> Private Car
> Personal Accident
> Group Personal Accident
> Liability & Financial Lines
> Corporate Travel
> Commercial Motor
> Work Injury
As part of our continuous efforts to enhance digitalisation, we are pleased to inform that claims submission of all classes can be done online. Please note that from 1 December 2021, ERGO no longer accept hardcopy claim forms.
Simply submit your claims via our online claim portal by following simple steps indicated below.
*Note: Each claim is unique and will be assessed based on its merit. We would, from time to time, request further information from you, for us to assess your claim. You do not need to send us original documents, however we require you to keep all original documents for 12 months from the date of submission, in the event we need to sight them. We would like to remind you, that we will deny claims that are either dishonest or of fraudulent nature, and such claims will be referred to the appropriate authorities.
Name of Policyholder*
Bank SWIFT Code*
Account Holder's Name*
Please provide your bank details for faster claims processing. Once approved, your claim amount will be credited into your bank account.
We will only credit into the Policyholder’s/Insured Person’s account.
Notification of payment will be sent to your email address stated in your details. The company shall:
(i) be discharged from all liability under this claim and
(ii) not be liable for any and all losses incurred by you, as a result of you providing the company with inaccurate bank account number under this section for the payment of this claim.
Date of accident*
Nature of Claim*
Name of insurance company/ other party *
Policy/ reference no *
Type of benefits*
Have you filed a claim?*
You have declared that you have not made any claim against any other party in respect of this event. *
HS Claim Form (Download first, endorsed by Insured, Claimant and Attending Physician/Surgeon then upload here) (only for claims above $2,000)* (jpg, png, tif, gif, pdf, zip) Please download, complete claim form and upload here
Medical Chit and/or Referral * (jpg, png, tif, gif, pdf, zip)
Inpatient Discharge Summary * (jpg, png, tif, gif, pdf, zip)
Medical and/or Diagnostic Imaging Report* (jpg, png, tif, gif, pdf, zip)
Laboratory, Toxicology and/or Phlebotomy Result/Report * (jpg, png, tif, gif, pdf, zip)
Medical Invoices including receipts and ambulatory charges* (jpg, png, tif, gif, pdf, zip)
Medical Certificate – only for applicable claim* (jpg, png, tif, gif, pdf, zip)
Please note that this procedure is only intended as a guide. Each claim submitted to ERGO will be reviewed based on its own merits in accordance with the concerned policy terms and conditions. We reserve our right to request for additional documents and/or information on a case-by-case basis.
Kindly note that it may take longer to process a claim if we require additional information or documents from you. For any claims enquiry, amendment of details or submission of supporting or original documents, please email our friendly claims officers at firstname.lastname@example.org with our policy number.
Imp Note: The acceptance of this online claim form does NOT constitute an admission of liability by ERGO Insurance Pte Ltd. or waiver of its rights.
Phone: +65 6829 9199/ +65 98276193 (office hours)
Fax:+65 6829 9247
8:30am – 5:30pm (Mon-Fri)
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