Insurance Claim Authorization Letter: 4 Templates

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Template: 1

Insurance Claim Authorization Letter

(Your name)

(Your address)

(Your contact information)

(Date)

(Name of the Recipient)

(Address of the Recipient)

(Contact Information of the Recipient)

Sub: Letter of authorization for Insurance claim

Dear (Name of the Recipient),

I am writing this letter to give the authority to Mr (mention the name of the authorized person) to participate in negotiating the claims of my insurance benefits in my absence.

I cannot attend the procedure due to my problems regarding (mention details). Therefore I am giving him the authority to access all the processes fully.

I am very sorry for not being able to interact with you personally regarding this matter. As of now, we are very busy with (mention the details).

Therefore, we allow Mr (mention the name of the authorized person) full authority to make any decision and sign all the documents on my behalf.

I am attaching all the related documents and certificates (mention details) with this letter.

Be assured that I am taking full responsibility for this request.

Hope you will consider my request and oblige me.

Thank you very much,

Sincerely,

(Hand-written Signature)

(Date)

(Notary or witness if required)

letter of authorization for insurance claim

Download Template :
(pdf, docs, ODT, RTF, txt, HTML, Epub, Etc)

Letter Template: 2

Insurance Claim Authorization Letter

(Your name)

(Your address)

(Your contact information)

(Date)

(Name of the Recipient)

(Address of the Recipient)

(Contact Information of the Recipient)

Sub: Letter of authorization for Employee

Dear (Name of the Recipient)

To whom it may concern,

The purpose of writing the letter is for allowing [ name of person] to take initiative in participating as the authorized person to take steps in forwarding the application for the insurance claim. 

It is very necessary to inform that I would not be able to take the responsibility to look after the insurance claim information.. it would not be possible for me to attend for the official work in [ insurance firm]. It is indeed very difficult for me to attend the official matters in the insurance company due to[ mention the reasons in a pojnt wise manner]. 

I am authorizing [ name of person] to take care of the processes concerning with the insurance claim.

I am sharing the fact and details regarding regarding applying for the insurance .

I am working in [ company name ] in the position of [ position ] for the last [ time span] years. 

I had applied for health insurance on [ date of joining ] in [ company name ]

I have the name of insurance policy with  [ name opf insurance company] as …………………….

I had been paying premium of $[ amount ] every month for [ name of insurance].

[ name of the person] is the representative in [ company name] and he/she had directly assisted in opening the insurance for me in the company premises.

I am appointing [ name of person 1] to look after my insurance related.

He/ She will remain authorized till [ ending date].

I[ name of person  1]  is working in [ company name] for a period of [ time span ] years in the role of [ position ]. 

I have authorized [ name of person 1] to fully claim the amount of  insurance of $[ amount ] by submitting the relevant documents.

I would like to inform  you that the notice will valid  till [ date].

Please contact me on [ contact number ] or send me an email id to [ email id ]. 

Sincerely,

[Hand written signature]

[Date]

[Notary or witness if required]

Insurance Claim Authorization Letter

Download Template :
(pdf, docs, ODT, RTF, txt, HTML, Epub, Etc)

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