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Peril:
A specific risk or cause of loss covered by an insurance policy, such as fire, theft, or flood.

 
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The Essential Guide to Professional Indemnity Insurance for Australian Consultants The Essential Guide to Professional Indemnity Insurance for Australian Consultants
If you're an Australian consultant, you understand that your advice is a valuable commodity. But with that value comes responsibility, and a level of risk that you could be held liable if your guidance results in financial loss to a client. This is where professional indemnity insurance comes into play, serving as a vital shield, providing protection and peace of mind for both you and your clients. - read more
Mitigating Risks: Why Indemnity Insurance is Essential for Your Business Mitigating Risks: Why Indemnity Insurance is Essential for Your Business
Indemnity insurance may sound like complex legalese, but at its core, it's a straightforward and crucial protection for businesses of all types and sizes. Simply put, it's a form of insurance that shields a business from bearing the full brunt of financial losses due to lawsuits or claims made against it. - read more
Professional Indemnity Insurance: How Much Coverage Do You Really Need? Professional Indemnity Insurance: How Much Coverage Do You Really Need?
Professional Indemnity Insurance (PII) remains one of the keystones of risk management for professionals across Australia. Yet, misconceptions and lack of awareness can lead to inadequate coverage, leaving individuals and businesses vulnerable in a litigious environment. - read more
Protect Your Intellectual Property: The Role of Indemnity Insurance in Safeguarding Assets Protect Your Intellectual Property: The Role of Indemnity Insurance in Safeguarding Assets
Intellectual Property (IP) stands as one of the core components of any modern business, particularly for startups where innovation is often the primary competitive edge. Understanding and protecting IP is not just about safeguarding ideas; it's a critical aspect of maintaining a business's unique market position and its long-term viability. - read more
Avoiding the Pitfalls: Common Mistakes in Buying Small Business Insurance Avoiding the Pitfalls: Common Mistakes in Buying Small Business Insurance
Embarking on the entrepreneurial journey of running a small business comes with not only the thrill of potential success but also the specter of various risks. One of the most effective shields against the unforeseeable is small business insurance—a critical tool that safeguards your enterprise's financial health. In this section, we'll demystify the role insurance plays in protecting your small business and provide a brisk walkthrough of the different types of insurance options available. - read more
Indemnity vs. Liability Insurance: Understanding the Differences Indemnity vs. Liability Insurance: Understanding the Differences
Insurance serves as a cornerstone in the foundation of a thriving business, mitigating various risks that can surface in the unpredictable world of commerce. At its heart, business insurance is about safeguarding the company's financial stability. It provides a critical safety net, ensuring that a single event doesn't have the power to derail years of hard work. - read more
Cyber Liability and Indemnity: Mitigating Risk for IT Professionals Cyber Liability and Indemnity: Mitigating Risk for IT Professionals
In an era dominated by digital innovation, understanding the crossroads of cybersecurity and indemnity insurance is more critical than ever for IT professionals. As cyber threats evolve with increasing sophistication, the concept of cyber liability has come into sharp focus, pinpointing the potential legal and financial risks associated with data breaches and cyber-attacks that professionals in the information technology sector may face. - read more
Professional Indemnity Insurance: How Much Coverage Do You Really Need? Professional Indemnity Insurance: How Much Coverage Do You Really Need?
Professional Indemnity Insurance (PII) remains one of the keystones of risk management for professionals across Australia. Yet, misconceptions and lack of awareness can lead to inadequate coverage, leaving individuals and businesses vulnerable in a litigious environment. - read more
Unraveling the Confusion: Professional Indemnity Insurance Simplified Unraveling the Confusion: Professional Indemnity Insurance Simplified
Professional Indemnity Insurance is a critical safety net for professionals, offering protection against claims of negligence or breach of duty arising from the services they provide. It helps cover legal costs and any compensation that might be awarded if you are found to be at fault. - read more
The Growing Importance of Cyber Insurance in Protecting Professional Practices The Growing Importance of Cyber Insurance in Protecting Professional Practices
The professional services industry has undergone a significant transformation in recent years, largely due to the integration of digital technology into everyday business operations. From cloud computing to mobile applications, the digital landscape for professional practices has expanded, offering new avenues of efficiency and connectivity. - read more

 

 
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Insurer's Overcharge: A Case for Rigorous Internal Audits

Insurer's Overcharge: A Case for Rigorous Internal Audits

Insurer's Overcharge: A Case for Rigorous Internal Audits?w=400
An overlooked discrepancy by a life insurance company led to thousands of policyholders not receiving promised discounts, having continued unchecked for over a year.
This issue was unearthed following an unexpected internal audit, demonstrating the company's need for better oversight and auditing practices.

