SUPPORTING DOCUMENT(S) CHECKLIST. Riyadh : +966 11 477 6706. Present in 57 countries, AXA's 160,000 employees and distributors are committed to serving our 108 million clients. I / We declare that all the particulars given above are to the best of my knowledge true and correct. Claim forms are made available for all your claim needs. Prince Turkey Street Al Yarmouk,Al Khobar 34424,P.O. Riyadh 12622 – 3756 P.O Box 753, Riyadh, 11421 Saudi Arabia, Tel: 8001160020 - Attach the supporting medical bills/invoices(mandatory). This is also required by the workshop to carry out the repairs on your vehicle..... You no longer need to come to the AXA office to report a claim. When you are covered. File A Claim . Please contact us to start the claim process and obtain a claim form: Toll Free (855) 327.1442 . Fill-in the form(s) in Emma by AXA. Country. AXA wird mich vor einer Datenerhebung bei den vorgenannten Stellen unterrichten und darauf hinweisen, dass ich der Erhebung widersprechen kann. Riyadh : +966 11 477 6706. Please use the link below to submit your claim. Present in 59 countries, AXA's 161,000 employees and distributors are committed to serving our 103 million clients. CLAIM FORM… Passenger . - Attach the claim form that is duly signed and stamped by the medical practitioner along with the insured member’s or dependant’s signature. AXA Singapore is one of the world's leading insurance companies. Otherwise AXA will select one of its own authorized repairers. If you encounter any issue and want to submit a claim, our dedicated claims team can help you anytime with our hassle-free claims process, anywhere. Once the claim is opened, you will receive an SMS with a claim reference number and the contact details of a garage appropriate to the type of policy & the insured vehicle. Do you want to file a claim? Download a Claim Form. Making claims has just become simple and easy with AXA Hong Kong, choose the way you want to claim on your employee benefits, medical expenses, critical illness protection, etc. How can I contact someone about my claim? Provider Type. Please note that you can submit multiple medical services availed over a period of time as one reimbursement claim submission. Claim Details Date of Incident Location of Loss. Instant cover. Telephone: (+966) 13 896 87 32 Bharti AXA General Insurance Company Limited claims@bharti-axagi.co.in www.bharti-axagi.co.in Important Note 1 Insured Details 2 Claim Details 3 Hospitalization / Medical & Dental Treatment / Personal Accident / Repatriation (To be filled in block letters) Master Policy No. If you're looking for the easiest way to file your claims, you can fill the form below with the required information and one of our claims representatives will contact you shortly. This standard rate will apply to almost all domestic transactions. I would like to report a windscreen claim, how will I go about this? If you have any questions regarding this form or any other aspects of the cover, please contact AXA on UAE +971 (4) 429 4000, Qatar +97 4 412 8733, Bahrain +973 (17) 582 612, KSA +966 (1) 478 0282 quoting the policy and membership numbers. Driver Details Passenger Details Full Name. Simply complete our online submission form by validating your policy information and provide your claim reimbursement form ... AXA reserves the right to request for the original documents as part of processing your claims so we strongly recommend that you retain the original documents until you have reimbursed your claim. I agree that a copy of this consent shall have the validity of theoriginal. If you have further questions, we are happy to help on 0800 809 809. Contact AXA +441 892 55 6767 - 24 hours a day, 7 days week. (هل نسيت كلمة السر؟) 24/7 worldwide medical emergency assistance is available. The GCC has agreed to apply a uniform standard rate of 5%. Please contact us to start the claim process and obtain a claim form: Toll Free (855) 327.1442 . Instant cover once you activate your AXA travel insurance. Your Details. AXA lives up to its reputation for superior customer service, making it easy to file a claim and receive prompt reimbursement. Prince Turkey Street Al Yarmouk,Al Khobar 34424,P.O. AXA is committed to making claims clear. AXA online claims form. Membership Number. Passenger . Contact our call centre: 800 116 0020. Please refer to terms and condition for complete details and other additional local numbers for claims. I hereby consent to andfully authorize the medical practitioner involved in the patient's care to discusstreatment details and discharge arrangements with and to AXA Insurance (Gulf) B.S.C© representative or any of AXA company affiliates. File A Claim. Claims must be submitted along with supporting documents within 30 days from date of service. Type of treatment. All our repairs are guaranteed for 12 months from the date of repair. Provider Details. Submitting a claim. Substantial discounts if you are claims-free. Attachment Upload accident files Upload attachment Upload attachment. Collect (312) 935.1719. But, we’ll try and make the experience as fast as possible for you—for some claims, we can pay out in 24 hours. Manage your plan, make a claim or ask us a question quickly and securely, 24/7. Every claim is different. on 8000 1060 or: SUBMIT A CLAIM Home Call AXA Home claims. For all other Sections L, M, N, O, P, Q & R, kindly contact our offices on the below mentioned numbers  as soon as possible, but not later than 31 days of the end of the Trip. Uber Claim Form. Then fill out the online form here. If you have selected Agency Repairs then your vehicle will be repaired at the vehicle’s authorized dealership. Uber Trip Status. Fast and fair claims. My Network . Whether or not you’re making a claim you can simply log in to Member Online to get started. Speciality Provider. But, we’ll try and make the experience as fast as possible for you—for some claims, we can pay out in 24 hours. Claims must be submitted along with supporting documents within 30 days from date of service. File A Claim Useful Information Contact Us File A Claim File A Claim Contact Us Useful Information Claim Procedure. Driver Details Passenger Details Full Name. Note: AXA's Motor Rescue breakdown service is deemed to be an essential service and will continue to operate throughout the COVID-19 emergency. In the event that you report multiple claims at the same time, a separate excess for each claim / event may be applied by AXA. AXA travel insurance covers the cost of medical emergencies, trip cancellation, lost baggage and provides many other benefits which leave you free to relax and