Sep 20, 2015

Case Study on Claim Settlement: Corporate Blanket Cover for Foreign Travel Insurance

Topic: This case study is on Corporate Blanket Cover for Foreign travel

This case study contains three parties:
  1. Insurance Company: Bajaj Allianz
  2. Insured Company: Honeywell
  3. Service Provider Company: International SOS




Insurance Company: Bajaj Allianz General Insurance Company Limited is a joint venture between Bajaj Finserv Limited (recently demerged from Bajaj Auto Limited) and Allianz SE. Bajaj Allianz today has a countrywide network connected through the latest technology for quick communication and response in over 200 towns. 



Insured Company: Honeywell is a Fortune 100 company that invents and manufactures technologies to address some of the world’s toughest challenges linked to global macro trends such as energy efficiency, clean energy generation, safety and security, globalization and customer productivity. With approximately 132,000 employees worldwide, including more than 22,000 engineers and scientists. Its business units are on Aerospace, Automation and Control Solutions, Performance Materials and Technologies, Transportation Systems etc.



Service Provider Company: International SOS is the world’s leading medical and travel security Services Company. They help organizations to protect their people across the globe. Their teams work night and day from more than 700 locations in 76 countries. International SOS started its operations in India in 1998. We employ over 200 full-time staff and operate out of three offices in Bangalore, New Delhi and Mumbai.
---------------------------------------------------------------------------------------------------------------

About the incidence:
1.     Five Employees of Honeywell were on an assignment at Phoenix in US.
2.     They were returning in a Car on 14/06/03 and at 19.30, and their car was hit by another car.
3.     It was a tragedy that two people sitting the rear seat namely Mr.  Sunil Siddeswara Swamy and Mr. Shastri Ajit Hosudi were badly injured. They were immediately admitted in a hospital and expired the same day in the Hospital.
Some facts about the Travel Insurance Policy:
1.     Travel insurance is insurance that is intended to cover medical expenses, financial default of travel suppliers, and other losses incurred while traveling
2.     It is either within one's own country, or internationally.
3.     Temporary travel insurance can usually be arranged at the time of the booking of a trip to cover exactly the duration of that trip, or a "multi-trip" policy can cover an unlimited number of trips within a set time frame.
4.      Coverage varies, and can be purchased to include higher risk items such as "winter sports".

Bajaj’s Travel Insurance Policy:
1.     Bajaj’s corporate travel insurance plan is a comprehensive package which provides complete medical and health cover to the international business traveler.
2.     Bajaj’s corporate travel insurance plan covers business trips abroad.
3.     They offer customized plans for virtually every requirement of corporate employees traveling abroad.
----------------------------------------------------------------------------------------------------------

Their plan as follows:
Covers
Corporate Lite
Benefits (USD)
Corporate Plus
Benefits (USD)
Medical Expenses, Evacuation and Repatriation
250,000
500,000
Emergency dental pain relief included in (I) above
500
500
Loss of Baggage (Checked)
Note: Per Baggage maximum 50 % and per item in the baggage maximum 10 %.
1,000
1,000
Delay of Baggage
100
100
Personal Accident
15,000
30,000
Loss of Passport
250
250
Personal Liability
2,00,000
2,00,000
Hospitalization Daily Allowance
$25 per day to
max $150
$25 per day to max
$150
Hijack
$50 per day to
maximum $ 300
$50 per day to
maximum $ 300
Trip Delay
$ 20 per 12 hrs to
max $ 100
$ 20 per 12 hrs to
max $ 100
Total Coverage During the Year Maximum
180 days
180 days
Per Trip Duration
45 days
45 days

This plan covers:
1.     Covers expenses of hospitalization, loss of baggage and other incidental expenses
2.     Covers against trip cancellation, trip curtailment and burglary of home
3.     Quick disbursement of claims
4.     Global expertise matched with local knowledge
5.     Innovative packages to match individual needs
6.     Only insurance company with in-house international toll-free numbers and fax numbers

Here the case contains the facts:
1.     Destination: Phoenix in US
2.     Feature: Personal Accident

