Page 58 - Insurance Times July 2023
P. 58

Insurance  claims  relating  to  Cyclone                   correspondence while initiating the claim and fil-
                                                                     ing all the relevant documents. Efforts  shall be
          Biparjoy
                                                                     made to ensure that digital processes are resorted
                                                  16.06.2023         to the extent possible for assessment of claims.
                                                                 i.  Insurers are also expected to review and stream-
          1.  Cyclone Biparjoy (June 2023) is expected to cause wide-
                                                                     line processing of claims by ensuring only such docu-
             spread loss to property (homes and businesses) and in-
                                                                     mentation  necessary  to  substantiate  claim
             frastructure in various States.
                                                                     quantums, to ensure expeditious final settlement.
          2. General Insurers and Standalone Health Insurance
                                                              3.  All General Insurers (including Standalone Health Insur-
             Companies are advised to mobilise all resources to en-
                                                                 ers) are advised to submit information related to Cy-
             sure  immediate  service  response  including  by
                                                                 clone Biparjoy claims to the IRDAI in the format at-
             outsourced functions such as investigators, surveyors
             and loss adjustors as under:                        tached on a weekly basis at nl-catastrophe@irdai.gov.in
             a. Please nominate a Senior Executive in each affected  for a month.

                 State / UT to act as the Nodal Claims Officer oversee-
                 ing the claims response. The Nodal Officer appoint- Reporting of Cyber Security Incidents by
                 ment should be communicated to the Chief Secretary/
                                                              Regulated Entities
                 Officer concerned of the State immediately.
                                                                                                      13.06.2023
             b. Districts reporting large numbers of claims may be
                 overseen by a designated District Claims Service
                                                              1.  Reference is drawn to para 3.5 ‘Notification to Regula-
                 Head.
                                                                 tory Authorities’ under policy no. 2.10 ‘Incident and
             c.  The contact particulars of the State / District heads  Problem Management’ in IRDAI Information and Cyber
                 should be published on the Insurer website and  Security Guidelines,  2023  dated  24th  Apr, 2023,
                 necessary publicity may be also given in the press.  wherein it is stated that “Organization shall mandato-
                                                                 rily report cyberincidents to Cert-In within 6 hours of
             d. All Insurers should also activate, publish 24x7
                                                                 noticing or being brought to notice about such incidents
                 helplines to respond / assist Claimants and launch
                                                                 with a copy to IRDAI and other concerned regulators /
                 extensive awareness campaign duly highlighting
                                                                 authorities.”
                 the measures taken.
                                                              2.  In this connection, it is observed that the Regulatory
             e. Special Claims Desks at District level with adequate
                                                                 Entities are not adhering to the above mentioned
                 delegated Claims Settlement Teams are recom-
                                                                 timelines and also not keeping the Authority in loop in
                 mended to be set up in affected areas to facilitate
                 claims speedy processing and settlements including  their communications to CertIn.
                 release of on-account interim payments to assist  3.  In view of the above, all Regulated Entities are directed
                 early reinstatement of property/ businesses.    to scrupulously follow the provisions regarding report-
             f.  It needs to be ensured that all claims are surveyed  ing of incident to IRDAI and Cert-In. Further, Regulated
                 immediately and claim payments/ on account pay-  Entities are required to submit available details of Cyber
                 ments are disbursed at the earliest and in any case  Security Incident to the Authority in an enclosed for-
                 not exceeding the stipulated timeline.          mat within 24 hrs of intimation of the incident.
             g. Adequate number of surveyor may be engaged im-  4.  Further, the details in the reporting format needs to be
                 mediately as required and if needed, consider en-  updated with flow of information from the forensic
                 gaging surveyor from neighboring areas as well.  analysis as and when obtained and submitted to the
                                                                 Authority as subsequent version(s) within 24 hrs of such
             h. The insurer shall encourage the policyholder to use
                                                                 information being made available.
                 electronic communication wherever possible for

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