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Lift the curtain on claims data

New data on life insurers reveals how they perform on processing claims, but it leaves us hungry for more insights.

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Last updated: 02 September 2019

Insurance is a product that is inherently difficult to understand. With long policy documents, technical definitions and exclusions, the task of comparing policies is beyond most of us.

For many years, CHOICE has tried to bridge this gap. Our finance specialists spend many hours gathering data, comparing hundreds of policies in order to identify the best in each category. But understanding which policy offers the best terms only gets you so far. It doesn't tell you what happens if you make a claim.

Until now, the only insight into the experience of people making claims was from data on disputes published by financial ombudsman schemes. This told us what happened if somebody was unhappy and made a complaint to an external body, but it didn't tell us what insurers were doing in the earlier stages.

A new project from our financial regulators has started to change that. In a world first, the Australian Prudential Regulation Authority and Australian Securities and Investments Commission have begun publishing data on life insurance, covering the percentage of claims that are accepted, how long you have to wait for a decision and how many of those decisions are disputed by consumers.

The first data release reveals a huge variation in performance. AMP takes on average 8.4 months to determine a claim for death benefits –eight times the industry average. Asteron, which provides insurance through Suncorp Super, has a dispute rate for total and permanent disability claims that is 12 times the industry average.

This sort of information would make you think twice before taking out a policy with either of these businesses.

The insights from this data only make us hungry for deeper intervention. At the moment, the data only tells you about how each insurer performs overall – it doesn't tell you how this differs for each policy. It's also limited to life insurance. We'd love to see policy-by-policy data across other types of insurance, so we can use it in our reviews of travel, car and home insurance.

Insurers are looking at these sort of figures all of the time, because the more claims they deny, delay or obstruct, the greater their profitability. And conversely, the more claims they accept, and the lower the rate of disputes, the more likely it is that they're selling policies that meet their customers' needs and expectations.

We'd like to see regulators doing more to expose the differences in how claims are handled. Insurers that are doing the right thing by their customers should support this. The only firms that need fear greater transparency are those that are profiting from selling policies that offer little value to their customers.

We care about accuracy. See something that's not quite right in this article? Let us know or read more about fact-checking at CHOICE