Insurer Compensates Claimants in Wake of Transition Issues
Insurer Compensates Claimants in Wake of Transition Issues
The information on this website is general in nature and does not take into account your objectives, financial situation, or needs. Consider seeking personal advice from a licensed adviser before acting on any information.
On September 2, 2024, an insurer has been mandated to compensate over 900 policyholders due to its failure to adhere to claims processing time frames outlined in the Life Insurance Code of Practice.
The Life Code Compliance Committee reported that the insurer failed to meet the necessary timelines for handling claims, resulting in 3580 breaches between November 2022 and August last year. This failure predominantly affected policyholders with income protection and total permanent disability coverage from a superannuation fund.
The issue arose following the insurer and the fund's decision to transfer claims processing responsibilities from a third-party service provider back to the insurer. The transition period saw numerous staffing issues at the third-party organization, which critically hampered its ability to meet the code's stipulated time frames for claims processing, the committee's investigation revealed.
The committee's findings indicated that the insurer violated several provisions of the claims handling process defined in the code. Specifically, the insurer failed to:
Inform customers about the claims process within 10 business days;
Provide updates on the progress of claims every 20 working days;
Notify customers in advance when their income protection claim payments were nearing their end.
"Insurers must ensure their change management plans allocate adequate resources to meet service standards and prescribed time frames," the determination stated. "Utilizing effective risk mitigation strategies is crucial in countering potential issues, thereby protecting against disruptions and safeguarding customer interests during transitions."
Post-transition, the insurer took over claims management on July 1 of the previous year and initiated several steps to bolster compliance with the code. The company formed new teams and conducted training focusing on code requirements and system utilization.
"The insurer has augmented its oversight of claims processing by increasing case conferencing, setting up weekly performance tracking, and holding monthly governance meetings," the determination noted. "These improvements led to noticeable increases in compliance rates regarding time frame obligations, which became more stable starting in December."
These measures indicate significant shifts in how the insurer manages and processes claims, fostering better service standards and accountability.
Recent findings from the National Truck Accident Research Centre's (NTARC) 2025 Major Incident Investigation Report have brought to light the significant role human error plays in major truck accidents across Australia. The report, supported by National Transport Insurance (NTI), indicates that human factors such as inattention, distraction, and inappropriate speed are the predominant causes of these incidents. - read more
The Australian Financial Complaints Authority (AFCA) has recently ruled in favour of a freight company in a dispute over the disclosure of transporting dangerous goods. This decision provides valuable insights into the obligations of transport companies regarding insurance disclosures. - read more
In 2026, Australian insurers are confronting a trio of significant challenges: escalating premium costs, persistent cyber threats, and a tightening labour market. These issues are reshaping the industry's priorities and strategies. - read more
Australia's insurtech sector is on the brink of a significant transformation, with projections indicating a surge from $377 million in 2025 to an impressive $4.2 billion by 2034. This anticipated growth, at a compound annual growth rate (CAGR) of 30.68%, reflects the increasing integration of digital technologies within the insurance industry. - read more
The upcoming Insurance News conference, scheduled for March 19 in Sydney, is set to tackle the rapidly evolving landscape of cyber risks and the strategies insurers can employ to mitigate them. This timely event will feature a panel of experts, including QBE's Global Head of Cyber Services, Dominic Keller; WTW's Director of Cyber and Technology for the Pacific, Michael Parrant; and MGA's Broking Operations Manager, Trent Woodward. - read more
Isuzu Australia has announced a significant advancement in its service offerings with the establishment of Isuzu Financial Services Australia (IFSA), a dedicated truck leasing and finance company. This initiative marks the first time the Isuzu Group has founded such a company outside of Japan, highlighting the strategic importance of the Australian market. - read more
The Australian Financial Complaints Authority (AFCA) has recently ruled in favor of a trucking company, mandating that their insurer cover engine damage resulting from a driver's negligence. This decision underscores the importance of comprehending policy exclusions and the circumstances under which insurers are obligated to pay claims. - read more
The Australian Financial Complaints Authority (AFCA) has ruled in favor of a freight company in a dispute over the disclosure of transporting dangerous goods. This decision provides clarity on the disclosure obligations of companies handling hazardous materials and their impact on insurance coverage. - read more
In 2026, Australian insurers are grappling with significant challenges that are influencing premium costs and coverage availability. A recent survey by Gallagher Bassett highlights that premium affordability and insurability have emerged as the foremost concerns for the industry. This shift is largely attributed to escalating climate-related losses and evolving regulatory demands. - read more
In 2026, the Australian insurance sector is increasingly prioritizing cybersecurity, recognizing it as a critical challenge in the digital age. According to Gallagher Bassett's latest industry survey, cyber and data security concerns have maintained their position as the second most significant issue for insurers, underscoring the persistent threat posed by digital vulnerabilities. - read more
For Australian farmers, livestock is more than just a vital asset; it's the heartbeat of their livelihood. In a land where the sunburnt plains are as relentless as they are beautiful, protecting your herd isn't just a duty; it's a necessity. That's where livestock insurance comes into play—a shield against the unpredictability of Mother Nature. - read more
Farming, at its core, is an enterprise fraught with uncertainty. Weather calamities, pests, diseases, and fluctuating market conditions can all impact the output and quality of produce. This is where crop insurance proves its worth, serving as a safety net for farmers against the myriad risks they face each season. - read more
In the world of agriculture, having the right insurance coverage is essential. Farming is a high-risk industry that deals with unpredictable elements, and insuring your farm equipment can safeguard your livelihood. - read more
As the backbone of Australian agriculture, farm equipment plays an essential role in day-to-day operations across our expansive and diverse landscapes. From the vast wheat belts to the tropical fruit farms, machinery ensures efficiency and productivity in the face of constant challenges. But with reliance on such equipment comes significant risk—the financial burden of damage or loss can be devastating to a farmer's livelihood. - read more
Welcome to the defining era where technology and agriculture entwine, bringing forth the digital farmer's era. With the evolution of agribusiness in the tech age, comes an array of new tools, opportunities, and risks. As a custodian of the earth and steward of the latest innovations, safeguarding your digital farm is just as crucial as nurturing your crops and livestock. - read more
Agroforestry is a transformative approach to land management that integrates trees into agricultural landscapes. In Australia, where farmers contend with variable climates and environmental challenges, agroforestry offers a resilient pathway to productivity and sustainability. - read more
Farming is much more than an occupation; it's a way of life and a heritage that often spans generations. In today's ever-evolving agricultural landscape, embracing modern practices while preserving your farm's future has never been more crucial. Estate planning emerges as a pivotal strategy for safeguarding your agricultural legacy, ensuring that your hard-earned investments and the land you hold dear are passed on according to your wishes. - read more
Welcome to the world of farming, where the fruits of your labor are as tangible as the soil you till. But just as the land is subject to the whims of nature, so too is the business of agriculture. This is where farm insurance becomes essential. Farmers face a set of challenges and uncertainties unlike any other industry, primarily due to the unpredictable forces of weather. - read more
Risk management is the practice of identifying, assessing, and prioritizing risks followed by coordinated efforts to minimize, monitor, and control the probability or impact of unfortunate events. In farming, risk management involves various strategies to protect the financial health and operational stability of the farm. - read more
Farm liability insurance is a type of coverage that protects farmers from financial losses due to legal claims and lawsuits. This insurance is crucial for safeguarding your farm against various liabilities that may arise from farm operations. - read more
Need a Quote?
Start your free farm insurance quote comparison here.
Knowledgebase
Coinsurance: A percentage of the cost of a covered healthcare service that you pay after you have paid your deductible.