Cockatoo guide

Insurance claims in Australia: evidence and complaints

An insurance claim is assessed against the policy, the insured event and the supporting evidence. Prioritise safety, contact emergency services where needed and follow the insurer's assistance and notification process. Keep a record of dates, conversations and documents.

An insurance claim is assessed against the policy, the insured event and the supporting evidence. Prioritise safety, contact emergency services where needed and follow the insurer’s assistance and notification process. Keep a record of dates, conversations and documents.

The distinction that matters

A claim being lodged does not establish acceptance. Ask for written reasons and the relevant clauses if a benefit is reduced or declined, and distinguish requests for more evidence from a final decision.

What to check

  • Record the event and prevent further loss where safe.
  • Keep photographs, receipts and correspondence.
  • Check approval requirements before non-emergency repairs.
  • Use internal complaints and check external dispute options if unresolved.

Example to discuss

After water damage, a homeowner records the source and damage, contacts the insurer and keeps emergency repair receipts. They request written reasons if the insurer treats part of the loss as maintenance.

This is a hypothetical comparison, not a customer claim or a determination of cover.

Sources and further reading

General information only. The policy, schedule and applicable rules determine the actual position. For a personal decision, use an appropriately qualified adviser or the relevant provider.

Sources

References used in this guide