Australian Claims Management in Brisbane City | Business consultant

Australian Claims Management

Locality: Brisbane City

Phone: +61 416 234 301

Address: 123 Eagle Street 4000 Brisbane City, QLD, Australia

Website: https://ausclaims.com/contact/

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• Insurance Agent

23.01.2022 We are back and we have a new ally! After a brief hiatus following some long and difficult cases we are back and ready to help you solve your insurance complaints. We also have a new ally in the new external dispute resolution scheme that has replaced the Financial Ombudsman Service. The new regulatory body Australia Financial Complaints Authority is now live as of 1 November and they bring with them bigger compensation caps and a broader range of disputes which they ca...n hear. From what weve seen so far AFCA are far more interested in ensuring that the complainant gets a fair outcome after the previous scheme (FOS) was torn apart by the Royal Commission for being too friendly with banks and insurers. AFCA have changed their view on a number of contentious issues so that they are found in favour of the complainant rather than the insurer or bank. A prime example is insurers declining claims as a monthly payment was missed, we see it all the time you pay for your car insurance monthly rather than yearly. You miss one payment due to an oversight and have a car accident or something happen to your house, the insurer will decline the claim outright and leave you high and dry. This view doesnt comply with the Insurance Contracts Act and AFCA are now enforcing it correctly the only harm the insurer has suffered was a missed payment fix that harm and your claim is accepted. Unfortunately some insurers havent got the message and will continue to decline claims that are valid and should be paid. If something like this has happened to you and you want some help, get in touch via Facebook or our website and we can will help you get the outcome you deserve.

23.01.2022 Recently the Treasurer has announced that the Government has extended the Australian Financial Complaints Authorities (AFCA) remit to consider financial complaints dating back to 1 January, 2008. This means that if youve had any issues with your insurer or bank in the last 10+ years AFCA can consider these disputes, previously they could only go back a maximum of 6-years if the issue hadnt been raised before. [ 288 more words ] http://ausclaims.com//afca-expands-its-power-and-goes-bac/

19.01.2022 Case study declined claim for ‘water seepage’. In a recent case an insurer declined a household insurance claim citing the exclusion listed in the PDS which refers to damage caused by seepage. The insurers loss adjuster reported that a storm dumped large volumes of water which entered into the property via a brick wall and caused damage to the wall and contents items. The loss adjuster used the word ‘seepage’ in the report upon which the insurer matched this term in their P...DS and a decline was issued. The problem with this process was that the insurer hasn’t considered the definition of seepage and the context in which it was used within the PDS. When you review the definition of seepage in any number of dictionaries it generally refers to the slow escape of a liquid or gas through porous material or small holes. When considering the definition of hte word against what happened in this instance, a large volume of water violently forcing it’s way through an otherwise watertight wall, you can see that the listed exclusion isn’t applicable. In this instance the decline decision was overturned and the resultant damage was repaired, the insured undertook further waterproofing works to help divert water away from the property and hasn’t had any further issues. This is a good example of insurers taking the easy way out and matching certain terms in ‘expert’ reports against the PDS without considering the definition of the word or the context of the circumstances. If you’ve experienced a similar issue and would like to discuss whether you too can have the claim decision overturned, contact us via the buttons above!

17.01.2022 Check out our latest blog post on the Royal Commission. https://ausclaims.com//the-royal-commission-exposes-gener/

15.01.2022 We are back and we have a new ally! After a brief hiatus following some long and difficult cases we are back and ready to help you solve your insurance complaints. We also have a new ally in the new external dispute resolution scheme that has replaced the Financial Ombudsman Service. The new regulatory body Australia Financial Complaints Authority is now live as of 1 November and they bring with them bigger compensation caps and a broader range of disputes which they ca...n hear. From what we’ve seen so far AFCA are far more interested in ensuring that the complainant gets a fair outcome after the previous scheme (FOS) was torn apart by the Royal Commission for being ‘too friendly’ with banks and insurers. AFCA have changed their view on a number of contentious issues so that they are found in favour of the complainant rather than the insurer or bank. A prime example is insurers declining claims as a monthly payment was missed, we see it all the time you pay for your car insurance monthly rather than yearly. You miss one payment due to an oversight and have a car accident or something happen to your house, the insurer will decline the claim outright and leave you high and dry. This view doesn’t comply with the Insurance Contracts Act and AFCA are now enforcing it correctly the only harm the insurer has suffered was a missed payment fix that harm and your claim is accepted. Unfortunately some insurers haven’t got the message and will continue to decline claims that are valid and should be paid. If something like this has happened to you and you want some help, get in touch via Facebook or our website and we can will help you get the outcome you deserve.

14.01.2022 Let us know about your experiences!

14.01.2022 The importance of the Insurance Contracts Act 1984. The Insurance Contracts Act 1984 is the relevant piece of legislation which covers the insurance industry and insurance policies within Australia. This act combined with the General Insurance Code of Practice covers what insurers must and must not do when providing insurance and managing claims. There is a number of key components within the act which establish responsibilities for both the insured party and the insurer, fai...lure to meet these responsibilities can result in claims being declined and policies being cancelled. On the other side, if insurers aren't meeting their obligations then there are penalties which can apply and in many instances claim declines can be overturned. In future blog posts we will go into detail into some of the key areas where insurers get mixed up and make the wrong call and how we can identify and overcome these obstacles on your behalf to get a better outcome for you.

