obj /Root 36 0 R CLAIM FORM FOR HEALTH INSURANCE POLICIES OTHER THAN TRAVEL AND PERSONAL ACCIDENT – PART A TO BE FILLED IN BY THE INSURED The issue of this form is not to be taken as an admission of liability. << Get detailed information on how to register health insurance claim, accident insurance claim & cashless claims. 0000025191 00000 n Bajaj Allianz has digitalized the claim procedure to facilitate its policyholders by simplifying the whole process. /Widths [ 250 333 408 500 500 833 778 180 333 333 0000020168 00000 n 0000047589 00000 n 500 500 500 500 ] 0000045384 00000 n /FontDescriptor 15 0 R 0 /Fabc28 26 0 R Please complete all 11 parts accurately and truthfully. 500 500 333 389 278 500 500 722 500 500 /LastChar 255 333 500 500 278 278 500 278 778 500 500 0000016908 00000 n 444 1000 500 500 333 1000 556 333 889 778 %PDF-1.5 0000010165 00000 n 0000001579 00000 n Bajaj Allianz Health Insurance Claim Form - Download Proposal Forms, Claim Forms, Brochures and Policy Wordings of Insurance Products from InsureAtClick.com Created Date 20071211155322Z 0000007039 00000 n << 0000013950 00000 n Bajaj Allianz General Insurance Company Limited Revenue Stamp Phone Number / Address of Issuance office ( Seal)_____ _____" "(3) List of Documents required for claim settlement (To be submitted to the nearby Bajaj Allianz office) Claim for accidental damages: 1. Toll free no:1800-209-5858 020-30305858 (To be filled in block letters) /Length 123 /Type /Catalog /O 12 /OCProperties<< /D<< /Order[59 0 R 3 0 R 6 0 R ]/ON[59 0 R 3 0 R 6 0 R ]/OFF[]/RBGroups[]>>/OCGs[59 0 R 3 0 R 6 0 R ]>> Submit claim form with original documents such as doctor’s reports, hospital bills, diagnostic tests, etc. /MaxWidth 965 /FontName /TimesNewRoman PJDpVd#53X)J,`(m.BE-o\Sj&>*6N&qQJ#u There is no need for a trusted third-party to validate the transaction, as it is on the blockchain. 333 980 389 333 722 778 444 722 250 333 /XHeight 446 0000003437 00000 n 0000045744 00000 n 1 Duly filled and signed Bajaj Allianz Health Insurance Claim Form. 0000047948 00000 n 2. Mandate Form for Electronic Transfer of Claim Payments To Bajaj Allianz General Insurance Company Ltd Office Code & Name : i-track Number : Partner ID (To be filled by Office): Full Name: Shri / Smt / Kum / M/s _____ (As appears in your bank account) 0000040318 00000 n RT5$GrcAJpM@@+gLg$!RQaE!omQaYC>MQdOrP /BaseFont /TimesNewRoman /MediaBox [ 0 0 596 842 ] 0000027144 00000 n /Linearized 1 /Contents [ 28 0 R 17 0 R 31 0 R 29 0 R /ItalicAngle 0 0000008433 00000 n 0000023901 00000 n /Root 10 0 R << 0000019822 00000 n /Info 7 0 R This form has 11 parts requiring various particulars about the insurance policy, event of break in, and the property. /Length 772 9 23 4. 0000004220 00000 n /Type /FontDescriptor 722 722 722 564 722 722 722 722 722 722 << Office & Head Office : GE Plaza, Airport Road, Yerawada, Pune – 411 006. /Type /Font 0000009928 00000 n /Type /XRef /ImageI ] 0000024148 00000 n Regd. /StemH 73 /StemV 73 /F0 14 0 R /AvgWidth 401 The Insured should provide the Contact Number, Vehicle Inspection Address, Accident date and time to the Customer Support Executive during the Claim Registration. 0000019655 00000 n startxref stream /Prev 66801 stream /Pages 6 0 R Office & Head Office : GE Plaza, Airport Road, Yerwada, Pune – 411 006 MOTOR INSURANCE CLAIM FORM THE ISSUE OF THIS FORM IS NOT TO BE TAKEN AS AN ADMISSION OF LIABILITY + 9 1 Gender: Male Female DOB Chassis Number Yes No 4. 0000027400 00000 n 0000026849 00000 n endobj 14 0 obj 0000038449 00000 n >> >> Claim Form May2019. /Name /F0 Title claim form-sample Author: Dhiraj Das Created Date: Bajaj Allianz General Insurance Company. /ImageB 0000025136 00000 n /Flags 34 TO BE FILLED IN BY THE INSURED The issue of this form is not to be taken as an admission of liability. 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