RACQ Insurance Ordered to Increase Payout After Claim Handling Flaws
RACQ Insurance Ordered to Increase Payout After Claim Handling Flaws
0
RACQ Insurance has been instructed to bolster a payout to a customer following a ruling by the Australian Financial Complaints Authority (AFCA).
The dispute arose after the insurer's handling of a house fire claim lodged by a woman in October 2023 was found lacking.
The fire, initiated by scented candles, resulted in significant fire and smoke damage to her home.
The policyholder, who has a disability, reported the fire upon returning from a holiday. Recognising her vulnerability, RACQ assigned her case to their specialised "hypercare" team and provided emergency accommodation. The insurance claim was initially accepted, leading to a $39,074 settlement for damaged contents and the appointment of a builder to conduct necessary repairs.
However, the claimant raised concerns over the quality of the repair work, citing issues such as ceiling damage, poor paint, and protruding nails in the floorboards. An independent consultant recommended further corrective measures, particularly replacement of the kitchen ceiling, nail safety adjustments, and sanding of the floors. When reviewing her concerns, RACQ's assessor acknowledged additional repairs were needed but attributed some of the damages to wear and tear or ground movements rather than the fire incident, offering an additional $7949 for repairs—a sum rejected by the claimant who estimated repair costs exceeding $130,000.
The AFCA concluded that while further fire-related damages were not shown by the claimant, RACQ Insurance had not adequately accounted for the kitchen ceiling replacement in its additional settlement offer. RACQ will now need to secure a quote and cover these costs. The insurer must disburse the $7949 previously proposed, include a 20% increase, and an extra $1500 for items such as toys likely destroyed in the fire.
AFCA also mandated a compensation of $4500 due to the claim handling shortcomings, which included omitting several damaged items from the initial repair scope, resulting in undue delays and emotional distress for the claimant.
Published:Wednesday, 27th Aug 2025 Source: Paige Estritori
New South Wales (NSW) is undertaking a detailed review of its Compulsory Third Party (CTP) insurance scheme as well as its lifetime care and support system. The Standing Committee on Law and Justice of the state's upper house has initiated this examination as part of their routine practice conducted every parliamentary term. The last thorough assessment took place in 2022. - read more
A recent decision by the Australian Financial Complaints Authority (AFCA) has ruled against a homeowner seeking an $18,000 refund from Allianz. The homeowner claimed that the insurer failed to adequately inform her about substantial increases in her optional flood cover premiums. Initially, her monthly payments surged from $369 to $1277 in August 2022, a change she only noticed in March of the following year through her bank statements. - read more
Insurance premiums for group life policies with long-term benefits have surged between 15% to 25% on average in the first half of the year, according to a mid-year market update from Marsh Australia. While the steepest increases affected those with adverse claims experiences, short-term rates and premiums for permanent disabilities remained relatively steady. The sector has also become more selective, with insurers adopting stricter underwriting standards, particularly eschewing high-risk industries. - read more
The federal government's initiative to accelerate housing development by relaxing certain building regulations has raised alarm within the insurance sector. Housing Minister Clare O’Neil announced changes on social media, indicating a strategic pause on parts of the National Construction Code to expedite building approvals and encourage the construction of much-needed homes across Australia. This move comes in response to challenges in the approval process, which often delays construction. - read more
RACQ Insurance has been instructed to bolster a payout to a customer following a ruling by the Australian Financial Complaints Authority (AFCA). The dispute arose after the insurer's handling of a house fire claim lodged by a woman in October 2023 was found lacking. The fire, initiated by scented candles, resulted in significant fire and smoke damage to her home. - read more
If you're running a business from your home, you may think that your homeowner's insurance policy has you covered. Unfortunately, this is not the case. Homeowner's insurance policies are not typically designed to cover business-related losses, leaving you vulnerable to significant financial risks if something goes wrong. - read more
One of the best ways to lower your home and contents insurance premiums is to shop around for the best deal. Insurance companies often have varying rates, discounts, and offers that could save you a significant amount of money. Start by researching different insurance providers and their policy offerings. Make sure to compare not only pricing but also features, coverages and deductible amounts. - read more
Welcome to the comprehensive guide on navigating the diverse world of insurance in Australia. Whether you're safeguarding your personal assets or protecting your business interests, insurance plays a pivotal role in financial security. In this introductory section, we'll explore why budgeting for insurance is crucial for Australians, delve into the various types of insurance available, and illustrate how insurance should integrate into your broader financial planning strategy. - read more
Home insurance serves as a critical safety net for homeowners, providing peace of mind and financial protection from unexpected events. In Australia, where Mother Nature’s whims can often result in extreme weather conditions, securing a robust home insurance policy isn't just wise—it's practically a necessity for safeguarding one of life's biggest investments. - read more
Choosing the right home insurance policy is akin to laying a safety net beneath your most valuable investment. With the Australian climate presenting a unique set of challenges, from bushfires to flooding, ensuring you have comprehensive cover isn't just a luxury—it's a necessity. The right policy serves as an armor, protecting your sanctuary against the unexpected onslaughts of nature and misfortune. - read more
Knowledgebase
Trauma Insurance: An insurance that pays a lump-sum amount on the diagnosis of one of several critical illnesses or events