13.01.2022 What can I do if I suffered property damage, but my insurance company is not paying the full cost? Insurance companies should provide the full replacement value of your loss to help return you to the position you were in before the damage occurred. In many cases an insurer will obtain a number of quotes and generally pick the lowest cost to them regardless of the quality of the items that have been damaged. We find in many cases this means that the property is repaired to a l...ower level quality than what it was prior to the damage occurring or a policy holder is cash settled for an amount which wont cover the true cost of repairs. If your insurance company is offering a far lower value than your policy outlines, you are not alone. We see many instances where insurance companies made insufficient offers, excessively delayed claims, or sometimes denied them altogether. Insurance companies are focused on making a profit but this does not mean they can get away with breaking the law and not meeting their obligations under your policy. If you believe your insurance company is failing to provide the coverage outlined in your policy get in touch and we can help you dispute the outcome.

11.01.2022 What can I do if I suffered property damage, but my insurance company is not paying the full cost? Insurance companies should provide the full replacement value of your loss to help return you to the position you were in before the damage occurred. In many cases an insurer will obtain a number of quotes and generally pick the lowest cost to them regardless of the quality of the items that have been damaged. We find in many cases this means that the property is repaired to a l...ower level quality than what it was prior to the damage occurring or a policy holder is cash settled for an amount which won't cover the true cost of repairs. If your insurance company is offering a far lower value than your policy outlines, you are not alone. We see many instances where insurance companies made insufficient offers, excessively delayed claims, or sometimes denied them altogether. Insurance companies are focused on making a profit but this does not mean they can get away with breaking the law and not meeting their obligations under your policy. If you believe your insurance company is failing to provide the coverage outlined in your policy get in touch and we can help you dispute the outcome.

11.01.2022 Let us know about your experiences!

09.01.2022 The importance of the Insurance Contracts Act 1984. The Insurance Contracts Act 1984 is the relevant piece of legislation which covers the insurance industry and insurance policies within Australia. This act combined with the General Insurance Code of Practice covers what insurers must and must not do when providing insurance and managing claims. There is a number of key components within the act which establish responsibilities for both the insured party and the insurer, fai...lure to meet these responsibilities can result in claims being declined and policies being cancelled. On the other side, if insurers arent meeting their obligations then there are penalties which can apply and in many instances claim declines can be overturned. In future blog posts we will go into detail into some of the key areas where insurers get mixed up and make the wrong call and how we can identify and overcome these obstacles on your behalf to get a better outcome for you.

08.01.2022 Severe storms can strike at any time, they are often unpredictable and can cause major damage to property and weve got some tips to help!

06.01.2022 The final report from the royal commission has been released and we expect a lot of ink to be split going into the finer details and what that means for the financial services industry as a whole. From a cursory review it looks like there will be big changes in the mortgage broking and banking industries along with a large increase of power for ASIC with insurers. http://ausclaims.com//04/royal-commission-initial-thoughts/

05.01.2022 Case study declined claim for water seepage. In a recent case an insurer declined a household insurance claim citing the exclusion listed in the PDS which refers to damage caused by seepage. The insurers loss adjuster reported that a storm dumped large volumes of water which entered into the property via a brick wall and caused damage to the wall and contents items. The loss adjuster used the word seepage in the report upon which the insurer matched this term in their P...DS and a decline was issued. The problem with this process was that the insurer hasnt considered the definition of seepage and the context in which it was used within the PDS. When you review the definition of seepage in any number of dictionaries it generally refers to the slow escape of a liquid or gas through porous material or small holes. When considering the definition of hte word against what happened in this instance, a large volume of water violently forcing its way through an otherwise watertight wall, you can see that the listed exclusion isnt applicable. In this instance the decline decision was overturned and the resultant damage was repaired, the insured undertook further waterproofing works to help divert water away from the property and hasnt had any further issues. This is a good example of insurers taking the easy way out and matching certain terms in expert reports against the PDS without considering the definition of the word or the context of the circumstances. If youve experienced a similar issue and would like to discuss whether you too can have the claim decision overturned, contact us via the buttons above!

03.01.2022 As the dust is settling from the RC we are starting to see the new world of financial services regulation and recent moves by ASIC and the government signal that more is to come. This week ASIC held its annual forum and the opening comments from its leader, James Shipton, flagged his views towards the financial services sector. There were 3 main points he expressed, firstly that banks and insurers operate with other peoples money and as such they have a responsibility to society to act within the law, secondly fairness needs to come before all else and that the new ASIC approach will be hit em with the big stick first. http://ausclaims.com//19/post-royal-commission-a-new-world/

03.01.2022 The Royal Commission into Misconduct in the Banking, Superannuation and Financial Services Industry has already highlighted the large number of failings by the financial services sector within Australia to act in the best interest of their clients. With the general insurance sector due to be reviewed in September now is the perfect time to reopen claims have have been declined or settled for amounts less than what they are worth. If you have struggled with the bureaucracy of dealing with your insurer get in contact with Australian Claims Management and let us do the heavy lifting for you! You can make an enquiry at https://ausclaims.com/contact/ and one of our experts will contact you to discuss your situation.