Pengertian Klaim Asuransi
Klaim asuransi merupakan permintaan resmi yang dibuat oleh nasabah untuk perusahaan asuransi agar bisa mendapatkan pembayaran terkait kerugian yang diterima. Nantinya perusahaan asuransi akan memeriksa validitas klaim yang sampai pada mereka sebelum mengganti kerugian. Untuk mengajukan klaim, nasabah perlu mengetahui prosedur pengajuannya, metode yang digunakan perusahaan asuransi untuk mengganti kerugian serta istilah-istilah yang digunakan. Salah satu istilah yang sering digunakan adalahAi??deductible.Ai??DeductibleAi??merupakan besaran biaya yang harus dibayarkan oleh pemilik polis asuransi jika terjadi pengajuan klaim. Contohnya, suatu ketika mobil Anda yang sebelumnya telah diasuransikan mengalami kecelakaan dengan total kerugian yaitu Rp.6.000.000 dan deductible Anda sebesar Ro.500.000. Anda hanya perlu membayar biaya kerugian sebesar deductible yaitu Rp.500.000. Sedangkan sisanya Rp.5.500.000 dibayarkan oleh perusahaan asuransi tempat mobil itu diasuransikan.
Klaim asuransi yang dibuat nasabah bisa berbeda-beda. Tergantung dari jenis asuransi yang diikuti. Adapun klaim-klaim tersebut adalah klaim asuransi kesehatan, klaim asuransi jiwa, klaim asuransi properti dan yang lainnya.
1. Klaim Asuransi Kesehatan
Biaya rawat inap dan operasi rumah sakit bukanlah biaya yang murah. Dengan mengikuti asuransi kesehatan, nasabah dapat mendapat perlindungan dari beban-beban finansial ini. Klaim asuransi kesehatan dapat diurus oleh nasabah secara elektronik ataupun secara konvensional tergantung dari pihak kesehatan tempat pasien dirawat. Selanjutnya, pihak rumah sakitlah yang berperan aktif meneruskannya ke pihak perusahaan asuransi. Klaim asuransi kesehatan dapat melindungi dari beban-beban finansial yang memberatkan seperti jika terjadi kecelakan yang menyebabkan luka parah dan penyakit.
2. Klaim Asuransi Properti
Rumah merupakan salah satu harta paling berharga yang dimiliki individu. Klaim asuransi properti dapat melindungi salah satu harta berharga individu ini dari kerusakan dan kehancuran. Pengajuan klaim dapat dilakukan lewat telepon genggam maupun internet. Klaim diajukan kepada perwakilan dari perusahaan asuransi, biasanya adalah agen atau penguji klaim (adjuster claim). Tidak seperti klaim asuransi kesehatan, tanggung jawab pengajuan klaim sepenuhnya ada pada nasabah pemegang polis asuransi. Penguji klaim kemudian memeriksa validitas klaimnya berdasarkan jenis klaim yang diajukan, untuk kemudian ditaksir biaya ganti ruginya.
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