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Insurance Business | 02 May 2014, 12:56 PM Agree 0
An authorised representative and former insurance company director has been charged with more than 70 counts of dishonest conduct and other offences.
  • Julie | 14 May 2015, 03:18 PM Agree 0
    One thing every insurance company will tell you when filling out a claim form is that you must be honest and accurate, you must supply as much information, descriptions, receipts and photos as possible on your schedule of loss to help in assessing your claim. If you are tempted to add unrelated items and be misleading on your claim form you could be investigated for fraud.
    What happens if it is the other way around and the Insurance Company adds unrelated items to your schedule of loss even sending you an email that states this. What if the Insurance Company removes your descriptions and what if the Insurance Company removes your photos then confirms that your claim form is completed on your behalf with over twenty five misleading errors and information not supplied by you. Is this Fraud by the Insurance Company?
  • TD | 15 May 2015, 09:09 AM Agree 0
    Julie, on the face of it, it sounds like it may be fraud by an employee of the insurer. If you have solid evidence - copies of what you submitted vs what has been sent back to you - lodge a complaint with the insurer. It will go to a representative designated to handle complaints.

    But be sure of your facts first.
  • Julie | 17 May 2015, 11:40 AM Agree 0
    TD Thank you for your reply and if I can further ask your advise regarding
    If an Insurance Company writes to you and confirms (ratify) that they have completed (accomplished) your claim contents schedule of loss would the Insurance Company be obligated to abide by the Confirmed & Completed schedule of loss?
    (Have solid evidence)
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