Claims Support When It Matters Most
When a medical emergency happens, the last thing you should worry about is paperwork or insurer coordination. Our claims support team actively supports you throughout the process — coordinating with insurers and hospitals to ensure your claim is handled smoothly and without unnecessary stress.
How 1 Finance Supports You During a Claim
At 1 Finance, our role goes beyond just advisory. When a claim occurs, our dedicated team steps in to support you throughout the process.
How We Assist During a Claim
Our support includes
- Helping employees understand the cashless and reimbursement claim process
- Coordinating with hospitals for required documents and approvals
- Following up with insurance companies on claim status
- Escalating issues with insurers in case of delays or claim complications
- Keeping HR teams and employees informed at every stage of the claim
In many cases, our team personally contacts insurers and hospitals to ensure faster resolution and clarity for our clients.
Types of Claims We Help With
Cashless Claims
Check Network Hospital
Verify if the hospital is part of the insurer's cashless network before admission.
Inform TPA / Insurer
Inform the TPA or insurer about the planned hospitalization at least 48 hours before (except emergencies).
Submit Documents
Submit your health card, ID proof, and filled pre-authorization form at the hospital's insurance desk.
Pre-Authorization
Hospital will submit pre-authorization request to TPA/Insurer for approval.
Treatment & Discharge
Once approved, receive treatment. At discharge, settle any non-payable items if applicable.
Reimbursement Claims
Hospitalization
Get admitted to any hospital of your choice and complete the treatment.
Collect Documents
Collect all original bills, discharge summary, prescriptions, diagnostic reports, and payment receipts.
Fill Claim Form
Download and fill the reimbursement claim form completely with all required details.
Submit Claim
Submit the filled form along with all original documents to TPA/Insurer within 30 days of discharge.
Claim Processing
TPA will process your claim and the approved amount will be credited to your bank account within 15–30 days.
Going the Extra Mile When a Family Needed Us Most
The Challenge
Our claims team once received an urgent call from the daughter of an elderly customer who had fallen critically ill while travelling abroad. The family was facing significant challenges with local medical authorities, who were planning to discharge the patient without the necessary care arrangements in place.
Our Response
Recognising the seriousness of the situation, a senior member of our claims team immediately stepped in to personally manage the case.
With over two decades of experience in claims support, he coordinated closely with the family, medical authorities, and insurance partners to ensure the situation was handled quickly and responsibly — often responding outside working hours.
Through persistent coordination, the team arranged the customer's safe return within the limited timeframe during which he was medically fit to travel.
The Impact
Once the customer returned home, the family shared their heartfelt appreciation for the support they received during an extremely stressful time.
This experience reflects what we believe at 1 Finance — claims support is not just about processing paperwork, it is about standing by our clients when they need us the most.
“During a difficult time, we simply try to treat people the way we would want our own families to be treated.”
— Claims Team, 1 Finance