SBI General Claim Process
  • SBI Claim Intimation
  • SBI TPA Appointment
  • SBI Claim Finalization
SBI General Claim Process
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SBI General Insurance Claim Process

SBI General Insurance is counted as one of the most well-known and reliable insurance companies in the nation. The company offers a list of comprehensive insurance products and has designed a seamless and customer-centric approach to handling claims. As we know unexpected situations often result in financial obligations, having a robust claim process is essential. The company designed a simple claim process that empowers policyholders and helps them along the way in processing a claim.

How To Claim SBI General Insurance

Customers can navigate the procedure by using a variety of platforms. Here is the comprehensive guide to filing a claim.

Step 1: Notifying About The Loss

Any damage that causes financial loss must be reported to the company by the policyholder. SBI general insurance will pay for the loss if it falls under the scope of the policy. So as to report the loss, the preferred methods of notifications are:

  • Customer can report their loss on the Customer Support Number of the company. They can call on the toll-free number: 1800-22-1111/1800-102-1111.
  • Submit the written request via email to the official email address: customer.care@sbigeneral.in.
  • Send an SMS to the company with ’CLAIMS’ to 561612.
  • Fill out the claims form and mail it to the corporate office or SBIGIC branch or drop off the form in person at the branch. The address of the SBI General Insurance Corporate Office address is 9th Floor, A & B Wing, Fulcrum Building, Sahar Road, Andheri (East), Mumbai 400099.
  • Claims can even be filled via the official website of the company.

Points to Be Considered:

  • Download the from the official website, under the ’Claims’ section.
  • When you send an SMS to the company, an executive will call you back and guide you through the further steps of claim processing.
  • An executive from the company will call you back after receiving your written claim request via letter or email.

Information Required For Claim Intimation:

    • Policy Number

Or

  • Notifier Details ( First Name and Last Name/ Relationship to Insured/ Contact Details).
  • Insured Details(First Name and Last Name/ Relationship to Insured/Contact Details).
  • Asset Information: Building And Contents- Building Name and Address)
  • Date of Loss
  • Type Of Event

Points to be Noted

  • On receiving the intimation a unique ’Intimation ID/Claim Reference Number’ will be provided to the notifier.
  • An estimated reserve will be assigned based on the ’Cause of Loss ’and ’Cover Type’.
  • In case the policy and risk cannot be found the claim is marked as ’Intimation Pending’ by the company. The company will get back to the notifier to get more information.
  • Estimated Reserve: SBI General Insurance will assign a reserve based on coverage type and cause of loss. This cost represents the estimated cost of settling the claim.
  • The company then sends a notification to the internal teams and informs them about the claims.
  • The company generally sends alerts to the team if they have: Catastrophic events, claims exceeding the financial compensation of Rs 5,00,000, and claims that need the involvement of different departments.

Step 2: Appointment of Third-Party Administrator

SBI General Insurance Company will appoint Loss Accessor/Surveyor at any stage throughout the claim process. After the intimation has been received the company will assign a TPA who will access and minimise the further loss.

    Points to be Considered :
  • The company appoints the TPA to substantiate, repair, reinstate or recover the loss.
  • The appointment of the TPA is based on their certificate, geographic suitability, and experience.

Step 3: Assessment Of the Claim:

Later TPA will assess the claim, and he will cross-check the authentication of the documents and details. After verification, the detailed approval of the requested claim will be sent within 30 days from the claim intimation.

Step 4: Finalization oF Claim

On approval of the claim, the final amount will be transferred to the bank account of the insured individual. The mode of payment may be through, Bank Cheque or NEFT. If the amount exceeds the branch limit, higher authority of the company will help to approve the payment.

Declination Of the Claim:

If the company determines that the claims are false, they go through an extended process to verify the accusations. The process is as follows:

  • If the TPA declines the claim. The company will assign the claim to the higher /regional level management.
  • The appointed personnel will access the reason for the declination and report back to the insured.
  • The company will even advise to go for grievance redressal if the claim notifier is not satisfied with the company’s decision.

Conclusion:

SBI General Insurance Claim Process is a comprehensive and customer-friendly procedure. It ensures that the customers navigate through the process seamlessly. Providing various channels of communication and a reliable TPA service, the company strives to deliver the best possible support to its customers. Hence making the company, one of the leading general insurance companies in the nation.

