{"id":25299,"date":"2021-09-12T17:09:15","date_gmt":"2021-09-12T09:09:15","guid":{"rendered":"https:\/\/www.redcover.com.my\/pemprosesan-tuntutan\/"},"modified":"2023-05-24T18:06:54","modified_gmt":"2023-05-24T10:06:54","slug":"pemprosesan-tuntutan","status":"publish","type":"page","link":"https:\/\/www.redcover.com.my\/ms\/pemprosesan-tuntutan\/","title":{"rendered":"Pemprosesan Tuntutan"},"content":{"rendered":"\n<p>  Panduan pemprosesan tuntutan adalah pemenuhan oleh penanggung insurans tanggungjawabnya untuk menerima, menyemak dan bertindak atas tuntutan yang difailkan oleh pihak yang diinsuranskan.  <\/p>\n\n<div class=\"wp-block-buttons has-custom-font-size has-small-font-size is-horizontal is-content-justification-center is-layout-flex wp-container-core-buttons-is-layout-499968f5 wp-block-buttons-is-layout-flex\">\n<div class=\"wp-block-button has-custom-font-size has-normal-font-size\"><a class=\"wp-block-button__link has-custom-background-color has-background wp-element-button\" href=\"#enquiry\">PERMINTAAN QOUTATION<\/a><\/div>\n<\/div>\n\n<h2 class=\"wp-block-heading\" id=\"h-claims-processing-guidance\">Panduan Pemprosesan Tuntutan<\/h2>\n\n<p>Panduan pemprosesan tuntutan melibatkan pelbagai lapisan pentadbiran dan perkhidmatan pelanggan yang termasuk semakan, penyiasatan, pelarasan (jika perlu), pengiriman wang atau penafian tuntutan.<\/p>\n\n<p>Pemprosesan tuntutan insurans bil perubatan akan bermula apabila penyedia penjagaan kesihatan merawat pesakit dan menghantar bil untuk perkhidmatan yang disediakan kepada pembayar yang ditetapkan, yang biasanya merupakan syarikat insurans kesihatan.<\/p>\n\n<p>  Dengan <a href=\"https:\/\/www.redcover.com.my\/ms\/aia-insurance-malaysia\/\">pelan perlindungan AIA<\/a> yang disediakan oleh Perancangan Hayat Perlindungan Merah, kami menyokong Perkhidmatan Pemprosesan Tuntutan, Operasi dan Rujukan anda dengan panduan pemprosesan tuntutan yang lengkap untuk membantu anda.  <\/p>\n\n<p>AIA mempunyai <a href=\"https:\/\/www.redcover.com.my\/ms\/aia-eclaim-untuk-penyerahan-tuntutan-ghs\/\">proses eClaims AIA<\/a> yang membantu meningkatkan masa pemprosesan tuntutan AIA <a href=\"https:\/\/www.redcover.com.my\/ms\/aia-eclaim-untuk-penyerahan-tuntutan-ghs\/\">dengan<\/a> lebih cepat.<\/p>\n<div class=\"wp-block-image\">\n<figure class=\"aligncenter\"><img loading=\"lazy\" decoding=\"async\" width=\"1024\" height=\"768\" src=\"https:\/\/www.redcover.com.my\/wp-content\/uploads\/\/redcover-counter-1024x768c-1024x768.jpg\" alt=\"Kaunter Khidmat Pelanggan\" class=\"wp-image-8581\" srcset=\"https:\/\/www.redcover.com.my\/wp-content\/uploads\/redcover-counter-1024x768c.jpg 1024w, https:\/\/www.redcover.com.my\/wp-content\/uploads\/redcover-counter-1024x768c-690x518.jpg 690w, https:\/\/www.redcover.com.my\/wp-content\/uploads\/redcover-counter-1024x768c-300x225.jpg 300w, https:\/\/www.redcover.com.my\/wp-content\/uploads\/redcover-counter-1024x768c-768x576.jpg 768w\" sizes=\"auto, (max-width: 1024px) 100vw, 1024px\" \/><figcaption class=\"wp-element-caption\">Kaunter Khidmat Pelanggan<\/figcaption><\/figure>\n<\/div>\n<p>Berikut adalah anda boleh mencari <a href=\"https:\/\/www.redcover.com.my\/ms\/aia-eclaim-untuk-penyerahan-tuntutan-ghs\/\">AIA GHS e Claim<\/a><\/p>\n\n<h3 class=\"wp-block-heading\" id=\"h-the-aims-of-this-claims-processing-guidance-are\">Matlamat panduan pemprosesan tuntutan ini adalah:<\/h3>\n\n<ul class=\"wp-block-list\">\n<li>To ensure smoother claim processing and as a result providing good claim experience to customers.<\/li>\n\n\n\n<li>To minimize claim pending.\u00a0 Waiting time and rejection due to the basic requirement not met. For example, due to incomplete documentation or information submitted.