III. Claims 理賠

A valid claim must satisfy the policy and legal requirements, and the insured must establish cover and the amount of loss. Prompt notification, reasonable loss reduction, preservation of evidence and cooperation with enquiries support the claim, while the applicable terms determine payment.

Legal Requirements for Valid Claims · Invalid Claims · Operation of Policy Provisions Affecting Claims · Duties of Insured after a Loss · Documentary Evidence · Functions of Various Related Professionals

Claims are settled under the policy terms or by agreement, with different roles for monetary payments, other forms of indemnity, arbitration and mediation. Complaints to the Insurance Complaints Bureau must satisfy its requirements on scope, monetary limits, final decisions and time limits.

Methods of Settlement · Claims Dispute · Insurance Complaints Bureau (‘ICB’)