SBI Health Insurance Network Hospital List

SBI Health Insurance Network Hospitals are present in 31 states nationwide. With a wide network of hospitals, SBI Health Insurance ensures that you are medically secured, irrespective of the city you reside in.

Explore other SBI Health Insurance

To cater to the different medical needs of an individual & their family, SBI Health Insurance offers several Health Plans ranging from senior citizen plans to specialized plans for autistic children, to health insurance for cardiac patients, and many more.Take a look below to SBI Health Insurance plans explore more:

Individual

Would you believe if we say that the SBI Divyanga Suraksha health insurance plan provides healthcare for people with disability or any pre-existing HI...

Unique Features

  • Covers in-patient treatment
  • HIV/AIDS cover
  • Power against disability

SBI Divyanga Suraksha Policy (Pros)

SBI Divyanga Suraksha Policy
  • Pre and post-hospitalization
  • Medical treatment
  • Daycare procedures
  • Cataract cover

SBI Divyanga Suraksha Policy (Cons)

SBI Divyanga Suraksha Policy
  • Domiciliary hospitalization
  • Vaccination
  • Health check-ups
  • Global coverage

SBI Divyanga Suraksha Policy (Other Benefits)

SBI Divyanga Suraksha Policy
  • Modern treatment cover
  • In-patient treatment
  • AYUSH care
  • PEDs cover

SBI Divyanga Suraksha Policy (Eligibility Criteria)

SBI Divyanga Suraksha Policy
  • Entry age: 18 o 65 years
  • SI: 4 & 5 Lakhs
  • Initial Waiting Period: 30 days

Individual and Family Health Insurance

SBI Arogya Premier Policy is a comprehensive health insurance plan that is designed to protect you and your family from uncertain medical expenses. Th...

Unique Features

  • Plan Specifications
  • Eligibility
  • Inclusions and Exclusions

Arogya Premier Policy (Pros)

Arogya Premier Policy
  • In-patient hospitalization expenses
  • Pre and post-hospitalization
  • AYUSH treatments
  • Maternity expenses

Arogya Premier Policy (Cons)

Arogya Premier Policy
  • Daily hospital cash cover
  • Newborn baby cover
  • Global coverage
  • Compassionate visit unavailable

Arogya Premier Policy (Other Benefits)

Arogya Premier Policy
  • Mental illness cover
  • HIV/AIDS cover
  • Internal congenital diseases
  • Genetic disorders

Arogya Premier Policy (Eligibility Criteria)

Arogya Premier Policy
  • Entry Age: 3 Months to 65 Year
  • Sum Insured: 10 to 30 Lakhs
  • Initial Waiting Period: 30 days

Individual and Family Health Insurance

SBI Arogya Plus policy is a fixed premium plan that offers financial protection to you and your family during a medical emergency. The plan provides c...

Unique Features

  • What is Arogya Plus?
  • Know the Eligibility Criteria
  • Premiums Sample Illustration

Arogya Plus Policy (Pros)

Arogya Plus Policy
  • OPD cover
  • In-patient hospitalization
  • Pre & post hospitalization

Arogya Plus Policy (Cons)

Arogya Plus Policy
  • Newborn baby cover
  • Vaccination
  • Compassionate travel
  • Organ donor cover unavailable

Arogya Plus Policy (Other Benefits)

Arogya Plus Policy
  • AYUSH treatment
  • Domiciliary hospitalization
  • HIV/AIDS cover
  • Mental illness cover

Arogya Plus Policy (Eligibility Criteria)

Arogya Plus Policy
  • Entry Age: 3 Months to 65 Years
  • Sum Insured: 1/2/3 L
  • Policy term: 1/2/3 years
  • Initial waiting period: 30 days

Individual and Family Health Insurance

SBI Arogya Top-up Policy is a health insurance top-up policy that is designed to provide additional coverage to policyholders when their standard heal...

