Home Products Resources Build Your Career Contact Client Services CRM Book Consultation →
Claims Support Centre

We're with you, every step of a claim

Filing a claim can feel overwhelming at the worst possible time. Derrick Advisory assists clients throughout the entire claims process — from the first phone call to the final payout.

RM68,553+Combined claims featured on this page
2Real claim stories, shared with consent
Add Your State.g. years supporting older/contested claims

The Claims Journey

1
📞

Contact Derrick Advisory

Reach out to Derrick Gan as soon as an insurable event occurs. He'll confirm your coverage and walk you through exactly what happens next.

2
📁

Prepare Required Documents

Gather the supporting documents your claim needs — Derrick Advisory helps you compile everything correctly the first time.

3
📤

Submit Your Claim

Your claim form and documents are submitted to the insurer, with everything checked beforehand to help avoid delays.

4

Claim Assessment & Payment

The insurer reviews and assesses your claim, and once approved, payment is made directly to you or your nominee.

What Actually Happens When You File a Claim

The part of insurance most people never see explained — until they need it. Here's the real process, from submission to payout, and what Derrick does for you at every step.

1
📝
Submit
Complete the claim form with supporting documents — medical report, original receipts, discharge summary, or death/TPD certificate depending on claim type. Derrick checks everything first to avoid delays.
2
🔍
Review
The insurer's claims team verifies your policy is in force and checks the diagnosis or event against your coverage terms. Complex cases may need extra medical reports.
3
Approval
Once verified, the insurer issues a formal approval letter confirming the benefit amount payable and the policy clause it falls under.
4
💰
Payout
Funds are paid directly into your (or your nominee's) registered bank account — typically within 14 working days of all documents being received.

Typical timeline: 7–21 working days once all documents are submitted, depending on claim type and complexity.

SAMPLE
Specimen — Claim Approval Letter
Policy No.XXXXXXXX (illustrative)
Claim TypeCritical Illness
BenefitLump Sum Payout
Approved AmountRM XX,XXX.00
Payment MethodBank Transfer
✅ Approved
SAMPLE
Specimen — Payout Confirmation
ReferenceCLAIM-SPECIMEN-0001
Beneficiary[Nominee Name]
AccountXXXX-XXXXXX
AmountRM XX,XXX.00
💰 Completed

*Specimen documents shown for illustration only. Names, policy numbers, and amounts are fictional and do not represent any real client, claim, or transaction.

Claim Checklist

📋

Documents You May Need

Always Needed

  • Policy Number
  • NRIC / Passport

Hospitalisation Claims

  • Guarantee Letter (GL) request
  • Hospital Bills / Receipts
  • Discharge Summary

Critical Illness Claims

  • Medical & Diagnosis Reports
  • Specialist Referral Letters
  • Claim Forms (where applicable)

This list is for general guidance only — the exact documents required depend on your policy and claim type. Derrick Advisory will confirm exactly what's needed for your situation.

Claim Success Stories

Real outcomes, shared with each client's consent. Personal details are withheld or generalised to protect their privacy.

Redacted hospital bill summary for the cardiac catheterisation claim Actual Bill · Redacted Cardiac Emergency Claim

A 2-day ICU stay, over RM51,000 in bills

A client experienced sudden chest discomfort that turned out to be a cardiac emergency. After urgent evaluation, a coronary angiogram (cardiac catheterisation) was performed and the client was monitored in the Intensive Care Unit before being discharged just two days later. The final bill came to RM51,811.45 — but because the client already held an active medical card, treatment proceeded without delay.

Hospitalisation2 Days (ICU)
Total Hospital BillRM51,811.45

“Having the right medical insurance doesn't prevent illness — it prevents a medical emergency from becoming a financial crisis.” — Derrick Gan

Redacted Guarantee Letter for the gastroenteritis hospitalisation claim Actual GL · Redacted Gastrointestinal Hospitalisation

When a “stomach bug” becomes a RM16,000 hospital bill

What began as severe abdominal pain, vomiting and diarrhoea turned out to be infectious gastroenteritis and colitis, requiring four days of hospitalisation. A Guarantee Letter was arranged so the hospital could bill the insurer directly. Of the RM16,741.74 total, RM16,666.74 was approved and paid — leaving the client to settle only a RM75 non-covered admin fee.

Hospital BillRM16,741.74
Approved & PaidRM16,666.74

“Medical insurance isn't just about making a claim — it's about protecting your savings and giving you peace of mind when life takes an unexpected turn.” — Derrick Gan

Common Claim Mistakes

📁
Submitting incomplete documentation
A claim can be delayed or even declined simply because one report is missing — and you may never be told exactly what's missing unless someone checks on your behalf.
Instead: ask Derrick Advisory to review your file before it's submitted.
👤
Losing touch with your advisor
If your original agent becomes unreachable, you can lose the one person who understands your policy and can help identify what's missing.
Instead: Derrick Advisory can help with a claim even on a policy bought elsewhere.
Assuming a decline is final
A declined claim doesn't always mean an invalid one — sometimes it means the file was incomplete, not that the claim itself didn't qualify.
Instead: have the decline reviewed before accepting it as final.
Waiting too long to report a claim
Most policies set a window for notifying the insurer after an insurable event. Waiting can complicate an otherwise straightforward claim.
Instead: contact Derrick Advisory as soon as the event occurs.
📄
Not keeping copies of medical records
Original bills, reports and referral letters are easy to misplace during a stressful hospital stay — and hard to retrieve later.
Instead: keep (or photograph) every document as you receive it.

Claims Questions

How do I file a claim with Derrick's help?
What if my claim gets declined?
Do I need to use my original agent, or can Derrick help either way?
ClaimsHow do I file a claim with Derrick's help?
Contact Derrick as soon as possible after the event. He'll walk you through which claim form applies, what supporting documents to gather, and will follow up with the insurer on your behalf so you're not navigating the process alone.
ClaimsHow long does a claim typically take to process?
Once all supporting documents are received, most critical illness claims are processed within about 14 working days. Complex cases or those needing further medical review can take longer. Complete documentation submitted upfront is the single biggest factor in avoiding delays.
ClaimsWhat if my claim gets declined?
A decline doesn't always mean the claim was invalid — sometimes it means the submission was incomplete, such as a missing medical report. Bring the decline letter to Derrick for a full review before accepting it as final; he'll help identify what's missing and whether the claim can be revisited.
ClaimsDo I need to use my original agent, or can Derrick help either way?
You don't need your original agent to get help with a claim. Derrick has supported clients through claims on policies he didn't originally sell — including cases where the original agent was no longer reachable.
ClaimsWhat documents does a critical illness claim need, versus a hospitalisation claim?
Hospitalisation claims typically need a Guarantee Letter request, hospital bills and receipts, and a discharge summary. Critical illness claims usually need full medical and diagnosis reports and specialist referral letters, since the insurer is assessing the diagnosis itself rather than a hospital stay. Derrick will confirm the exact list for your specific policy and claim type.

Need help with your claim?

Let's talk about your situation — reach out any time.