Claims Common Questions & Forms
Proof of Loss Forms
What do I need to do to file a Claim?
My parents are returning home. Can the claims check be sent to me?
Will you send my claim reimbursement via wire transfer?
How do I appeal my claim?
What if I paid for my medical bills in a foreign currency and my doctor's receipts are in a foreign language?
Travel Insurance Proof of Loss Forms
ChineseFrenchPortugueseSpanishEnglishBaggage Proof of Loss Form Baggage Proof of Loss Form - Nationwide Dental Claim Form Proof of Loss Form (Liaison, Reside, etc.) Proof of Loss Form (Liaison, Reside, etc.) - Nationwide Trip Cancellation Claim Form (Liaison, Reside, etc.) Trip Cancellation Claim Form - Nationwide (Liaison, Reside, etc.) Liaison Student Accident / Sickness Claim Form Liaison Student Accident / Sickness Claim Form - Nationwide RoundTrip Accident / Sickness Claim Form RoundTrip Accident / Sickness Claim Form - Nationwide RoundTrip Baggage Claim Form RoundTrip Baggage Claim Form - Nationwide RoundTrip Trip Cancellation Claim Form RoundTrip Trip Cancellation Claim Form - Nationwide Bordercross Worldwide Accident / Sickness Claim Form Bordercross Worldwide Baggage Claim Form Bordercross Worldwide Trip Cancellation Claim Form
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Q: What do I need to do to file a Claim?
A: Follow the steps below:
- Choose the appropriate Proof of Loss form above
- Complete the Proof of Loss form
- Include the following documents with your completed Proof of Loss form:
- Copies of your Passport including the identification page and the entry/exit stamps from the past 12 months
- Detailed bills for services received
- Receipts for payments made
- Any other supporting medical documentation provided
Claims documents must be signed and may be submitted within 90 days from the date of service via postal mail, fax or email attachment to:
Mail:
Seven Corners, Inc.Attn: Claims303 Congressional BoulevardCarmel, IN 46032 USAFax: (+01) 317-575-2256Email: claims@sevencorners.com
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Q: My parents are returning home. Can the claims check be sent to me?
A: Substitution of a different payee (not the insured) on a claim reimbursement can be accomplished, but authorization from the insured is needed.
A written document must be provided, signed by the insured, authorizing Seven Corners, Inc. to reimburse the other party named in the signed document. This document is required to protect all parties from possible incorrect payment of funds. An address must be listed in the document stating where claims payments should be sent. Please keep in mind that claims must be submitted within 90 days from the date of service.
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Q: Will you send my claim reimbursement via wire transfer?
A: Wire transfers are possible for claim payment (some restrictions may apply). In order to process such a request, detailed banking information is required. Please obtain contact information and forward to claims@sevencorners.com. Our claims personnel will contact you within two business days. Please keep in mind that claims must be submitted within 90 days from the date of service.
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Q: How do I appeal my claim?
A: Claims Appeals must be received in writing with supporting medical information. Appeals are addressed within 30 days after receipt. You may submit your written appeal to:
Seven Corners, Inc.Attn: Claims303 Congressional BoulevardCarmel, IN 46032 USAFax: (+01) 317-575-2256Email: claims@sevencorners.com
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Q: What if I paid for my medical bills in a foreign currency and my doctor's receipts are in a foreign language?
A: We will have your documents translated. If the claim is considered eligible, you will be reimbursed in U.S. dollars, based on the exchange rate for the U.S. dollar on your date of service. Please keep in mind that claims must be submitted within 90 days from the date of service.
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©2006-2012
Seven Corners, Inc. •
303 Congressional Boulevard •
Carmel, IN
46032 USA •
800-335-0611