Unique Features

  • Enhanced coverage
  • Eligibility criteria
  • Key features

SBI Arogya Top-Up Policy (Pros)

SBI Arogya Top-Up Policy
  • In-patient hospitalisation
  • Pre & post hospitalisation
  • Ambulance cover

SBI Arogya Top-Up Policy (Cons)

SBI Arogya Top-Up Policy
  • Global coverage
  • Air ambulance
  • Compassionate visit
  • OPD cover unavailable

SBI Arogya Top-Up Policy (Other Benefits)

SBI Arogya Top-Up Policy
  • Organ donor expenses
  • Domiciliary treatment
  • Modern treatment

SBI Arogya Top-Up Policy (Eligibility Criteria)

SBI Arogya Top-Up Policy
  • Entry age: 3 months to 65 years
  • SI: 1 to 50 Lakhs
  • Policy term: 1/2/3 years
  • Initial waiting period: 30 days

Individual and Family Health Insurance

SBI Arogya Sanjeevani Policy is a standard health insurance policy that comes with an affordable premium and offers a bucket full of benefits to its p...

Unique Features

  • Affordable Health Plan
  • Eligibility Criteria
  • Inclusions and Exclusions

SBI Arogya Sanjeevani Policy (Pros)

SBI Arogya Sanjeevani Policy
  • In-patient hospitalization
  • Pre and post-hospitalization care
  • ICU expenses
  • Daycare treatment
  • Up to 12 advanced treatments

SBI Arogya Sanjeevani Policy (Cons)

SBI Arogya Sanjeevani Policy
  • Modern treatment unavailable
  • OPD not covered
  • Domiciliary hospitalization unavailable

SBI Arogya Sanjeevani Policy (Other Benefits)

SBI Arogya Sanjeevani Policy
  • Deep Brain Stimulation
  • Balloon Sinuplasty
  • Oral Chemotherapy
  • Intra Vitreal Injections

SBI Arogya Sanjeevani Policy (Eligibility Criteria)

SBI Arogya Sanjeevani Policy
  • Entry Age: 18 to 65 Years
  • SI: 50K to 1 Lakhs
  • Initial waiting period: 30 days

Critical Illness Health Insurance

SBI Critical Illness Insurance Policy offers you financial protection from 13 important critical illnesses, this policy offers a fixed sum, irrespect...

Unique Features

  • Coverage for Cancer
  • Eligibility Criteria
  • Inclusions and Exclusions

SBI Critical Illness Policy (Pros)

SBI Critical Illness Policy
  • 13 critical illnesses
  • COVID- 19 covered
  • Air ambulance services

SBI Critical Illness Policy (Cons)

SBI Critical Illness Policy
  • Maternity cover
  • OPD and daycare unavailable
  • Global cover unavailable

SBI Critical Illness Policy (Other Benefits)

SBI Critical Illness Policy
  • Emergency medical cover
  • No Maximum age limit
  • SI up to 10 L

SBI Critical Illness Policy (Eligibility Criteria)

SBI Critical Illness Policy
  • Entry age: 5 years to No limit
  • SI: 3 to 10 Lakhs
  • Initial waiting period: 90 days

Individual

SBI Loan Insurance policy offers comprehensive coverage to the policyholder and helps them to repay their loan in case of medical emergencies arising ...

Unique Features

  • Loan repayment benefits
  • Plan details
  • Inclusions and exclusions

SBI Loan Insurance Policy (Pros)

SBI Loan Insurance Policy
  • Pays out max 3 EMIs
  • Pays outstanding loan
  • PTD benefits

SBI Loan Insurance Policy (Cons)

SBI Loan Insurance Policy
  • Drug abuse or alcoholism
  • HIV/AIDS
  • Self-inflicted injury

SBI Loan Insurance Policy (Other Benefits)

SBI Loan Insurance Policy
  • Accidental cover
  • Critical illnesses cover
  • Loss of job cover

SBI Loan Insurance Policy (Eligibility Criteria)

SBI Loan Insurance Policy
  • Entry Age: 18 to 65 years
  • SI: 1 Crore
  • Initial waiting period: 90 days

Individual and Family Health Insurance

SBI Arogya Supreme health plan is a diverse health insurance plan that provides a solution for all your healthcare needs. It covers 20 basic covers an...

