SOCSO Claim Process: Step-by-Step Guide for Malaysian Employers
How to file employment injury and benefit claims with PERKESO
Why Malaysian SMEs Choose HavaHR Payroll
Proper accident documentation
Timely benefit payments for employees
Compliance with SOCSO Act 1969
Protected employer-employee relationship
Clear claim tracking process
Reduced administrative burden
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SOCSO claim process: 1) Report accident within 48 hours (Form 21 via ASSIST Portal), 2) Send employee to panel clinic, 3) Submit medical certificate, 4) File benefit claim (Form 10/12), 5) SOCSO processes payment (2-8 weeks). Benefits include temporary disablement (80% wages), permanent disablement, and medical treatment.
This guide covers the complete SOCSO claim process for Malaysian employers, including accident reporting, benefit types, required forms, and timelines.
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Frequently Asked Questions
What benefits can be claimed from SOCSO?
SOCSO benefits include: Medical treatment (free at SOCSO panel clinics), Temporary Disablement Benefit (daily allowance during recovery), Permanent Disablement Benefit (lump sum/pension), Dependants' Benefit (for death cases), and Invalidity Pension (for Category 1 contributors).
How do I report a workplace accident to SOCSO?
Report within 48 hours using Form 21 (Accident Report) via ASSIST Portal (assist.perkeso.gov.my) or at SOCSO office. Required: employee details, accident description, date/time/location, witness information, and employer certification.
What is the SOCSO claim process for employment injury?
Steps: 1) Report accident within 48 hours (Form 21), 2) Send employee to SOCSO panel clinic for treatment, 3) Submit medical leave certificate, 4) File benefit claim (Form 10/12), 5) SOCSO assesses and processes payment, 6) Monitor case until closure.
What forms are needed for SOCSO claims?
Key forms: Form 21 (Accident Report), Form 10 (Temporary Disablement claim), Form 12 (Medical Treatment claim), Form 15 (Permanent Disablement claim), Form 22 (Commuting Accident Report). Submit via ASSIST Portal.
What is the SOCSO temporary disablement benefit?
Temporary Disablement Benefit: 80% of average daily wages for up to 12 months during recovery. Paid directly to employee. Requires: valid accident report (Form 21), medical certificate, and ongoing claim forms. Calculated on last 6 months' wages.
What is the deadline for SOCSO claims?
Accident report (Form 21): within 48 hours. Benefit claims: within 12 months from accident date. Invalidity claims: within 24 months. Late claims may be rejected. Always report immediately to preserve rights.
Can commuting accidents be claimed under SOCSO?
Yes, accidents during commute to/from work are covered if: traveling on reasonable route, within reasonable timeframe, and for work-related purpose. Report using Form 22 (Commuting Accident Report). Same benefits apply.
What is the role of employer in SOCSO claims?
Employer responsibilities: Report accident promptly (Form 21), certify employment details, provide wage information for benefit calculation, facilitate medical treatment, submit required forms, and maintain claim documentation.
How long does SOCSO claim processing take?
Processing time: Temporary Disablement - 2-4 weeks after complete submission. Permanent Disablement - 4-8 weeks (requires Medical Board assessment). Complex cases may take longer. Track status via ASSIST Portal.
What if SOCSO claim is rejected?
If rejected: Review rejection reasons, gather additional documentation, submit appeal within 30 days via ASSIST Portal. Can escalate to Social Security Appellate Board if appeal denied. Seek legal advice for complex disputes.