Work Injury Claim

Work Injury Claim

Notice

With effect from 1 April 2008 the Workmen’s Compensation Act is renamed to Work Injury Compensation Act with the following salient changes:

  1. Extends to cover all employees (no salary cap on manual and non manual workers).
  2. Removal of sub limits on employer’s liability for hospital charges.
  3. The employer’s maximum liability for the medical expenses (for both hospitalisation & outpatient) is cap up to a one-year time cap or a global sum of $36,000 cap per employee per accident, whichever is reached earlier.

For more information please refer to MOM website: www.mom.gov.sg

Claim procedure and documentation

  1. To file a report to both the MOM and the Insurers within the time stipulated below

What to report

What to report Reporting Timeline
Where the accident results in death of an employee Within 10 days of occurrence
Where the accident results in any incapacity that renders the employee unfit for work for more than 3 consecutive days or hospitalized for at least 24 hours
Where Employee contracts an occupational disease
  1. Employers can submit the accident report to MOM using the iReport system on the MOM website
    Important Note: Failure to report a work-related accident is an offence, which carries a fine of up to $5,000 for the first-time offence, and a fine of up to $10,000 and/or jail term up to 6 months for subsequent offences.
  2. To submit the following when you are filing a work injury compensation claim: –
    1. Complete the Work Injury Compensation Claim Form.
    2. I-Report made to MOM.
    3. Photocopy of identity card and/or work permit.
    4. Original medical bills and/or certificates.
    5. Pay slips to support the injured worker’s salary for the 12 calendar months prior to the accident. (Earnings during the month of the accident and the month the injured employee joined cannot be considered).
    6. Medical report and/or inpatient discharge summary (if possible).
    7. If the injured person is not your direct employee, please submit the relevant contracts to establish that the direct employer is your sub-contractor.

    If the injured person is your direct employee and injured at a project worksite, please submit all the relevant contracts relating to the project.

Work Injury Claim Form

Personal Information








Claims Payment


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.



Upload Supporting Documents


If your medical claim value is above SGD$500, Please mail your original documents to Claims Department. For all other claims types You do not need to send us original documents, however we require you to keep all original documents for 6 months from the date of submission, in the event we need to sight them.
















Declaration and Submission


By submitting this claim form online, you:

  1. declare that the particulars stated above are true, accurate and complete and understand that if you have in this or in any further declaration in respect of this claim, made any false or fraudulent statement or suppress conceal or falsely state any material fact whatsoever my claim may be refused.
  2. authorise any person or organisation who has relevant information on this claim, including any medical practitioner, health care provider, insurance company and investigative agencies, to release and exchange such information (including personal health information) requested by ERGO Insurance and/or its claims service providers.
  3. authorise ERGO Insurance and its claims service providers to collect, use, disclose and/or process your personal data set out in this form and any other information provided by you or possessed by ERGO Insurance for the purpose of enabling ERGO to provide you with services required of an insurance provider, such as evaluating, processing, administering, and/or managing of your relationship and policies with ERGO Insurance. This includes among other things policy servicing, processing, investigating, handling, administering and/or settling your claim with ERGO or other insurers.
  4. understand that ERGO Insurance may/will disclose and transfer your personal data to third parties, including but not limited to its affiliates, representatives, agents and third party service providers, lawyers/law firms, whether located within or outside Singapore, for one or more of the above purposes, and the said third parties may/will subsequently collect, use, disclose and/or process your personal data for or more of the above purposes;
  5. accept that the personal data protection clauses herein are not exhaustive and you have read, understood and accept the terms of ERGO’s Personal Data Protection Policy at https://www.ergo.com.sg/pdpa;
  6. confirm that you are authorised to disclose information (including personal health information) about the insured person if this claim is made on behalf of them.
  7. confirm that you or the insured person is not claiming from any other insurance policy or on your or insured person's employment benefits provided by your or insured person’s employer.

I Agree

    

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.

For enquiries

ERGO Insurance Pte. Ltd.

Email: claims@ergo.com.sg
Phone: +65 6829 9199/ +65 98276193 (office hours)
Fax: +65 6829 9247