Business Insurance Online :: Articles

Insurance Disputes

How can I challenge my insurance claim rejection if I feel it was unfair?

Insurance Disputes

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.

Just because your insurer has rejected your claim, does not necessarily mean that your case is closed. If you think that you have been unfairly treated, here are some ways to get the insurer decision overturned.

What to do

  • Inform the insurance company as soon as you can following the event. It is sometimes a good idea to write the details of the event as soon as you can, and then use that as a reference to make the written claim.
  • Be consistent. Remember, it will be awkward if you want to change your story later on.
  • Keep all documents that are relevant to the claim.
  • Make sure the staff of the insurance company can get in touch with you.

If the claim is rejected?

Insuring your most valuable asset
Image for Insuring your most valuable assetWhile many people would consider their home or their car to be their most valuable asset, it's your ability to earn an income that is most important in shaping your financial future. Statistically, two thirds of working Australians will suffer an injury or illness that will sideline them for 90 days or more. The majority of these people would not be able to pay their mortgage or meet car finance and other loan commitments without adequate income insurance.
... compare rates & options ...
There are circumstances where you may in fact have the legal right to be reimbursed for your loss even though the insurer refused to pay the claim. Although you can sometimes make this judgement yourself, it is sometimes a good idea to get legal advice. See our fact sheets on "Disputes".

Check the policy

If the claim is rejected ask your insurer to identify specifically the clause of the contract on which they rely. If you do not have a current policy make sure they supply one.

What caused the loss?

If the insurer claims that you caused the loss, and this is in breach of the policy, make sure that this is so.
For instance, if you were smoking in bed at the time of a fire, and a fire caused this way is a breach of your policy, you may not in fact be in breach if the fire was caused by an electrical fault. In this case the fact that you were smoking in bed would be coincidental and not the cause of the fire.

Pre-existing conditions

The policy may stipulate that a known pre-existing situation or condition is not covered. For instance, if you have disability insurance but at the time you signed the policy you had a tumor. However, under the law it would be crucial whether you actually knew you had this condition. If you were unaware of it you should still be covered.

Ignorance of the terms

Under the law the insurer has a legal obligation to inform you about the restrictions in the insurance policy. This must be done before you sign the application and the policy is issued. This means (in part) that:
  • you must be given a copy of the policy; and
  • the wording of the policy must be clear and unambiguous.
If these pre-conditions were not met it may be possible to retain your coverage for your loss. Again, it may be necessary to obtain legal advice.

Is it worth the claim?

Many types of insurance contracts will have an excess. This is common in a car insurance contract, or similarly you may lose part of the no-claims bonus. Some companies now reward rating one drivers with a lifetime rating one guarantee. At times you will have to decide whether the amount of the claim is worth the long term loss that results from the effect on rating or no-claims bonuses, especially after taking into account the amount of the excess.

Published: Sunday, 1st Aug 2021
Author: Paige Estritori

Rate this article

Sign in with Google to rate

0 Comments

No comments yet. Be the first to share your thoughts.


Insurance News

IAG Enhances Coverage by Integrating RACQ Insurance into 2026 Reinsurance Program
IAG Enhances Coverage by Integrating RACQ Insurance into 2026 Reinsurance Program
19 May 2026: Paige Estritori
Insurance Australia Group (IAG) has successfully integrated RACQ Insurance into its 2026 catastrophe reinsurance program. This strategic move is designed to bolster the company's capacity to manage catastrophic events and provide enhanced coverage for Australian policyholders. - read more
Rising Legal Costs and Regulatory Hurdles Escalate Small Business Insurance Premiums
Rising Legal Costs and Regulatory Hurdles Escalate Small Business Insurance Premiums
19 May 2026: Paige Estritori
Small businesses across Australia are grappling with a significant surge in insurance premiums, with rates escalating by up to 60% since 2019. The Insurance Council of Australia (ICA) attributes this sharp increase to outdated liability laws, escalating legal expenses, and cumbersome government regulations. - read more
Australian SMEs Face Escalating Risks from Intensifying Extreme Weather Events
Australian SMEs Face Escalating Risks from Intensifying Extreme Weather Events
19 May 2026: Paige Estritori
Australian small and medium-sized enterprises (SMEs) are increasingly vulnerable to the impacts of extreme weather events, with recent data indicating a significant rise in related insurance claims. According to BizCover, a leading insurance comparison site, the proportion of claims attributed to severe weather events escalated from 9.6% in the 2022-2023 financial year to 16.8% in 2024-2025. The average claim amount reached $39,000, with some claims exceeding $200,000. - read more
ACCC Halts IAG's Bid to Acquire RAC WA's Insurance Division
ACCC Halts IAG's Bid to Acquire RAC WA's Insurance Division
11 May 2026: Paige Estritori
The Australian Competition and Consumer Commission (ACCC) has recently opposed the proposed acquisition of RAC WA's insurance operations by Insurance Australia Group (IAG). This decision stems from concerns that the merger would significantly reduce competition within Western Australia's insurance sector, potentially leading to higher premiums and diminished service quality for consumers. - read more
Coalition Enhances Cyber Insurance Coverage Amid Rising Email Breaches
Coalition Enhances Cyber Insurance Coverage Amid Rising Email Breaches
11 May 2026: Paige Estritori
In response to the escalating threat of email-based cyber attacks, insurance provider Coalition has announced an increase in its standard cyber crime coverage for Australian policyholders to $500,000. This enhancement aims to address the growing financial impact of cyber incidents, particularly those involving business email compromise (BEC) and fraudulent fund transfers (FTF). - read more
Click for more Insurance News
Business Insurance Articles

