Claim Form

 

Welcome to the online AHI Claim Form.

AHI (that’s Accident & Health Underwriting Pty Ltd) is the insurance company that provides the insurance policy that you are making this claim on.

AHI aims to make your claims experience as smooth and stress-free as possible. You can complete this Claim Form online anytime, from anywhere. Most claims take between 10–30 minutes to submit using this online Claim From.

To complete this form, you will need to attach at least one document to support your claim, for example a medical bill, proof of purchase or travel itinerary, depending on the type of claim. If you don’t have any document to attach right now, you can click here to access AHI’s PDF-format claim form that can be submitted without any supporting documents. If you choose to submit your claim that way, we are still likely to require supporting documentation to process your claim.

What you’ll need

  • The AHI policy number.
  • Details about what happened.
  • Details of any other people involved.
  • Any supporting documents we ask for, like reports, receipts, medical records, travel itineraries.
  • Your bank account details (BSB and account number).

What to expect

  • This Claim Form has multiple sections.
  • You’ll see your progress as you go.
  • The more information you provide, the faster we may be able to process your claim.

If you would prefer a claim form you can print out, you can click here to download it.

Need help?

If you have any questions, you can contact AHI’s claims team by:

The information you provide using this Claim Form is collected directly by AHI, which complies with the Privacy Act 1988. If your insurance cover is held through a group insurance policy, the information collected is not shared with that insured organisation, unless to the limited extent that AHI needs to confirm your eligibility for cover under the policy, or otherwise if sharing is required or permissible under AHI’s privacy policy. By using this online Claim Form, you agree with AHI’s privacy policy.

To understand what’s covered, and when, under the AHI insurance policy you are about to make a claim on, refer to the relevant Policy Wording and Policy Schedules, which have been previously made available to you.

Your details

You must be at least 14 years old to submit this form.
Enter a valid e-mail address
Phone Number cannot be less than 10 digits.
Please enter a valid Email Address.
The fields is required.

Your nominated banking details

Travel information

Incident 1
The fields is required.

About the claim

The fields is required.

Review your information

If any of your details are incorrect and need to be updated, please use the "BACK" button or the link at the bottom of the page to return to the previous section and make changes.

General Insurance Code of Practice

AHI proudly supports the General Insurance Code of Practice (the ‘Code’). The purpose of the Code is to raise the standards of practice and service in the general insurance industry. For further information on the Code, please visit www.codeofpractice.com.au.

Complaints

If there are any concerns or complaints about AHI’s products or service, AHI’s staff are always available to listen and help where they can. We will attempt to resolve your complaint immediately, but if we cannot, we will acknowledge your complaint and advise you of the procedures we will follow in handling and investigating your complaint.

We will keep you up to date regarding our progress and will endeavour to respond to your complaint within 30 calendar days. Our response will be in writing and will advise you of the outcome of our investigations and our proposed resolution of your complaint.

If we cannot resolve your complaint within 30 calendar days, we will write to you and provide you with details of the Australian Financial Complaints Authority so that you may consider taking your complaint to them.

By digitally signing this Claim Form below, you agree to the following:

Declaration

The person completing this form declares that their answers are accurate and complete, and acknowledges that the insurance claim may be declined if that is not the case.

Authority to release medical and/or dental records

If the person who digitally signs this Claim Form is the person about whom AHI makes a request for medical or dental records, then by that person digitally signing this Claim Form, they authorise any hospital, physician or dentist, who has treated them, to provide Accident & Health International Underwriting Pty Ltd, (ABN 26 053 335 952) (AHI) with copies of their medical and/or dental records, and/or of their past medical and/or dental history, as specifically requested by AHI.

This Authority extends to the circumstance in which the above referred-to person is the legal parent, or legally appointed guardian, of a child who is claiming for a benefit under the AHI insurance policy to which this Claim Form relates, and when that child is deemed by the holder of the records as not having the capacity to personally consent to this request by AHI for access , in circumstances when this request relates to the medical and/or dental records/history of that child.

Privacy Statement

The personal information submitted in this Claim Form will be collected by Accident & Health International Underwriting Pty Ltd (AHI) and managed in accordance with its privacy policy which can be read online at ahiinsurance.com.au/privacy or by calling AHI on (02) 9251 8700 to ask for a copy.

AHI handles all personal information in accordance with the Privacy Act 1988. It collects personal information directly, through its agents and other companies within the Tokio Marine global corporate group. AHI uses the personal information it collects to conduct its business, including assessing insurance claims, which it cannot do if it is not able to receive this information.

AHI may send personal information it collects overseas, including Japan, USA, Canada, Bermuda, New Zealand, Thailand, Hong Kong, Europe (including the United Kingdom), Singapore and India. Contact AHI for more information about how it handles personal information or if you have a privacy complaint.

Digital signature of claimant

This online form is completed by way of a digital signature, which is provided by you by typing your full name in the field below:

You must fill in your name.
You must set a date.
Please fill all the required fields before submitting.