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:
"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.
Published:Wednesday, 4th Sep 2024
Source: Paige Estritori
| Hutch Underwriting's New Landlord Insurance Policy Integrates Cyber Protection 20 Apr 2026: Paige Estritori In August 2025, Hutch Underwriting unveiled a new landlord insurance product tailored for Australian residential property owners. This policy stands out by incorporating built-in cyber protection, addressing the growing digital risks landlords face in today's interconnected world. - read more |
| Insurance Council Calls for Reforms to Support Small Business Resilience 20 Apr 2026: Paige Estritori In February 2026, the Insurance Council of Australia (ICA) submitted four proposals to the Parliamentary Joint Committee's inquiry into small business insurance, highlighting the urgent need for reforms to enhance the resilience of Australia's 2.5 million small businesses. These enterprises, which employ nearly half of the private sector workforce, are increasingly burdened by escalating insurance premiums driven by extreme weather events, inflation, and complex regulatory requirements. - read more |
| Australian Home Insurance Premiums Climb 51% in Five Years 20 Apr 2026: Paige Estritori Recent data from analytics firm Finity reveals a significant 51% increase in Australian home insurance premiums over the past five years. The average premium rose from $1,940 in 2020 to $2,938 by October 2025, outpacing general inflation and raising concerns about affordability for homeowners. - read more |
| Insurance Claims Getting Slower and More Expensive in 2026 20 Apr 2026: Paige Estritori In 2026, Australian insurance claims are facing prolonged processing times and increased costs, primarily due to persistent labour shortages and escalating repair expenses. According to a recent update from Crawford & Company (Australia), these challenges are affecting the efficiency and affordability of claims settlements across the industry. - read more |
| Single or Married: How Life Insurance Needs Vary Across Different Life Stages Life insurance is a financial product that provides a lump sum payment to your beneficiaries in the event of your death. It is designed to offer financial security by covering debts, daily living expenses, and future financial obligations. - read more
|
| Life Events That Should Trigger a Life Insurance Review for Aussie Families Life insurance is a cornerstone of financial planning for Aussie families, offering protection and peace of mind. But what happens when the bustling flow of life brings changes? This is where a life insurance review comes into play. A life insurance review is a thorough analysis of your existing policy to ensure it aligns with your current life circumstances and financial goals. - read more
|
| Income Protection for Farmers: Ensuring Stability Through Tough Times The world of farming is one filled with uncertainties. Weather conditions, market prices, and various other factors can create a highly volatile income stream for those within the agricultural sector. This unpredictability can lead to financial instability that impacts not only the farmers themselves but also their families and the larger rural community. - read more
|
| Keeping Your Family Protected: The Importance of Adequate Health Insurance Coverage The modern Australian family faces a dynamic and ever-evolving set of health needs, with access to quality healthcare remaining a cornerstone of managing our wellbeing. As these needs shift through the different stages of life, the assurance of having a safety net in place can provide unparalleled peace of mind. It's this sense of security that makes adequate health insurance coverage indispensable in today's fast-paced society. - read more
|