How to make a claim

Submit your claim online in 1 simple step.

Follow our easy steps below to submit your claim request.

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    Step 1: Download the forms

    Firstly, download the forms you need for the claim process in the Frequently Asked Questions below.

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    Step 2: Fill out the forms

    Secondly, fill out the forms and attach supporting documents.

Your sale agent can help hand in your form and manage the process, so you don't have to follow up yourself

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    Step 1: 

    Send claim form and relevant documents to your sale agent and they will manage the claims for you

Claims Promise

A Prudential policy protects you and your family during life’s difficult moments. We pay your claim as quickly as possible and with compassion and care. We make it simple and easy, and only ask for necessary information.

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FAQ

A list of supplementary claim documents for a succcesful claim

Claim typesDocuments you will need
Critical Illness

Early Stage

  • A Claim Request, using the company’s form

  • An Authorization Letter (both Khmer and English), using the company’s form

  • A copy of the PO’s or/and beneficiary (ies)’s ID card

  • A copy of PO or/and the beneficiary (ies)’s bank account

  • A copy of all Medical Records related treatment from specialist doctor to support the insured event. (The records must be in Khmer or English.)


Late Stage

  • A Claim Request, using the company’s form

  • An Authorization Letter (both Khmer and English), using the company’s form

  • A copy of the PO’s or/and beneficiary (ies)’s ID card

  • A copy of PO or/and the beneficiary (ies)’s bank account

  • A copy of all Medical Records related treatment from specialist doctor to support the insured event. (The records must be in Khmer or English.)

  • A copy of the standing order cancellation letter (if any)

Disability

Due to accident

  • A Claim Request, using the company’s form

  • An Authorization Letter (both Khmer and English), using the company’s form

  • A physician’s statement of TPD, using the company’s form

  • A copy of the PO’s bank account

  • A copy of the PO’s ID card

  • A copy of the police report of the insured event

  • A copy of ALL Medical Records


Due to disease

  • A Claim Request, using the company’s form

  • An Authorization Letter (both Khmer and English), using the company’s form

  • A physician’s statement of TPD, using the company’s form

  • A copy of the PO’s bank account

  • A copy of the PO’s ID card

  • A copy of ALL Medical Records

Death

Due to accident

  • A Claim Request, using the company’s form

  • A copy of the Family Book or Residence Book of LA

  • A copy of the Death Certificate

  • A copy of the beneficiary (ies)’s bank account

  • A copy of the beneficiary (ies)’s ID card

  • A copy of the standing order cancellation letter (if any)

  • A copy of the police report of the insured event

  • A copy of the corpse examination report (if any)


Due to disease

  • A Claim Request, using the company’s form

  • A copy of the standing order cancellation letter (if any)

  • A copy of the Family Book or Residence Book of LA

  • A copy of the Death Certificate

  • A copy of the beneficiary (ies)’s bank account

  • A copy of the beneficiary (ies)’s ID card

  • Authorization Letter (Both Khmer and English), using the company’s form

  • A copy of ALL Medical Records
Additional

Claimant who is legal guardian of minor beneficiary (ies), required these following documents:

  • Copy of legal guardian’s ID card

  • Copy of appointing legal guardian letter (in case legal guardian is not parent), certified by commune chief

  • Copy of beneficiary (ies)’s birth certificate

For all Claim Types:

* The Company is responsible to assess the claim request within fifteen (15) working days starting from the date that the Company receives complete claim submission request and its all the necessary forms and documentary evidence.

After Company receives Claim Request or any other documents, we will response back within 3 working days for any incomplete.

The Claim Decision will be released within 15 working days, counting from the day we receive complete required documents and information.

The Claim Payment will be made successfully within 3 working days, counting from the day claimant acknowledges Claim Decision.

Who do I contact for claim processes?

Contact person for claim processes

 

Available on Monday to Friday, from 8:00AM to 5:30PM, except for Public Holidays.

Agent Notify on Claim

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