Unique Features

  • Complete protection
  • Choose SI
  • Choose policy tenure

SBI Arogya Supreme Policy (Pros)

SBI Arogya Supreme Policy
  • Domestic Air Ambulance Cover
  • Compassionate Benefit
  • Recovery Benefit

SBI Arogya Supreme Policy (Cons)

SBI Arogya Supreme Policy
  • Automatic restoration
  • Maternity cover unavailable
  • Newborn baby cover
  • 2nd medical opinion not covered

SBI Arogya Supreme Policy (Other Benefits)

SBI Arogya Supreme Policy
  • E-Opinion Cover
  • Preventive Health Check-up
  • Renewal Benefit

SBI Arogya Supreme Policy (Eligibility Criteria)

SBI Arogya Supreme Policy
  • Entry age: 18 to 65 years
  • Sum Insured 3 L | 5 L | 7.5 L | 10 L | 15 L | 30 L | 40 L | 50 L | 1 Cr
  • Policy Term 1/2/3 Years
  • Initial Waiting Period 30 Days

Group Health Insurance

SBI Group Health Insurance is a comprehensive plan, as it provides wider coverage to its customers as well as their family members. Group health insur...

Unique Features

  • High Sum Insured
  • Easy Policy Renewal
  • 10% copayment

SBI Group Health Insurance (Pros)

SBI Group Health Insurance
  • In-patient hospitalization
  • Daycare treatments
  • Co-payment clause

SBI Group Health Insurance (Cons)

SBI Group Health Insurance
  • Room rent unavailable
  • OPD not covered
  • Organ donor expenses
  • Modern treatment unavailable

SBI Group Health Insurance (Other Benefits)

SBI Group Health Insurance
  • Ambulance expenses
  • Pre & post-hospitalisation
  • Policy renewal benefits

SBI Group Health Insurance (Eligibility Criteria)

SBI Group Health Insurance
  • Entry age: 18 to 65 years
  • Sum insured: 1 to 5 Lakhs
  • Initial waiting period: 30 days

Individual and Family Health Insurance

SBI Health Edge is a newly introduced health insurance plan from SBI Health Insurance which is customizable and is available to insurance holders base...

Unique Features

  • Avail Global Treatment
  • Multiple Discounts
  • 18 Optional Covers

SBI Health Edge Policy (Pros)

SBI Health Edge Policy
  • In-patient hospitalization
  • Pre and Post-hospitalization
  • Daycare treatments
  • Emergency ambulance cover

SBI Health Edge Policy (Cons)

SBI Health Edge Policy
  • Organ donor
  • Compassionate visit
  • Domiciliary hospitalization

SBI Health Edge Policy (Other Benefits)

SBI Health Edge Policy
  • Bariatric Surgery Cover
  • Modern Treatments
  • AYUSH Treatments
  • Health Check-ups

SBI Health Edge Policy (Eligibility Criteria)

SBI Health Edge Policy
  • Entry Age: 18 to 65 Years
  • SI: 3 to 25 Lakhs
  • Initial waiting period: 30 days

Individual and Family Health Insurance

SBI Super Health Plan is SBI Health Insurance's new comprehensive health insurance plan. The plan is an umbrella health plan that provides all-inclusi...

Unique Features

  • Unlimited Re-insure Benefit
  • Wellness Benefits
  • Annual Health Check-ups

Super Health Policy (Pros)

Super Health Policy
  • Tax benefit
  • Reinsure benefit
  • Health multiplier
  • Optional covers

Super Health Policy (Cons)

Super Health Policy
  • Cosmetic treatment
  • Injury due to illegal activities
  • Unlawful activities
  • Adventure sports injuries

Super Health Policy (Other Benefits)

Super Health Policy
  • OPD expenses
  • International treatment
  • SI up to 2 Crores
  • Flexible premium payments

Super Health Policy (Eligibility Criteria)

Super Health Policy
  • Min entry age: 18 Years
  • Max entry age: 65 Years
  • Initial Waiting Period: 30 Days
  • Sum Insured: Up to 2 Cr

Health Insurance Companies

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SBI General Claim Process: FAQs

1. What if the company does not assign a TPA?

If SBI general Insurance company doesn’t assign a TPA, you can call on the toll-free number of the company and ask them to assist through the process or assign a TPA for guidance.

2. What happens if the claims are rejected?

In the case of claim rejection, the company informs the policyholder and may ask for more precise and valid information on claims. And even if the customer is not satisfied with the calm verification process, the company offers the policyholder to report their issues through grievance redressal.

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Bindiya Sinha

Written By: Bindiya Sinha

Bindiya is a seasoned content writer specializing in keeping readers acquainted with the insurance industry, term insurance developments, and life insurance sector shifts. With an experience of 3 years in insurance, Bindiya ensures that her readers stay well informed with the insurance developments and factually correct information.