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Claims Services - BUSINESS CLAIMS
We recognise that accidents are stressful; more so when there are injuries involved. At One Stop 2U, we are committed to getting you back on your feet - financially at least, as soon as possible. This is why we place importance in processing your claims in a quick and efficient manner.



Casualty

1. Public Liability/Comprehensive General Liability

Claims Procedures

  • Upon receipt of a claim or possible claim from the third party, to notify One Stop 2U with the following basic information:
  • Description and extent of loss/injury suffered by third party
  • Date of loss/accident
  • Location
  • Any demand made by third party either verbal or written
  • Details of policy involved
  • Insured shall not in any circumstances admit the claim, make an offer, promise or payment to a third party without prior written consent from Insurer.
  • Claim from third party
  • Insured must immediately forward to Insurer any letter of demand or legal proceedings received from the third party.
  • Acknowledge receipt of the letter of demand and advise the third party's solicitors that Insurer has been notified and will be investigating the loss on a without prejudice basis.
  • If legal action is brought against Insured, Insurer will appoint solicitors to defend the insured pending determination of policy liability to protect insurer's interests. If investigations disclose that there is no policy liability, insured will take over conduct of the defence from insurer.
  • In any circumstances, the Insured shall not admit liability or enter into any negotiation with the third party or their solicitors without insurer's written consent.

Documents Required

  • Property damage
  • Completed Claim Form
  • Photographs depicting damage
  • Written statements from witnesses to the incident, if available
  • Copy of Police Report, if any
  • Investigation/Incident Report
  • A sketch of the area where the incident occurred
  • Estimate of claim
  • Letter of claim from third party
  • Bodily Injury
  • Completed Claim Form
  • Detailed account of how, where and when the incident happened
  • Written statements from witnesses to the incident, if available
  • Photographs of injury sustained and area where the incident occurred
  • Copy of Police Report, if any
  • Investigation/Incident Report
  • Medical report/Specialist report
  • Medical bills from the third party
  • Indicate whether there were any warning signs or reasonable precautions taken to prevent the incident
  • A sketch of the area where the incident occurred
  • Estimate of claim

2. Product Liability

Claims Procedures

  • Upon receipt of a claim or possible claim from a third party, to notify One Stop 2U with the following basic information:
  • Description and extent of loss/injury suffered by third party
  • Date of loss/accident
  • Location
  • Any demand made by third party either verbal or written
  • Details of policy involved
  • Insured shall not in any circumstances admit the claim, make an offer, promise or payment to a third party without prior written consent from Insurer.
  • Claim from third party
  • Insured must immediately forward to Insurer any letter of demand or legal proceedings received from the third party.
  • Acknowledge receipt of the letter of demand and advise the third party's solicitors that Insurer has been notified and will be investigating the loss on a without prejudice basis.
  • If legal action is brought against Insured, Insurer will appoint solicitors to defend the insured pending determination of policy liability to protect insurer's interests. If investigations disclose that there is no policy liability, insured will take over conduct of the defence from insurer.
  • In any circumstances, the Insured shall not admit liability or enter into any negotiation with the third party or their solicitors without insurer's written consent.
  • Documents Checklist
  • Completed Claim Form
  • Photographs depicting damage
  • Written statements from witnesses
  • Copy of Police Report, if any
  • Investigation/Incident Report
  • Estimate of loss
  • Letter of claim/demand from third party
  • Detailed account of how, where and when the loss was discovered

3. Employer's Liability

Claims Procedures

  • Upon receipt of a claim or possible claim from an employee, to notify One Stop 2U with the following basic information:
  • Description and extent of loss/injury suffered by employee
  • Date of loss/accident
  • Location
  • Any demand made by employee either verbal or written
  • Details of policy involved
  • Insured shall not in any circumstances admit the claim, make an offer, promise or payment to an employee without prior written consent from Insurer.
  • Documents Checklist
  • Completed Claim Form
  • Detailed account of how, where and when the incident happened
  • Written statements from witnesses
  • Photographs of the injury sustained
  • Indicate whether SOCSO claim has been submitted and the details
  • Copy of Police Report, if any
  • Investigation/Incident Report
  • Medical report/Specialist report
  • Medical bills of the injured employee
  • Letter of confirmation of employment and designation of employee
  • Indicate whether there were any safety precautions taken to prevent the incident
  • A sketch of the area where the incident occurred
  • Estimate of claim

4. Workmen's Compensation

Claims Procedures

  • Upon receipt of a claim from an employee, to notify One Stop 2U enclosing the following documents:
  • Documents Checklist
  • Completed Claim Form (a clear description of how accident happened must be stated)
  • Medical Certificate Form completed by the attending doctor
  • Original Medical Sick Leave Certificates
  • Copy of Medical Report
  • Copy of Police Report, if any
  • Salary voucher 6 months prior to accident
  • Original medical receipts
  • Photographs of injury sustained, if available
  • Letter from Insured that injured worker is under their employment
  • Insured shall not in any circumstances admit the claim, make an offer, promise or payment to an employee without prior written consent from Insurer.

 



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