enjoy your vacation. Mobile Number. Supporting documents might include medical reports, laboratory test results, ultrasound reports, and referral letters. The Name, address and telephone number of the Medical Centre to which the Insured Person has been admitted format of 1234567A or INTL7654321 Please make sure you enter a membership number matching one of the above formats. Country. Submit claim form(s) with all supporting document(s) within 90 days from the date of consultation/treatment . Download a Claim Form. Present in 59 countries, AXA's 161,000 employees and distributors are committed to serving our 103 million clients. Send this claim form together with supporting material to Medical Department, AXAInsurance, PO BOX 32505, Dubai, UAE or AXA Insurance, P.O. Settlement letter and/ or email will be issued to you after approval. Send this claim form together with supporting … AXA can ensure your peace of mind, no matter where in the world you travel. Our areas of expertise are applied to a range of products and services that are adapted to the needs of each and every client across three major business lines: property-casualty insurance, life, savings & health and asset management. AXA lives up to its reputation for superior customer service, making it easy to file a claim and receive prompt reimbursement. Provider Location. Loss events can vary greatly. All our repairs are guaranteed for 12 months from the date of repair. If you have any questions regarding this form or any other aspects of the cover, please contact AXA on UAE +971 (4) 429 4000, Qatar +97 4 412 8733, Bahrain +973 (17) 582 612, KSA +966 (1) 478 0282 quoting thepolicy and membership numbers. Garages must have experienced qualified personnel and access to sophisticated repair equipment. The action target of the form will change upon finding INTL entered in the membership number field. Submitting a claim. Submit your claims online for faster processing or download our editable PDF form. Review the claim form for supporting documentation required; Contact AXA Assistance USA for any policy and claim questions . Box 45, Kingdom of Bahrain or AXA Insurance PO BOX 21044, 11475 Riyadh, Kingdom of Saudi Arabia or AXA Insurance, PO Box 15319, Doha, State of Qatar. (هل نسيت كلمة السر؟) Download Emma by AXA app. I hereby confirm that I am the patient/AXA card holder, Patient's parent or guardian (ifunder 16 years of age) and I wish to claim and declare that all the details/ informationgiven above are to the best of my knowledge true and correct. File A Claim. Policy Number. My car is safe to drive If your car is safe to drive and you do not need a recovery vehicle, please use our online form to tell us about your claim and we will call you back as soon as possible. Car insurance claims contact numbers . Riyadh : +966 11 477 6706. Do you want to file a claim? Instant cover. Box : 4539 Al-Khobar 31952. Present in 57 countries, AXA's 160,000 employees and distributors are committed to serving our 108 million clients. Claims must be submitted along with supporting documents within 30 days from date of service. Collect (312) 935.1719. If you have comprehensive cover, we will repair your vehicle in accordance with the terms of your policy. If you have any questions regarding this form or any other aspects of the cover, please contact AXA on UAE +971 (4) 429 4000, Qatar +97 4 412 8733, Bahrain +973 (17) 582 612, KSA +966 (1) 478 0282 quoting thepolicy and membership numbers. How long will my claim take? Our areas of expertise are applied to a range of products and services that are adapted to the needs of each and every client across three major business lines: property-casualty insurance, life & savings, and asset management. Jeddah : +966 12 263 5566. VAT or Value-Added Tax is a form of consumption tax that is imposed on selected goods and services at a transactional level. We paid over 94.2% of customers’ travel insurance claims in the last year 1. Claim declaration; Medical Providers ; 800 116 4845 . We will record details of the incident and advise you of the next steps. Giving us all the relevant information for your claim can really speed things up. Jeddah : +966 12 263 5566. Provides innovative insurance solutions for both personal and business needs. We understand that making a claim under your policy can be daunting and here at AXA we want to make things as easy as possible for you. Rest assured that AXA will handle and settle your claims fairly. You simply have to call the AXA Motor Claims toll free number 800 116 4845 to open your claim. Next. Your Details. Review the claim form for supporting documentation required; Contact AXA Assistance USA for any policy and claim questions . A Brief description of the problems encountered. Please remember it is important that you report any accident /damage to your vehicle first to police and then to us immediately. Mobile Number. If you prefer, download a Claim Form here and send it to us by post, fax or Email (you can scan the form as an attachment). Where the at fault third party is not known, your No-claims Discount may be affected because we cannot recover the cost of your claim. WARNING:Any person who knowingly, and with intent to injure, defraud, or deceive any insurer, makes any claim for the proceeds of an insurance policycontaining any false, incomplete or misleading information is guilty of a felony. If you have further questions, we are happy to help on 0800 809 809. Giving us all the relevant information for your claim can really speed things up. Medical Provider Locator . Examples of multiple claims include scratches and dents to the vehicle which cannot clearly be attributed to one single event. File A Claim . Call AXA Car claims. I subrogate all my rights in relationto this claim and I fully authorize and give access to AXA Insurance (Gulf) B.S.C ©representative or any of AXA company affiliates to audit, review and copy all mymedical records details including any historical medical records regardless theprevious payer/insurer. City / Area . Box 45, Kingdom of Bahrain or AXA Insurance PO BOX 21044, 11475 Riyadh, Kingdom of Saudi Arabia or AXA Insurance, PO Box 15319, Doha, State ofQatar. Al Khobar : +966 13 895 1250 . Quick and easy claims service through the call centre. Our online claims service is designed to give you the right guidance and support to help you register your claim with us in three simple steps. Al Khobar : +966 13 895 1250 . Accident & Disability Claim Form . : T M N /25/ 20101, The Company is Regulated and Supervised by SAMA. 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