Rabu, 26 Maret 2014

Prosedur Klaim - Group

Prosedur klaim di tempat layanan kesehatan rekanan



Step 1   Tertanggung datang ke tempat layanan kesehatan rekanan
Step 2
Tunjukan kartu Generali & Identitas diri
Step 3
Tempat layanan kesehatan melakukan proses permintaan jaminan
Step 4
Surat jaminan diberikan pada tertanggung
Step 5
Surat jaminan ditandatangani oleh tertanggung/anggota keluarga
Step 6
Sebelum tertanggung pulang, tempat layanan kesehatan akan memberikan perincian kepada Admedika
Step 7
Admedika akan mengirim kembali perincian klaim yang ditanggung dan kelebihan biaya
Step 8
Tertanggung membayar kelebihan biaya
Step 9   Pasien pulang


Prosedur klaim di tempat layanan kesehatan bukan rekanan
Step 1
Tertanggung datang ke  tempat layanan kesehatan
Step 2
Tertanggung mendapatkan layanan kesehatan sesuai dengan standar pelayanan yang berlaku
Step 3
Tertanggung membayar tagihan tempat layanan kesehatan
Step 4
Tertanggung mengajukan klaim ke Generali. Maksimum 60 hari sejak keluar dari tempat layanan kesehatan
Step 5
Keputusan klaim akan diproses dalam 14 hari kerja termasuk pembayaran
Step 6
Pembayaran ditransfer ke rekening tertanggung

Prosedur klaim kematian

Step 1
Pengajuan klaim ke Generali dengan melampirkan persyaratan-persyaratan yang diwajibkan oleh Generali maksimum 60 hari sejak tertanggung meninggal dunia
Step 2
Keputusan klaim akan diproses dalam 14 hari kerja termasuk pembayaran
Step 3
Bila disetujui, maka pembayaran akan ditransfer ke rekening ahli waris

iCONNECT

Generali Indonesia menyediakan sistem informasi iCONNECT yang mudah diakses untuk kemudahan dalam mendapatkan informasi terkini mengenai aktivitas agen, termasuk laporan produksi, pencapaian kontes, informasi mengenai data polis, data nasabah, pembayaran komisi serta informasi penting lainnya.

Klik disini untuk merasakan kemudahan mengakses informasi!

iSERVICES

iSERVICES Merupakan layanan yang diberikan Generali kepada nasabah dalam bentuk portal web yang memudahkan nasabah melihat portofolio secara online kapan pun dan dimana pun Anda berada.

Apa yang Anda bisa lakukan dengan iSERVICES?
Anda bisa mengakses iSERVICES untuk mendapatkan kemudahan sebagai berikut:
  • Informasi nasabah, seperti
    • Informasi polis
    • Informasi parameter ARMS
    • Informasi premi dan daftar manfaat
    • Informasi alokasi dana investasi dan Account Balance
    • Informasi transaksi dan riwayat transaksi
  • Informasi pasar
  • Newsletter
  • Kalkulator keuangan
    • Pensiun
    • Pendidikan
  • Mengunduh Formulir

Auto Risks Management System

The Importance of Managing Risk
Investors always face uncertainties when investing in the capital market. Unexpected market price fluctuation could occur at any time. Furthermore, both external and internal economic shock may affect the capital market price movement significantly. In addition, investor sentiment could also influence the price movement.
The capital market price volatility is an inevitable risk that most investor must encounter. If it’s not managed properly, an investment loss is likely to be the result. If the investment value declines in the short term while the need for cash is still on the long run, there is still plenty of time to recover the asset value. However, when the need for cash comes at the time of financial crisis, managing the risks will become complicated as failure will cause loss at the end of investment.
Another problematic issue arises as investor faces many limitations. One of them is human emotion. Investors tend to buy as the market price rising to its historical high. In this case, the emotion encourages investors to invest due to their misguided perception of a potential gain. Emotion is also one of the reasons why investors exit the market when the price is already decreasing significantly. They fear that price will keep decreasing even more. Even after these wrong decisions, the experience of losing money will keep the investors away from the market for quite sometimes. When they decide to get back in the investing, the price has already been on a noticeable higher level.
Other example is when the investor is encountering an increasing price value from investment asset that his/her has. As the investor becomes greedy, he/she will postpone his profit realization (selling his asset). Without being realized, then, the price suddenly moves downward and he/she is too late to gain profit. Clearly, fear and greed drive investors to make a premature decision or the otherwise a late decision.
Another limitations faced by the investors is the limited time and access to monitor the price movement in capital market.
Therefore, a system is needed to help investors in managing risks. This system must be able to monitor price movement, to work automatically and is not being affected by human emotions.

