What can I do if my insurance claim is denied?
If your insurance claim is denied, you have several options. Firstly, you should review your policy terms carefully in order to understand if the denial is based on an exclusion or condition. If you think that the denial is unjustified, you should lodge a formal internal complaint with the insurer.
If the internal complaint fails to resolve the issue, it can be escalated to the Australian Financial Complaints Authority, as it provides free external dispute resolution. If this also fails, you can initiate legal proceedings against the insurer, as a last resort. As each stage of the process is time bound, it’s better to act promptly.