Cybersecurity Risk Assessment: An Essential Guide for Business Owners
Cybersecurity Risk Assessment: An Essential Guide for Business Owners
In today's digital age, cybersecurity has become a critical concern for businesses of all sizes. The increasing reliance on technology means that cyber threats are more prevalent than ever, making it essential for business owners to understand and manage these risks. - read more
5 Common Insurance Mistakes Startups Make and How to Avoid Them
5 Common Insurance Mistakes Startups Make and How to Avoid Them
Starting a new business is an exciting and challenging endeavor, particularly in the vibrant and innovative startup landscape of Australia. However, amidst the rush of ideas and the race to launch, many startups overlook the crucial aspect of insurance. Insurance is not merely an additional cost but a vital protective measure that safeguards your emerging business against unforeseen hurdles. - read more
How to Choose the Right Insurance for Your Australian Retail Business
How to Choose the Right Insurance for Your Australian Retail Business
Running a retail business can be a risky endeavor. While you can minimize some of those risks with careful planning and management, you cannot eliminate them entirely. This is where insurance comes in. Having the right kind and amount of insurance coverage can make all the difference in protecting your business from financial loss, should the unthinkable happen. - read more
Essential Tips to Reduce Your Business Insurance Premiums in Australia
Essential Tips to Reduce Your Business Insurance Premiums in Australia
As a business owner in Australia, protecting your venture with adequate insurance is a non-negotiable aspect of risk management. The right business insurance acts as a safety net, guarding against unforeseen events that could otherwise derail your hard-earned progress. However, it's not uncommon for insurance premiums to dig deep into your cash reserves, challenging the balance between protection and profitability. - read more
The Role of Professional Indemnity Insurance in Risk Management Strategies
The Role of Professional Indemnity Insurance in Risk Management Strategies
Professional indemnity insurance is specifically designed to protect businesses and professionals who provide advice or services to clients. It provides coverage for legal costs and claims for damages if a client suffers a loss due to negligent services or advice offered by the business. This type of insurance is crucial for industries such as consulting, legal, and health care where professional expertise and advice are central to the service provided. - read more

Knowledgebase
Incontestability Clause:
A provision in a life insurance policy that prevents the insurer from voiding coverage due to a misstatement by the insured after a certain period.

Quick Links: | Business Insurance | Business Insurance Quotes | Commercial Insurance | Public Liability Insurance | Small Business Insurance | Professional Indemnity Insurance | Business Insurance Comparison | Cyber Insurance | Business Interruption Insurance | Business Insurance Australia | Workers Compensation Insurance
This website is owned and operated by Clark Family Pty Ltd (ACN 010 281 008) as Trustee for the Clark Family Trust (ABN 35 957 893 714), 43 Larch Street Tallebudgera QLD 4228. Clark Family Pty Ltd is an Authorised Representative (AR 1298860) of Unique Group Broker Services Pty Ltd (AFSL 509434) for financial product referrals and an Authorised Credit Representative (ACR 401491) of Saccasan Pty Ltd (ACL 386297). Check our licensing details on the ASIC registers: Clark Family Pty Ltd ACR, Clark Family Pty Ltd AR, Saccasan Pty Ltd, Unique Group Broker Services.
IMPORTANT: We act solely as an introducer and refer enquiries to licensed third-party brokers, insurers, and lenders. We do not provide financial product advice or credit assistance. We may receive a fee or commission from these third parties in consideration for the referral. Before any action is taken to obtain a product or service referred to by this website, advice should be obtained (from either the third party to whom we refer you or from another qualified intermediary) as to the appropriateness of obtaining those products having regard to your objectives, financial situation and needs. Whilst we have our own process for validating the legitimacy of our referral partners, you should independently verify the credentials and licensing of any adviser or provider you engage. Visit the ASIC website for further information.