<\/li>\n<\/ul>\n\n<h2 class=\"wp-block-heading\" id=\"h-frequently-asked-questions-faq-about-claims-processing\">Soalan Lazim (FAQ) mengenai Pemprosesan Tuntutan<\/h2>\n\n<p>Berikut adalah beberapa Soalan Lazim Tentang Pemprosesan Tuntutan, Borang Tuntutan, Pembayaran dan banyak lagi.<\/p>\n\n<h4 class=\"wp-block-heading\" id=\"h-where-can-i-obtain-the-claims-processing-form\">Di manakah saya boleh mendapatkan borang pemprosesan tuntutan?<\/h4>\n\n<p>Borang <a href=\"https:\/\/www.aia.com.my\/en\/help-support\/form-library-aia-bhd.html\">tuntutan AIA Malaysia<\/a> untuk memproses tuntutan boleh didapati di AIA Life Planner Network melalui <a rel=\"noreferrer noopener\" aria-label=\"www.aia.com.my (opens in a new tab)\" href=\"https:\/\/www.aia.com.my\" target=\"_blank\">www.aia.com.my.<\/a><\/p>\n\n<h4 class=\"wp-block-heading\" id=\"h-if-i-am-admitted-overseas-will-i-still-be-able-to-claim-back-the-expenses-incurred\">Sekiranya saya dimasukkan ke luar negara, adakah saya masih boleh menuntut balik perbelanjaan yang dikenakan?<\/h4>\n\n<p>Untuk perbelanjaan perubatan di luar negara, sila kemukakan tuntutan anda dengan semua dokumen yang diperlukan. Kami akan menilainya mengikut terma dan syarat.i<\/p>\n\n<h4 class=\"wp-block-heading\" id=\"h-how-to-check-the-claims-processing\">Bagaimana untuk menyemak pemprosesan tuntutan?<\/h4>\n\n<p>Status tuntutan akan dimaklumkan melalui SMS ke nombor telefon bimbit terkini yang dikemaskini. dalam sistem kita. Anda juga boleh merujuk status tuntutan anda yang boleh didapati di <a href=\"https:\/\/www.aia.com.my\/en\/help-support\/claim-guide.html\" target=\"_blank\" rel=\"noreferrer noopener\" aria-label=\" (opens in a new tab)\">AIA Claims Guide.<\/a><\/p>\n\n<p>Anda dinasihatkan untuk memaklumkan kepada kami sekiranya terdapat sebarang perubahan pada butiran hubungan anda. Lawati mana-mana Pusat Pelanggan kami.<\/p>\n\n<p>Hubungi Care Lines kami \u2013 1300 88 1899 (untuk polisi dengan AIA Bhd.) atau 1300 88 8922 (untuk sijil dengan AIA PUBLIC).<\/p>\n\n<h2 class=\"wp-block-heading\" id=\"h-get-in-touch-with-red-cover-life-planning\">Berhubung dengan Perancangan Kehidupan Perlindungan Merah<\/h2>\n\n<p>Hubungi<a href=\"https:\/\/www.redcover.com.my\/ms\/ejen-insurans-aia-kl-levine-lee\/\"> EJEN INSURANS AIA kami LEVINE LEE<\/a> untuk menghubungi kami dan mulakan perlindungan peribadi anda, perlindungan kumpulan atau pilih pelan anda sekarang. Dapatkan dilindungi dengan betul. Dinasihatkan dengan betul. <a href=\"tel:+60126840948\">Hubungi Levine Lee (+6012-684 0948) hari ini untuk dinasihatkan mengenai perlindungan insurans terbaik yang diperibadikan untuk anda<\/a>. Atau hantar borang di bawah atas minat anda.<\/p>\n<script type=\"text\/javascript\">\n\/* <![CDATA[ *\/\nvar gform;gform||(document.addEventListener(\"gform_main_scripts_loaded\",function(){gform.scriptsLoaded=!0}),document.addEventListener(\"gform\/theme\/scripts_loaded\",function(){gform.themeScriptsLoaded=!0}),window.addEventListener(\"DOMContentLoaded\",function(){gform.domLoaded=!0}),gform={domLoaded:!1,scriptsLoaded:!1,themeScriptsLoaded:!1,isFormEditor:()=>\"function\"==typeof InitializeEditor,callIfLoaded:function(o){return!(!gform.domLoaded||!gform.scriptsLoaded||!gform.themeScriptsLoaded&&!gform.isFormEditor()||(gform.isFormEditor()&&console.warn(\"The use of gform.initializeOnLoaded() is deprecated in the form editor context and will be removed in Gravity Forms 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Quotation<\/h2>\n\t\t\t\t\t\t\t<p class='gform_required_legend'>&quot;<span class=\"gfield_required gfield_required_asterisk\">*<\/span>&quot; indicates required fields<\/p>\n                        <\/div><form method='post' enctype='multipart\/form-data'  id='gform_1'  action='\/ms\/wp-json\/wp\/v2\/pages\/25299' data-formid='1' novalidate>\n                        <div class='gform-body gform_body'><div id='gform_fields_1' class='gform_fields top_label form_sublabel_above description_below validation_below'><div id=\"field_1_11\" class=\"gfield gfield--type-honeypot gform_validation_container field_sublabel_above gfield--has-description field_description_below field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_1_11'>Facebook<\/label><div class='ginput_container'><input name='input_11' id='input_1_11' type='text' value='' autocomplete='new-password'\/><\/div><div class='gfield_description' id='gfield_description_1_11'>This field is for validation purposes and should be left unchanged.<\/div><\/div><div id=\"field_1_6\" class=\"gfield gfield--type-html gfield_html gfield_html_formatted gfield_no_follows_desc field_sublabel_above gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><a name=\"enquiry\"><\/a><\/div><fieldset id=\"field_1_5\" class=\"gfield gfield--type-checkbox gfield--type-choice gfield_contains_required field_sublabel_above gfield--has-description field_description_above field_validation_below gfield_visibility_visible\"  ><legend class='gfield_label gform-field-label gfield_label_before_complex' >Request for:<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\">*<\/span><\/span><\/legend><div class='gfield_description' id='gfield_description_1_5'>Select which items you would like to get proposals for.<\/div><div class='ginput_container ginput_container_checkbox'><div class='gfield_checkbox ' id='input_1_5'><div class='gchoice gchoice_1_5_1'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_5.1' type='checkbox'  value='Medical Card'  id='choice_1_5_1'   aria-describedby=\"gfield_description_1_5\"\/>\n\t\t\t\t\t\t\t\t<label for='choice_1_5_1' id='label_1_5_1' class='gform-field-label gform-field-label--type-inline'>Medical Card<\/label>\n\t\t\t\t\t\t\t<\/div><div class='gchoice gchoice_1_5_2'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_5.2' type='checkbox'  value='Life Insurance'  id='choice_1_5_2'   \/>\n\t\t\t\t\t\t\t\t<label for='choice_1_5_2' id='label_1_5_2' class='gform-field-label gform-field-label--type-inline'>Life Insurance<\/label>\n\t\t\t\t\t\t\t<\/div><div class='gchoice gchoice_1_5_3'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_5.3' type='checkbox'  value='Critical Illness Insurance'  id='choice_1_5_3'   \/>\n\t\t\t\t\t\t\t\t<label for='choice_1_5_3' id='label_1_5_3' class='gform-field-label gform-field-label--type-inline'>Critical Illness Insurance<\/label>\n\t\t\t\t\t\t\t<\/div><div class='gchoice gchoice_1_5_4'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_5.4' type='checkbox'  value='Lady Insurance'  id='choice_1_5_4'   \/>\n\t\t\t\t\t\t\t\t<label for='choice_1_5_4' id='label_1_5_4' class='gform-field-label gform-field-label--type-inline'>Lady Insurance<\/label>\n\t\t\t\t\t\t\t<\/div><div class='gchoice gchoice_1_5_5'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_5.5' type='checkbox'  value='Baby Insurance'  id='choice_1_5_5'   \/>\n\t\t\t\t\t\t\t\t<label for='choice_1_5_5' id='label_1_5_5' class='gform-field-label gform-field-label--type-inline'>Baby Insurance<\/label>\n\t\t\t\t\t\t\t<\/div><div class='gchoice gchoice_1_5_6'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_5.6' type='checkbox'  value='Personal Accident Insurance'  id='choice_1_5_6'   \/>\n\t\t\t\t\t\t\t\t<label for='choice_1_5_6' id='label_1_5_6' class='gform-field-label gform-field-label--type-inline'>Personal Accident Insurance<\/label>\n\t\t\t\t\t\t\t<\/div><div class='gchoice gchoice_1_5_7'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_5.7' type='checkbox'  value='Travel Insurance'  id='choice_1_5_7'   \/>\n\t\t\t\t\t\t\t\t<label for='choice_1_5_7' id='label_1_5_7' class='gform-field-label gform-field-label--type-inline'>Travel