ARMS is the answer
To meet the investor’s need in managing risk investment, Generali Indonesia has invented a risk management system that works automatically. This system is called Automatic Risks Management System (ARMS). ARMS combines several risks management method that runs automatically. This method comprised of:
  1. Auto Balancing
  2. Auto Trading
  3. Auto Re-entry
  4. Bounce Back

Auto Balancing
This feature is functioned to keep the investment portfolio asset composition in line with the investor’s risk profile automatically and consistently from time to time. This is conducted by selling or buying each asset in a Portfolio when each proportion changes outside the predetermined composition set by the investor.
The interesting part from Auto Balancing is that investors will consistently buy certain asset when its price is low and sell it when its price is high. This is done by selling the outperforming asset and buying the underperforming asset simultaneously when the portfolio composition change outside the limit set by investor or in the other word, Buy Low-Sell High Principle occurs consistently. This is done by selling the outperforming asset and buying the underperforming asset simultaneously when the portfolio composition change outside the limit set by investor. With Auto Balancing, the movement of price of each investment asset will be monitored daily. Also, the process as mentioned will be enforced according to investor’s tolerance limit consistently and continuously.

Auto Trading
This feature is functioned to automatically monitor and maintain the investment portfolio performance to be accordingly and consistently with the investor’s investment goal from time to time. After achieving the growth target, investors should realize their profit (profit taking). On the contrary, when the investment declines exceeding a tolerable limit, investors need to exit the market to prevent further loss (cut loss). With Auto Trading, profit taking or cut loss works automatically.
Forthcoming development of Auto Trading: Profit Climbing
Profit Climbing is a feature developed as an alternative to Profit Taking. This feature helps investor to avoid making premature profit realization while the market could grow higher. This concept can be as an analogy of a person climbing upon a stairway in which each stairs has its safety net under it. This person will have no worries of falling down when stepping up. When this person falls from any stair, a safety net is already there to keep him/her safe from hitting the ground floor.
Auto Re-Entry
It is one feature that is embedded in Auto-Trading that functioned to re-invest automatically all investment result that has been realized or secured according to risk profile and investment goal of the investor
After Existing the market, due to profit taking or cut loss, an investor must determine the time when he/she will re-enter the market. The best timing to do this is when the price of his previously owned investment instrument is cheaper. This is done by monitoring its’ price movement after the investor is out of the market. Once the price decreases to a predetermined level, the investor should re-invest in to the market. With Auto Re-Entry, this investment process works automatically.
Bounce Back
Bounce Back is a feature of investment in facilities that serve to reallocate investment value has been realized and / or secured automatically via the Auto Trading, on the allocation of investment fund type specified by the customer, in a certain period and the parameters are determined by Generali Indonesia.


Bounce Back feature the functions similar to the Auto Re-Entry feature, the difference lies in the value of investment allocation parameters, where the Auto Re-Entry using the parameters specified by the customer, while Bounce Back uses certain parameters specified by the Generali Indonesia Investment Professionals Team. In this case, when this parameter produces a signal indicating that market price has entered a trend of increasing investment, the investment fund will be re-allocated according to the composition before Auto Trading triggered.

iTRAVEL

adalah produk travel insurance yang akan memberikan kenyamanan baik untuk perjalanan bisnis atau liburan anda bersama keluarga. Dengan menjalin kerjasama bersama Internasional SOS, iTRAVEL memberikan perlindungan selama 24 jam di seluruh dunia.
 Manfaat yang diberikan iTRAVEL adalah sebagai berikut:
(dalam Rupiah)

MANFAAT MEDIS DAN JASA Gold Silver
1 Biaya-Biaya Medis  dan Kecelakaan Gigi di Luar Negeri 1.200.000.000 500.000.000
2 Santunan Harian di Rumah Sakit di Luar Negeri (500,000 per hari) 10.000.000 5.000.000
3 Evakuasi Medis Darurat Biaya Sesungguhnya Biaya Sesungguhnya
4 Pemulangan Biaya Sesungguhnya Biaya Sesungguhnya
5 Pemulangan Langsung Biaya Sesungguhnya Biaya Sesungguhnya
6 Kunjungan Rumah Sakit 20.000.000 Nol
7 Kunjungan Perjalanan 20.000.000 15.000.000
8 Perlindungan Anak 20.000.000 15.000.000
9 Fasilitas Penunjang Medis 25.000.000 15.000.000
SANTUNAN KECELAKAAN DIRI    
  Santunan Kematian karena Kecelakaan dan Cacat Total Tetap 1.200.000.000 500.000.000
BANTUAN PERJALANAN*    
1 Bantuan Informasi Pra-Perjalanan Tersedia Tersedia
2 Referensi Kedutaan Besar Tersedia Tersedia
3 Bantuan Kehilangan Bagasi Tersedia Tersedia
4 Bantuan Kehilangan Paspor Tersedia Tersedia
5 Bantuan Informasi Cuaca dan Nilai Tukar Tersedia Tersedia
6 Bantuan Penyampaian Pesan Darurat Tersedia Tersedia
7 Bantuan Referensi Penerjemah Tersedia Tersedia
* Hanya berupa bantuan pengaturan perjalanan    

UBRich

Ultimate Balance Right Insurance Choice  

UB Rich merupakan produk dengan premi regular yang dikemas untuk memenuhi kebutuhan Anda dan keluarga Anda di masa yang akan datang.

