Making a claim
Our customers are at the very heart of the claims handling process.
We recognize that the claims experience is a moment of truth for our customers and their employees, and this gives us the opportunity to deliver on our promise at what is often a difficult time. We do this by treating everyone with utmost empathy and using our expertise to deliver on our promises. ‘Simply Care’ centres around being responsive, proactive and communicating clearly with our customers, in a way that gives them confidence in our abilities to fully meet their needs.
Approach to claims
Our dedicated team of senior claims examiners – with over 20 years of experience – utilize their direct access to medical professionals to ensure the best outcome for the employee and secure rehabilitation (where available) when needed.
Each benefit claim is assessed on an individual basis. By default, claims are payable to you as the employer. Following our decision on a claim, the payment is immediately ordered and will usually reach the employer account within one week.
Claims process
To start the claims process you can use the contact us section below.
We receive your claim and request the documentation we need.
Your case is assigned to a dedicated claims examiner – your new point of contact.
Once all the required information is received, it is assessed and you’ll be informed of the decision.
Payment is initiated and notified with a formal letter to the employer.
We are proud to have admitted and paid 97.6% of claims over the last 3 years (2021 – 2023)
Of the claims notified in 2023, only 3 were declined; due to non-disclosure or not meeting the eligibility criteria.
Group life cover provides employees with the reassurance that they will be taken care of, should the worst happen.
Contact us
Any questions, doubts or suggestions? Leave us your comments and we will contact you as soon as possible.