Insurance<\/label>\n\t\t\t\t\t\t\t<\/div><div class='gchoice gchoice_1_5_8'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_5.8' type='checkbox'  value='Student Travel Insurance'  id='choice_1_5_8'   \/>\n\t\t\t\t\t\t\t\t<label for='choice_1_5_8' id='label_1_5_8' class='gform-field-label gform-field-label--type-inline'>Student Travel Insurance<\/label>\n\t\t\t\t\t\t\t<\/div><div class='gchoice gchoice_1_5_9'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_5.9' type='checkbox'  value='Key Person Insurance'  id='choice_1_5_9'   \/>\n\t\t\t\t\t\t\t\t<label for='choice_1_5_9' id='label_1_5_9' class='gform-field-label gform-field-label--type-inline'>Key Person Insurance<\/label>\n\t\t\t\t\t\t\t<\/div><div class='gchoice gchoice_1_5_11'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_5.11' type='checkbox'  value='Employee Benefits Insurance'  id='choice_1_5_11'   \/>\n\t\t\t\t\t\t\t\t<label for='choice_1_5_11' id='label_1_5_11' class='gform-field-label gform-field-label--type-inline'>Employee Benefits Insurance<\/label>\n\t\t\t\t\t\t\t<\/div><div class='gchoice gchoice_1_5_12'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_5.12' type='checkbox'  value='Group Health and Surgical Insurance (GHS)'  id='choice_1_5_12'   \/>\n\t\t\t\t\t\t\t\t<label for='choice_1_5_12' id='label_1_5_12' class='gform-field-label gform-field-label--type-inline'>Group Health and Surgical Insurance (GHS)<\/label>\n\t\t\t\t\t\t\t<\/div><div class='gchoice gchoice_1_5_13'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_5.13' type='checkbox'  value='Group Term Life Insurance (GTL)'  id='choice_1_5_13'   \/>\n\t\t\t\t\t\t\t\t<label for='choice_1_5_13' id='label_1_5_13' class='gform-field-label gform-field-label--type-inline'>Group Term Life Insurance (GTL)<\/label>\n\t\t\t\t\t\t\t<\/div><div class='gchoice gchoice_1_5_14'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_5.14' type='checkbox'  value='Group Personal Accident (GPA)'  id='choice_1_5_14'   \/>\n\t\t\t\t\t\t\t\t<label for='choice_1_5_14' id='label_1_5_14' class='gform-field-label gform-field-label--type-inline'>Group Personal Accident (GPA)<\/label>\n\t\t\t\t\t\t\t<\/div><div class='gchoice gchoice_1_5_15'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_5.15' type='checkbox'  value='Workers Compensation Insurance'  id='choice_1_5_15'   \/>\n\t\t\t\t\t\t\t\t<label for='choice_1_5_15' id='label_1_5_15' class='gform-field-label gform-field-label--type-inline'>Workers Compensation Insurance<\/label>\n\t\t\t\t\t\t\t<\/div><div class='gchoice gchoice_1_5_16'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_5.16' type='checkbox'  value='Foreign Housekeeper \/ Maid Insurance'  id='choice_1_5_16'   \/>\n\t\t\t\t\t\t\t\t<label for='choice_1_5_16' id='label_1_5_16' class='gform-field-label gform-field-label--type-inline'>Foreign Housekeeper \/ Maid Insurance<\/label>\n\t\t\t\t\t\t\t<\/div><div class='gchoice gchoice_1_5_17'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_5.17' type='checkbox'  value='Takaful Medical Card'  id='choice_1_5_17'   \/>\n\t\t\t\t\t\t\t\t<label for='choice_1_5_17' id='label_1_5_17' class='gform-field-label gform-field-label--type-inline'>Takaful Medical Card<\/label>\n\t\t\t\t\t\t\t<\/div><div class='gchoice gchoice_1_5_18'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_5.18' type='checkbox'  value='Takaful Life Insurance'  id='choice_1_5_18'   \/>\n\t\t\t\t\t\t\t\t<label for='choice_1_5_18' id='label_1_5_18' class='gform-field-label gform-field-label--type-inline'>Takaful Life Insurance<\/label>\n\t\t\t\t\t\t\t<\/div><div class='gchoice gchoice_1_5_19'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_5.19' type='checkbox'  value='Takaful Critical illness Insurance'  id='choice_1_5_19'   \/>\n\t\t\t\t\t\t\t\t<label