Navigating insurance policies: how brokers can help prevent claim rejections
Tarina Vlok, MD of Elite Risk Acceptances, explains the importance of educating policyholders about their insurance coverage and exclusions.
Tarina Vlok, MD of Elite Risk Acceptances, explains the importance of educating policyholders about their insurance coverage and exclusions.
‘Lack of maintenance or wear and tear’ gave rise to most of the disputes in several categories of insurance.
The important statistic is the proportion of personal lines complaints relative to an insurer’s share of the total personal lines claims.
Annual report notes a steady increase in disputes related to power surge claims.
The annual report from the Ombud for Short-term Insurance (OSTI) always contains very educational case studies. This one sets how the circumstances behind a claim, which was refuted on the grounds that there […]
In a country beset by criminal activity, one has to be so alert when verifying documentation. We read regularly about people being convicted for fraud with driving licences, but do employers pay enough […]
The 2020 annual report from the Office of the Short-term Ombud (OSTI) shows some very interesting trends which developed during the year under review. Reasonable Precautions claims Refuted claims under the “reasonable precautions” […]
“If you can’t explain it simply, you don’t understand it well enough” – a quote by Albert Einstein that came to mind when I read the latest Short-term Ombudsman’s Briefcase. Policy wording and its interpretation at […]
Failure to disclose material terms and conditions has been the downfall of many an adviser when a complaint is laid with the FAIS Ombud. Admittedly, 20/20 vision is only possible in hindsight as […]
Failure to disclose material terms and conditions has been the downfall of many an adviser when a complaint is laid with the FAIS Ombud. Admittedly, 20/20 vision is only possible in hindsight as […]
A recent article on the distinction between private, business and commercial motor insurance raised a few questions from our readers: “According to this article we all have to insure our vehicles for business […]
A recent article on the distinction between private, business and commercial motor insurance raised a few questions from our readers: “According to this article we all have to insure our vehicles for business […]
Upon entering a contract for a motor insurance policy, it is very important for financial advisers to clarify what the intended use of the vehicle is in order to determine the correct risk […]
The importance of policy wording was underlined again in the UK’s comprehensive High Court analysis of 21 samples in coverage extensions for business-interruption COVID-19 related losses recently. At times the hearing sounded more a […]
The importance of evaluating and reassessing a client’s risk, including changes in insurance risks under the COVID-19 lockdown period was one of the topics discussed at the OSTI’s virtual Consumer Webinar. “Elements and […]
As intermediaries, we have a very important role to play when a dispute arises between a client and the insurer. Understanding the roles of the various parties can help us retain clients by […]
In a case study shared in the recently published OSTI annual report, the issue to be determined was whether the insurer’s offer of settlement amounted to indemnification on the part of the insurer. […]