Generali Worldwide. Member Portal Online Claim Submission Overview and Instructions. generali-worldwide.com

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1 Generali Worldwide Member Portal Online Claim Submission Overview and Instructions generali-worldwide.com

2 Page 2 Generali Worldwide Insurance Company Limited - Online Claim Submission Table of Contents Section Title Page Number Accessing the Member Portal 3 Claim Submission 4 - Before You Begin Your Submission 4 - Completing the Submission 4 - After Your Submission 7

3 Page 3 Generali Worldwide Insurance Company Limited - Online Claim Submission Accessing the Member Portal The Member Portal provides you access to the vital information you need such as, benefit information, ability to claim your reimbursement online, claims status, payment details and much more. To access the Member Portal visit and select [Secure Login] under the HEALTHCARE heading. Select [Cayman] and the page will be redirected to the Member Portal. You can also visit to access the Member Portal directly. Enter in your username and password. NOTE: To ensure trouble free operation, your computer should have the most recent version of JAVA downloaded and installed. If you don t have the latest Java updates installed, select [First Time User] and then select [Click Here to download the latest Java update] and allow for the installation of the Java certified software.

4 Page 4 Generali Worldwide Insurance Company Limited - Online Claim Submission Claims Submission The Online Claims Submission tool can be used for claimants who have the following information: Invoices contain sufficient information such as your diagnosis and procedure Invoices contain the provider name and the payment details If your invoices do not contain the information mentioned above, please complete the PDF version of the claim form which can be found at under the download section. Please remember: Always submit your invoices within the timely filing limitations as indicated in your plan document A separate online submission must be completed for each insured person requesting reimbursement All mandatory fields (indicated with a red asterisk) must be completed to submit your invoice You must retain the original invoices and supporting documentation for 6 months after submission of your invoice Before You Begin Your Submission Please ensure you have the following information and documents ready prior to beginning your Online Claim Submission: Scan all invoices and supporting documentation in advance and have these documents readily available to access from your computer If you are requesting reimbursement by wire, please ensure you have your banking details in order to update the system Note: Individual countries may have different requirements with respect to accepting a wire transfer. To assist you in completing your wire details, please refer to the Generali Worldwide website. Completing the submission 1. Select the [Claim Submission] icon from the navigation bar along the top of the page 2. Once selected, you will be brought to the instructions page 3. Review the instructions and select the [Next] icon at the bottom of the page 4. You are now ready to start the Online Claim Submission. Follow the steps below to complete the Claimant and Contact information screen: Step 1 - Select the Claimant/Patient from the dropdown menu. For example, if the claim is related to a dependent, select the dependents name from the dropdown. If you are the claimant, then select your name from the dropdown. Step 2 - Validate that we have your correct address. If incorrect, please provide us with your updated address in the Update Address field. } Step 3 - Complete the questions in this section by selecting yes to either question, please ensure you are providing sufficient details to allow us to process your claim.

5 Page 5 Generali Worldwide Insurance Company Limited - Online Claim Submission 5. Please provide the details of the invoice you are claiming for. Note: Each unique service must be entered separately. For example, an invoice with a consultation, lab and a pharmacy charge must be entered on 3 separate service lines. A E C D B F G H Step A - Use the [Calendar] icon to input the date you received medical services. Step B - Enter the full name of the provider you received services from. Step C - Select the country the services took place. Step D - Select the currency and the amount of the invoice that you are making a claim for. Step F - Select the most appropriate dropdown to describe why you required services. Please provide an additional description in the [Description of Condition/Illness/Injury] box. Step G - Complete the additional details such as: - Pre-authorization or case number (if known) - Date the first time the symptoms appeared - Date the first time you saw a doctor related to this condition/illness/injury - Any further details you can provide Step H - If you have multiple invoices, check the box which states Add Service Line. Step I - If your invoices are from the same provider for the same condition: - Check the box which states Same Provider as Above - Details from the first service line will be copied over to the second service line - Complete the [Amount Paid] and [Description of Service] boxes for the second service If you have invoices from different providers or for different conditions - continue with Steps A to G for each additional service line. Select the amount paid and Description of Service for the additional service line Click here to copy details from the above service line

6 Page 6 Generali Worldwide Insurance Company Limited - Online Claim Submission Attach all invoices and supporting documentation in the attachment box. There are two methods to attach the invoices and supporting documentation: Method 1: Browse Button Select the browse button to locate your files Once you have selected your file, select the [Attach] button Once the document is attached you will see it at the bottom of the attachment box Method 2: Drag and Drop Drag and drop the invoices and supporting documentation into the attachment box Note: If you do not attach the relevant invoices to your claim submission, your claim cannot be processed and will be returned to you. 6. Once you have completed all required information, select the [Next] icon at the bottom of the screen 7. Complete the reimbursement details section of the online claim submission. Step 1 - Select how you wish to be reimbursed by indicating the currency and method of payment. If you are selecting wire transfer, please make sure your bank account can accept the selected currency. Step 2 - If you selected payment via wire transfer, select which account the funds should be transferred to from the Payment Details dropdown. If you would like to enter new account details select Other and complete the information below. 1 { 2

7 Page 7 Generali Worldwide Insurance Company Limited - Online Claim Submission 8. Once you have completed all required information, select the [Next - Terms and Conditions] button at the bottom of the screen. Alternatively, if you feel you need to edit any information, select the [Back - Claim Detail] button. 9. Please review the Terms and Conditions in detail. 10. To agree to the Terms and Conditions. please select the check box indicating that you agree to the Terms and Conditions on the Online Claim Submission and use the [Calendar] icon to indicate the date 11. To submit your Online Claim Submission, please select the [Submit] icon on the bottom of the page. 12. You have now completed your Online Claim Submission. After your submission Once you have successfully submitted your claim, you will recieve an automatic notification to confirm your claim submission. Please do not reply to this . If you would like to check the status of your claim at any time during the claim s process, you can access your claim from the Claim List option from the [Start Here] menu of the Member Portal. If you have any other questions, please contact the Generali Worldwide Assistance Centre at (905) or Toll Free from the Cayman Islands at 1 (345) or by at globalservice@generalihealth.com. Office: Generali Worldwide Insurance Company Limited, Second Floor, Bougainvillea Way, Grand Pavilion Commercial Center, 802 West Bay Road. Mailing address: Generali Worldwide Insurance Company Limited, PO Box 10212, Grand Cayman, KY1-1002, Cayman Islands. Regulated in the Cayman Islands as a licensed insurer by the Cayman Islands Monetary Authority. Incorporated in Guernsey under Company Registration No T F caymanservice@generali-health.com generali-worldwide.com Registered Head Office address: Generali Worldwide Insurance Company Limited, Generali House, Hirzel Street, St Peter Port, Guernsey, Channel Islands GY1 4PA. Head Office: Regulated in Guernsey as a licensed Insurer by the Guernsey Financial Services Commission under the Insurance Business (Bailiwick of Guernsey) Law, 2002 (as amended). Generali Worldwide Insurance Company Limited is part of the Generali Group, listed in the Italian Insurance Group Register under number 026. Websites may make reference to products that are not authorized or regulated and/or are not available for offering to planholders in certain jurisdictions.