Information Processing:
The CFO of Honeywell, Mr. Ramanathan called the Bangalore RM, Mr.  J. K. Bhagat around 15.30 IST on 15/06/03. Immediately the Bangalore office informed Bajaj’s worldwide Travel Insurance Service Provider - International   SOS   Private Limited at Delhi. They sought the details from their office in Philadelphia, who got in touch with Honeywell Project Manager and obtained the details of Accident. They reverted to us confirming the demise of the two Honeywell employees. A conformation of the coverage provided to them was informed to International SOS and Bajaj’s office requested them to extend all possible assistance to Honeywell.
--------------------------------------------------------------------------------------------------------------



Claim settlement procedure:
Bajaj settled the Personal Accident claims of both the employees on 18.06.03 for Rs.23, 38,500.00 (Equivalent to USD 50,000) and handed over the Pay order on the same day. The time taken for settlement was 4 days flat from the date of claim intimation and the unfortunate incident.

Now I will state the procedure of claim As per Bajaj’s requirement
Steps:
Step 1: Complete online or mail-in (fax) claim notification form.
Step 2: Complete with great attention to detail, downloaded or received in the mail claims forms. Follow guidelines as to which documentation is required by Travel Insured in processing your claim. If proper support documentation is not received your claim will be held up and the entire process becomes arduous.
Step 3: You will be required to submit proof of payment (canceled bank check) and copies of travel documents (airline tickets, day by day travel program given to you by Select International Tours & Cruises), a doctor's note clearly stating why you are unable to travel and when if due to medical reasons, etc.
Step 4: You will need to submit a refund statement from Select International Tours & Cruises stating how much of your payment is non-refundable.
Step 5: Additional Medical Documentation may be required and you will be notified by us if that is the case.
Step 6: You may need to complete "Excess Medical Expense" form along with an accompanying "Explanation of Benefits" from your health insurance company. The purpose of this document is to make sure your primary medical coverage from your health insurer and your secondary medical coverage from Travel Insured are coordinated.
Step 7: A Travel Insured claims examiner will review your documents and resolve your claim once all the required documentation is submitted by you. The claim process takes us up to 12 weeks, however it can be substantially faster if you provide all the needed documentation and the paperwork is completed properly.
----------------------------------------------------------------------------------------------------------------



Extra Assistance of Bajaj Allianz to Honeywell:
Meanwhile the client requested us for early repatriation of the mortal remains and also to route them through Bangalore Customs, to avoid unnecessary hardship to the bereaved families. The Bajaj Allianz office acted very fast and ensured that the mortal remains reached Bangalore by 22/06/03. Bajaj Allianz had also taken extreme care in arranging for hassle-free autopsy, embalming   of the bodies, packing them in coffins in perfect manner through the service provider, who have commissioned Undertakers both in US as well as in Bangalore, to handle all formalities. The service provider also organized cancellation of passport of the deceased as well as obtaining required documentation for bringing in the mortal remains. The air tickets for the relatives accompanying the mortal remains, though the request was made to Bajaj Allianz at the last moment by Honeywell, were also arranged. In order to fulfill Honeywell's request for receiving the mortal remains through Bangalore Customs, Bajaj Allianz had to reschedule the travel arrangements for a Lufthansa flight, which lands at Bangalore directly.

Findings:Bajaj Allianz could speedily settle the claim because of the close co-ordination between the client and service provider. A constant six hourly updates was shared between the HO, Bangalore office, client and their US office and the service provider. They acted fast and offer their best they can do.

Foreign Travel Policy in Bangladesh:
There are several companies that offer foreign travel insurances. It contains:
  1. Comprehensive Travel Insurance
  2.  Overseas Medical Insurance (accident or sickness)
  3. Personal Accident Insurance
  4.  Loss of Baggage insurance
  5. Emergency evacuation
  6. Repatriation of remains
  7.  Return of a minor
  8. Trip cancellation
  9. Trip interruption
  10. Visitor health insurance
  11. Accidental death, injury or disablement benefit
  12. Overseas funeral expenses
  13.  Lost, stolen or damaged baggage, personal effects or travel documents
  14. Delayed baggage (and emergency replacement of essential items)
  15.  Flight connection was missed due to airline schedule
  16. Travel delays due to weather
  17. Hi-jacking etc.
References:
1.     http://www.bajajallianz.com/Corp/index.jsp
2.     http://en.wikipedia.org/wiki/Travel_insurance



No comments:

Post a Comment