CLAIMS – HELPFUL INFORMATION
This section has been prepared as a guide to handling claims. It does not, however, override policy conditions or statutory requirements that may apply from time to time.
Your account manager is always available to offer advice on claims management and notification proceedures. Any claim or circumstance that may give rise to a claim should be reported to us as soon as possible. The only exceptions to this are Worker’s Compensation and Motor Vehicle claims, where separate processes apply as detailed in the following pages.
Failure to promptly report a claim may prejudice your right to indemnity due to a breach of policy conditions.
Please refer to your policy to establish whether any excess applies. If loss or damage is minor, the claim may fall under your policy excess and therefore be excluded.
We recommend that you always discuss the circumstances of each event with your account manager. Some below excess claims have the potential to develop into insurable losses and some may need to be reported to your insurer as a material fact, in accordance with your duty of disclosure.
Your insurer will often appoint a loss adjuster to investigate the circumstances of the event. Always ask for identification and ensure they represent your insurer before providing any information regarding an incident.
Claims Reporting Proceedures
CLAIMS GUIDE – FIRE, PROPERTY DAMAGE, BURGLARY OR THEFT
- In the case of a fire, The senior fire brigade officer attending the incident will advise you of the service provided by the brigade for temporary protection of buildings or contents.
- The police should be notified immediately of any theft or malicious damage. Note the name and station of the investigating officer and take steps to ensure the security of the premises to reduce or contain the loss. Always ensure that any evidence required by investigators or the police is preserved for future reference.
CLAIMS GUIDE – PUBLIC AND PRODUCTS LIABILITY
You should always record any incidents that could lead to a Public or Products Liability claim in an incident register. If a claim is presented by a third party accept any documentation on a ‘without prejudice’ basis and immediately refer it to your account manager.
Never admit liability or offer a settlement to a third party claimant as such action could prevent recovery by your insurer or void cover under the policy.
Witnesses to incidents should be asked for a written statement of the circumstances and provide their name and address for future corroboration if required. If the claim you have received is a court document, for example:
- a statement of claim
- a writ
- a summons
Call us immediately to advise the details and send us a copy of the document.
Your insurer will review the circumstances of the claim to ensure the incident is covered by your policy. They will then appoint a solicitor to represent you. The Solicitor will work with the insurer and a loss adjuster to determine your potential liability and decide on a course of action. Where your liability for a claim is clear-cut your insurer may decide to make an offer of settlement to the third party. If there are reasonable grounds to defend the matter the solicitor will be instructed by your insurer on a course of action.
If an insurer does not accept a claim under your policy or defers a decision pending further investigation we will advise you to appoint your own solicitor to represent you. The cost of appointing your solicitor is only recoverable if your insurer accepts the claim and the cost is reasonable. If your insurer accepts a claim after you have appointed your own solicitor, they have the option of continuing this arrangement or making a new appointment.
CLAIMS GUIDE – WORKER’S COMPENSATION
Claims should be reported directly to your insurer as soon as possible. Your insurer will supply specific guidelines for claims reporting and management as these vary between states and territories. Please contact us if you cannot locate the relevant guidelines.
CLAIMS GUIDE – MOTOR VEHICLE
- Do not admit any liability.
- Record all details of any third party including drivers name, address, phone, vehicle description and registration number.
- Record third party insurer details if possible.
- Take photos of the area and any damage.
YOU SHOULD ALSO
- Take all reasonable precautions to minimise the claim and prevent any further loss, damage or liability.
- Do not make any statements or admission of liability.
- Advise the police if a theft, malicious damage or lost property has occurred and obtain a copy of report and event number as well as Police station location and the officer’s details.
For emergency assistance we can be contacted at:
Telephone: 02 66 202 000
After hours: 0414 507 359 (Damian Price) or contact your Broker
North Coast Insurance Brokers Pty Ltd ABN 67 003 005 927 T/as Austbrokers NCFS. Australian Financial Services Licence No. 240 562