UB Rich dilengkapi dengan Auto Risks Management System (ARMS) Fitur yang tersedia adalah:

  1. Auto Rebalancing diibaratkan sebagai cruise control investasi, yaitu pengaman dasar yang bekerja menjaga komposisi investasi tetap stabil dan tidak melewati batas toleransi yang sudah ditentukan sebelumnya.
  2. Auto Trading sebagai rem investasi yang berfungsi menjaga investasi agar tidak melebihi batas toleransi yang dapat ditanggung ketika harga portfolio turun atau naik.
    Profit Climbing
    Merupakan fitur yang berfungsi untuk menjaga agar acuan fasilitas Auto Trading bergerak mengikuti pertumbuhan dana investasi terpilih secara otomatis sesuai dengan parameter yang telah Anda tetapkan.
  3. Auto Re-Entry berfungsi sebagai automatic gear investasi yang digunakan untuk kembali berinvestasi secara otomatis sesuai dengan keinginan.
  4. Bounce Back merupakan fasilitas investasi untuk mengalokasikan kembali Nilai Investasi sesuai dengan alokasi pada jenis Dana Investasi yang ditentukan oleh Pemegang Polis atas seluruh Nilai Investasi yang telah direalisasikan.

Manfaat Utama UB Rich:
 Manfaat Meninggal Dunia & Meninggal Dunia karena Kecelakaan
Jika Tertanggung meninggal dunia, maka akan dibayarkan Uang Pertanggungan sebesar 100% ditambah dengan Nilai Investasi jika ada. Dan jika Tertanggung meninggal dunia karena kecelakaan, maka akan dibayarkan Uang Pertanggungan sebesar 150%. 
 Manfaat Akhir Pertanggungan 
Jika Tertanggung masih hidup sampai masa pertanggungan berakhir, maka akan diberikan nilai tunai (jika ada)  

Manfaat Asuransi Tambahan (rider):
 Manfaat Cacat Total dan Tetap 
Perlindungan atas Risiko Cacat Total dan Tetap sampai dengan usia 70 tahun.
 Manfaat Penyakit Kritis 
  • CI Additional
    Perlindungan bagi Tertanggung Utama terhadap 36 kondisi kritis. Manfaat Asuransi Tambahan ini tanpa mengurangi Uang Pertanggungan produk dasar.
  • MCI (Multi Stages of Critical Illness)
    Perlindungan bagi Anda, pasangan Anda dan anak-anak Anda terhadap risiko 62 kondisi kritis yang terbagi dalam 3 tahap (Awal, Mayor dan Katastropik)*. Manfaat asuransi tambahan ini tanpa mengurangi Uang Pertanggungan produk dasar.
    *Tahapan Penyakit Kritis ditentukan Penanggungan berdasarkan informasi dari dokter yang tertera dalam dokumen pengajuan klaim.
 Manfaat Pembebasan Premi (Waiver of Premium) 
  • WoP Basic-Plan
  • WoP Full-Plan 
  • WoP Spouse Basic-Plan 
  • WoP Spouse Full-Plan 
  • WoP Parent-Plan
  • Survivor Parent-Plan
  • Survivor Spouse  Basic-Plan
  • Survivor Spouse Full-Plan
 Manfaat Santunan Tunai Harian Perawatan Rumah Sakit
Santunan Tunai Harian, apabila Tertanggung mengalami risiko rawat inap yang diakibatkan oleh suatu penyakit dan atau kecelakaan

Pilihan Investasi yang Menarik
Pilihan dana investasi Berinvestasi pada
Generali Money Market II 100% pada instrument pasar uang
Generali Fixed Market II 0% - 100% instrument pendapatan tetap
0% - 100% instrument pasar uang
Generali Equity II 0% - 100% instrument saham
0% - 100% instrument pasar uang

Pertumbuhan Dana Investasi 
Hasil Investasi 1 bln 3 bln 6 bln 9 bln 12 bln YTD  Sejak Peluncuran
Generali Money
Market II
0.71% 0.85%  1.74%  2.6% 3.37%  1.74% 7.22%
Tolok Ukur * 0.19% 0.62% 1.19% 1.77% 2.37% 1.19% 7.36%
* Rata-rata suku bunga deposito 1 bulan lima bank besar

Generali Fixed Market II -1.87% -1.80% -1.87% 2.91% 5.00% -1.87% 23.65%
Tolok Ukur * 0.25 0.76% 1.44% 2.19% 2.98% 1.44% 8.93%
*70% bunga obligasi pemerintah, 30% suku bunga Bank Indonesia

Generali Equity II
3.33%
4.34%
18.39%
21.00%
25.96%
18.39%
23.61%
Tolok Ukur *
-4.23%
-3.93%
9.38%
9.37%
19.15%
9.38%
21.48%
* Indeks Saham LQ 45

Note:
Kinerja di masa lalu bukan merupakan pedoman untuk kinerja di masa mendatang, harga dapat turun dan naik dan tidak dapat dijamin.
 
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