How to Claim SOCSO in Malaysia?
- Angel Tai
- 3 minutes ago
- 6 min read
An employee slips while commuting to work and suffers a fractured leg. Who should report the incident? What documents are needed? How long does the claim take? Can employers help?
Delays, missing documents, or incorrect submissions can slow down claims and create unnecessary stress during an already difficult situation. This guide explains how SOCSO claims work, including the new Lindung 24 Jam protection scheme, and what employers can do to support their employees.
What Is SOCSO?
The Social Security Organisation (SOCSO), also known as PERKESO, is a government agency that provides social protection to employees in Malaysia. SOCSO helps employees who experience:
Workplace injuries
Occupational diseases
Invalidity or permanent disability
Death due to work-related incidents
Certain non-work-related accidents under applicable schemes
Employers and employees contribute to SOCSO monthly, allowing eligible employees to receive financial assistance and benefits when needed.
Why Is SOCSO Important? SOCSO provides financial support during difficult situations when employees may be unable to work. Benefits may include medical treatment, income replacement, rehabilitation support, and financial assistance for themselves or their dependants.
Without SOCSO protection, employees and their families may face significant financial hardship after an accident or illness.
Who Is Eligible for SOCSO?
Generally, employees who may be eligible for protection and benefits are:
Malaysian citizens or permanent residents
Employed under a contract of service
Properly registered and contributing to SOCSO
Employers are responsible for ensuring employees are registered and that contributions are submitted accurately and on time.
Types of SOCSO Claims
Depending on the situation, employees may qualify for different types of benefits.
A. Employment Injury Claims
For accidents that occur:
During working hours
While performing work duties
During work related travel
While commuting between home and workplace
This is one of the most common claim categories.
B. Occupational Disease Claims
For illnesses directly related to workplace exposure or working conditions.
Examples may include hearing loss, respiratory diseases, and certain work related health conditions.
C. Invalidity Scheme Claims
For employees who become permanently unable to work due to serious illness or disability.
D. Dependents' Benefits
Financial assistance provided to eligible family members if an insured employee passes away.
E. Lindung 24 Jam Claims
Under the newer 24 Hour Coverage Scheme, certain non-work-related accidents may also be covered. This helps address modern workplace realities where traditional distinctions between work and personal activities can become blurred.
Note: Learn more about the new Lindung 24 Jam Scheme here!
Documents Required Before Applying
The exact requirements may vary depending on the claim type, but commonly requested documents include:
A. Employee Documents
MyKad
Medical reports
Hospital records
MC certificates
Police report (if applicable)
Bank account details
B. Employer Documents
Accident report
Employment information
Wage records
SOCSO contribution records
Submitting complete documentation helps reduce processing delays.
How to Apply for a SOCSO Claim?
The process is generally straightforward when the necessary documents are prepared.
Step 1: Seek Medical Treatment
The employee should obtain medical attention immediately.
Keep all medical reports, receipts, MC certificates, and hospital records.
These documents may be required later.
Step 2: Inform the Employer
Employees should notify their employer as soon as possible after the incident.
Early reporting allows employers to prepare the necessary documentation and support the claim process.
Step 3: Complete the Required Form (Form 34)
The appropriate SOCSO claim forms must be completed based on the type of claim being submitted. The employer may assist with this process. You can find the form on SOCSO's official website.
Step 4: Compile Physical Copies of Supporting Documents
Include all required supporting evidence such as:
Medical documentation
Accident details
Identification documents
Employer verification records
Incomplete submissions often result in delays.
Step 5: Submit Form and Supporting Documents
You can submit the required items at your nearest SOCSO office. Ensure all documents are compiled, and the assigned agent will walk you through the submission.
Step 6: SOCSO Assessment
SOCSO will review:
Eligibility
Medical evidence
Accident circumstances
Employment records
Additional information may be requested if needed.
Step 7: Claim Approval and Benefit Payment
Once approved, benefits are paid according to the applicable scheme and entitlement.
The payment amount depends on the nature and severity of the claim.
How Employers Can Assist Employees During the Claim Process
Employers play an important role in helping employees navigate SOCSO claims.
1. Report Incidents Promptly
Delayed reporting can slow down claim processing.
Encourage employees to report incidents immediately.
2. Maintain Accurate Records
Ensure that employee information is updated, contributions are submitted correctly, and payroll records are accurate. Missing records can complicate claim verification.
3. Help Prepare Documentation
Employees are often unfamiliar with claim requirements.
HR or payroll personnel can assist with the required forms, the supporting documents, and the submission procedures.
4. Communicate Clearly
Keep employees informed about the claim progress, the additional documents required, and the expected timelines. Good communication reduces uncertainty and frustration.
How Long Does a SOCSO Claim Take?
The processing time depends on several factors, including the claim type, the complexity of the case, the completeness of the documents, and the medical assessments required.
Straightforward claims may be processed relatively quickly, while more complex cases involving investigations or medical reviews may take longer. Submitting complete and accurate information from the beginning helps avoid unnecessary delays.
Frequently Asked Questions
1. What's the difference between PERKESO AND SOCSO?
There is no difference as PERKESO and SOCSO are the same organisation.
PERKESO stands for 'Pertubuhan Keselamatan Sosial' and SOCSO is the English name for this government agency, officially known as the 'Social Security Organisation'.
2. Can I claim SOCSO after 60 years old?
Yes, but it depends on which SOCSO benefit you are referring to. a. Invalidity Pension (Skim Keilatan) - must be below 60 years old when PERKESO receives your Notice of Invalidity.
b. Employees Who Continue Working After 60 - Most employees aged 60 and above are covered only under the Employment Injury Scheme (Category 2 SOCSO contributions)
3. Can I claim SOCSO for an accident while working from home?
Potentially, yes. If the accident occurred while performing work-related duties, it may qualify under the Employment Injury Scheme. Under the new Lindung 24 Jam scheme, certain non-work-related accidents may also receive protection depending on the circumstances.
4. Can I submit a claim after resigning?
Yes. Resignation does not automatically remove eligibility if the accident or qualifying event occurred while you were covered under SOCSO and contributions were made during your employment.
5. What happens if my claim is rejected?
Employees may seek clarification from SOCSO regarding the reason for rejection and determine whether additional documentation or information can support a review.
6. Can employers submit claims on behalf of employees?
Yes. In fact, employers often play a key role in assisting with documentation and claim submissions, especially for employment injury cases.
7. Is commuting to and from work covered?
Generally, yes. Accidents occurring during the normal journey between home and the workplace may qualify under the Employment Injury Scheme, subject to SOCSO's assessment of the circumstances.
8. Do I need to pay for the claim application?
No. There's no need to pay a fee to submit a SOCSO claim application.
9. How much can I claim, and how is the claim paid out?
Employees can claim up to 80% of their daily wages. The claim will be paid out to the employers to be transferred to the employee.
10. When should I submit my claim?
Employees should submit their claim within 48 hours after the accident/injury. If they are incapable of doing so themselves, employers may do so on their behalf.
Final Thoughts: Preparation Makes the Process Easier
When an accident or illness occurs, the last thing employees want is uncertainty about financial support. Understanding how SOCSO claims work helps employees receive assistance faster and allows employers to provide meaningful support during difficult situations.
At Synergy Outsourcing, we help Malaysian businesses manage payroll, statutory contributions, and HR compliance with confidence. Because when the unexpected happens, having the right systems in place can make all the difference.
If you would like to learn more about how we can support your HR compliance needs, call us at 📞+6 010-277 0718 or email us at info at 📩 info@synergy-outsourcing.com