for='choice_1_5_19' id='label_1_5_19' class='gform-field-label gform-field-label--type-inline'>Takaful Critical illness Insurance<\/label>\n\t\t\t\t\t\t\t<\/div><\/div><\/div><\/fieldset><fieldset id=\"field_1_1\" class=\"gfield gfield--type-name gfield_contains_required field_sublabel_hidden_label gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><legend class='gfield_label gform-field-label gfield_label_before_complex' >Name<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\">*<\/span><\/span><\/legend><div class='ginput_complex ginput_container ginput_container--name no_prefix no_first_name no_middle_name has_last_name no_suffix gf_name_has_1 ginput_container_name gform-grid-row' id='input_1_1'>\n                            \n                            \n                            \n                            <span id='input_1_1_6_container' class='name_last gform-grid-col gform-grid-col--size-auto' >\n                                                    <input type='text' name='input_1.6' id='input_1_1_6' value=''   aria-required='true'   placeholder='Full Name'  \/>\n                                                    <label for='input_1_1_6' class='gform-field-label gform-field-label--type-sub hidden_sub_label screen-reader-text'>Last<\/label>\n                                                <\/span>\n                            \n                        <\/div><\/fieldset><div id=\"field_1_8\" class=\"gfield gfield--type-text gfield--width-full gfield_contains_required field_sublabel_above 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Sertai kami sekarang untuk menjadi sebahagian daripada pasukan dan cerita kami.<\/p>\n\n<div class=\"wp-block-buttons is-content-justification-center is-layout-flex wp-container-core-buttons-is-layout-16018d1d wp-block-buttons-is-layout-flex\">\n<div class=\"wp-block-button has-custom-font-size has-small-font-size\"><a class=\"wp-block-button__link has-custom-background-color has-background wp-element-button\" href=\"https:\/\/www.redcover.com.my\/ms\/peluang-kerjaya-perniagaan-dan-insurans-hayat-di-malaysia\/\">Sertai kami di red Cover<\/a><\/div>\n<\/div>\n\n<hr class=\"wp-block-separator has-alpha-channel-opacity\" \/>\n","protected":false},"excerpt":{"rendered":"<p>Panduan pemprosesan tuntutan adalah pemenuhan oleh penanggung insurans tanggungjawabnya untuk menerima, menyemak dan bertindak atas tuntutan yang difailkan oleh pihak yang diinsuranskan. Panduan Pemprosesan Tuntutan Panduan pemprosesan tuntutan melibatkan pelbagai lapisan pentadbiran dan perkhidmatan pelanggan yang termasuk semakan, penyiasatan, pelarasan (jika perlu), pengiriman wang atau penafian tuntutan. Pemprosesan tuntutan insurans bil perubatan akan bermula apabila [&hellip;]<\/p>\n","protected":false},"author":2,"featured_media":0,"parent":0,"menu_order":0,"comment_status":"closed","ping_status":"closed","template":"","meta":{"_genesis_hide_title":false,"_genesis_hide_breadcrumbs":false,"_genesis_hide_singular_image":false,"_genesis_hide_footer_widgets":false,"_genesis_custom_body_class":"","_genesis_custom_post_class":"","_genesis_layout":"","footnotes":""},"class_list":{"0":"post-25299","1":"page","2":"type-page","3":"status-publish","5":"entry","6":"has-post-thumbnail"},"yoast_head":"<!-- This site is optimized with the Yoast SEO Premium plugin v27.5 (Yoast SEO v27.5) - https:\/\/yoast.com\/product\/yoast-seo-premium-wordpress\/ -->\n<title>Panduan Pemprosesan Tuntutan | | Malaysia Perlindungan Merah<\/title>\n<meta name=\"description\" content=\"Panduan pemprosesan tuntutan, panduan untuk membuat tuntutan insurans dan soalan lazim mengenai tuntutan untuk membantu anda memproses Tuntutan Insurans, Borang Tuntutan, Pembayaran dan banyak lagi. 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