Life Insurance Claim FAQs: All You Need to Know - PNB MetLife
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Claims FAQ

What are the IRDAI guidelines pertaining to claim processing?

It’s always important to make a note of important claim related information and be fully aware of all the guidelines. As per IRDAI (Insurance Regulatory Development Authority), the insurance company is required to settle a claim within 30 days of receipt of all requirements for non-investigated cases. Wherein Investigation is required, investigation should be completed not later than 90 days from the date of receipt of claim intimation and the claim shall be decision within 30 days thereafter.

We’re happy to help and an intimation of a claim can happen in a host of easy ways.
  • Through Financial Advisor/Sales Manager
  • Through the Branch Office
  • Through Claims Department at the Head Office
  • In case of BABP channel, the claim intimation can be received by the channel partner/Bank – who in turn should communicate with the PNB MetLife Branch/Claims Team at HO
  • Through Regional Service Team (For Group claims)

Intimation of a claim can be received through any of the modes mentioned below:
  • Written
  • Letter

Information is always critical and helpful. The company considers the sum at risk, cause, circumstances of the claim and duration of the policy. For example, in an accidental death, specific proofs such as post mortem reports and police reports are required. For death due to illness, PNB MetLife calls for hospital records, test reports, etc.

  • The nominee or appointee (in case of minor nominee) last recorded under the policy in case of policy on own life.
  • The proposer in case the policy is not on own life.
  • Assignee in case the policy was assigned.
  • Life Assured himself in case of policy on own life for living benefit claims (Critical Illness rider, Total Permanent Disability, Health Care claims).
  • Trustee under MWP policies/HUF policies.

Once all the required necessary documents are received by PNB MetLife, we will process your claim within 30 days of receipt   from the date of receipt of last necessary document for all cases where further investigation is not required.
Wherein Investigation is required, investigation should be completed not later than 90 days from the date of receipt of claim intimation and the claim shall be decision within 30 days thereafter 

For life cover, the only exclusion applicable is suicide in the first year. Rider benefits like CI/Accident etc. have various other exclusions applicable as mentioned in the terms and conditions of the policy. Please refer to your policy terms & conditions to know exact details.
 
What is the process of death claim, if death occurs abroad?
Documents required are similar to requirements for death happening in India. The death certificate needs to be attested by the Indian Embassy of that country.