The lapse came to light when a random review uncovered that the obligations under the industry's code of conduct had been violated. The industry imposes strict guidelines for clarity in advertising and aligning quoted prices with what policyholders ultimately incur.

As outlined by a Life Code Compliance Committee report, "This case highlights the critical need for insurers to test and review the implementation of new pricing features to ensure they apply advertised benefits correctly."

Commenting further, the committee noted, "Failing to do so can result in financial detriment to customers and damage the trust between insurers and their customers, particularly when errors remain undetected for extended periods.”

This particular incident resulted in annual premiums being inaccurately charged to more than 4,000 customers, with an average overcharge of $8 each. The promised discount was supposed to be 2.5%, but customers only received a 2% reduction.

The insurer has outlined plans to rectify the situation by refunding the policyholders. Customers will be reimbursed the 0.5% difference, accompanied by an apology letter that clearly explains the oversight. Moreover, the company insists it has now corrected its systems to ensure that discounts are applied accurately in future policies.

Such cases shed light on an urgent necessity in the financial services industry for regular and thorough checks of internal procedures to upkeep transparency and customer trust. Providing leniencies on industry standards, as was the scenario here from the original report by The Source, results not only in monetary damage but also potential reputational risks for insurers.

The industry usually does not disclose names in its breach determinations, preserving confidentiality for those involved.

Published:Tuesday, 5th Nov 2024
Source: Paige Estritori

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Insurance News

Insurance Dispute Settled with New Rulings Insurance Dispute Settled with New Rulings
07 Nov 2024: Paige Estritori

In a recent adjudication, a property owner faced a coverage denial due to damage attributed to rodents, offering a revealing insight into insurance claim disputes. When a strata property holder reported water damage from a damaged dishwasher hose, her insurance claim was thwarted by the involvement of rodents. - read more
Financial Sectors Grapple With High Reporting of Breaches Financial Sectors Grapple With High Reporting of Breaches
07 Nov 2024: Paige Estritori

The landscape of financial services in Australia is facing challenges as recent disclosures highlight the magnitude of self-reported compliance breaches across industries. The Australian Securities and Investments Commission (ASIC) report for the last financial year has revealed that the insurance sector reported the second-highest number of breaches. - read more
Call for Stronger E-Scooter Insurance Regulations in NSW Call for Stronger E-Scooter Insurance Regulations in NSW
07 Nov 2024: Paige Estritori

The rapid increase in e-scooter usage across New South Wales has prompted renewed calls for improved insurance regulations to safeguard both riders and pedestrians. Genevieve Henderson, president of the Australian Lawyers Alliance NSW, is advocating for mandatory insurance policies that would cover private e-scooter owners and council-managed e-scooter sharing programs. - read more
Surge in Claims for Non-Advised Disability Income Insurance Surge in Claims for Non-Advised Disability Income Insurance
06 Nov 2024: Paige Estritori

Recent analysis reveals individual non-advised disability income insurance is leading the pack with a remarkable claims paid ratio of 113%. In stark contrast, individual policies acquired through personal advice boast a much lower ratio of 68%, as outlined by the latest prudential data. - read more
Controversial Fire Ruling: AFCA Endorses Claim Denial Controversial Fire Ruling: AFCA Endorses Claim Denial
06 Nov 2024: Paige Estritori

A recent decision has stirred considerable attention as an Australian Financial Complaints Authority (AFCA) ruling supported RAC Insurance's denial of a fire claim amidst significant controversy and debate. - read more

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