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
![]() | Rising Group Premiums Pose Challenges for Australian Life Insurance 28 Aug 2025: Paige Estritori 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 |
![]() | Concerns Arise Over Construction Code Pause Amid Housing Push 28 Aug 2025: Paige Estritori 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 Ordered to Increase Payout After Claim Handling Flaws 27 Aug 2025: Paige Estritori 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 |
![]() | ASIC Review Puts Life Insurance Sector Under Scrutiny 26 Aug 2025: Paige Estritori The Australian Securities and Investments Commission (ASIC) has spotlighted significant shortcomings in the direct sale of life insurance products, urging the industry to reassess its sales practices. The recent review unearthed ongoing issues with remuneration structures, indicating that some insurers still link commissions to sales targets, potentially fostering aggressive sales tactics. The study further revealed a troubling rise in claims disputes, with reported cases more than doubling since 2018, raising concerns about the transparency and trustworthiness of these policies. - read more |
![]() | Ombudsman Sides with Insurer on Imposed Excess Dispute 25 Aug 2025: Paige Estritori A recent ruling by the Australian Financial Complaints Authority (AFCA) has upheld an insurer's decision to impose an additional $2000 excess on a property policy, following a dispute raised by a policyholder over claims history impacts. - read more |
![]() | Starting Out: How to Pick the Right Insurance As a Young Professional in Australia Welcome to the journey of safeguarding your future! As a young professional in Australia, you're likely juggling the demands of a burgeoning career with personal goals and financial responsibilities. Navigating the world of insurance is critical in creating a safety net around these aspirations. But why exactly is insurance a cornerstone for those entering the professional realm, and how do you discern which coverage best aligns with your unique pathway? - read more
|
![]() | Everything You Need to Know About Waiting Periods and Income Protection Benefits Income protection insurance is a crucial financial product designed to secure a portion of your income if you're unable to work due to illness or injury. This type of insurance acts as a financial safety net, ensuring that you can maintain your lifestyle and meet essential expenses while recovering. - read more
|
![]() | Why Every Australian Entrepreneur Needs Income Protection Insurance Entrepreneurship in Australia - a landscape overview: The allure of entrepreneurship in Australia is undeniable, with the promise of innovation, personal autonomy, and potentially limitless earnings. However, the path of an entrepreneur is often unpaved and unpredictable. Without the safety nets traditionally provided by corporate employment, Australian entrepreneurs must proactively safeguard their personal finances against the capricious winds of business fortune. - read more
|
![]() | The Essential Guide to Travel Insurance for Australians on a Working Holiday in Canada Welcome to your guide to embark on an amazing journey from Australia to the breathtaking landscapes of Canada on a working holiday. This adventure presents an inviting blend of work and travel, allowing you to immerse yourself fully in Canadian culture while supporting your explorations financially. - read more
|
![]() | How Income Protection Insurance Can Safeguard Your Financial Future Income Protection Insurance is a type of insurance policy designed to provide you with a substitute income if you are unable to work due to illness or injury. This form of insurance essentially acts as a financial safety net, ensuring that you can continue to manage your living expenses even when your regular earnings have been disrupted. - read more
|