Home claims handling failures put Suncorp in regulator’s crosshairs

Concurrent media exposure and an active ASIC enforcement focus are converging on the same insurer

Home claims handling failures put Suncorp in regulator’s crosshairs

Property

By Roxanne Libatique

Suncorp is managing simultaneous regulatory and reputational scrutiny after a second reported contractor management failure in two months – a pattern that sits within a documented history of regulator-identified weaknesses and an active Australian Securities and Investments Commission (ASIC) enforcement focus on insurer claims handling.

The latest case, reported by the ABC on July 22, 2026, involves the Wurdong Heights, Queensland, home of a family of seven. A toilet leak in September 2025 allowed sewage to spread through multiple rooms. Suncorp estimated remediation would be completed by October. Contractor delays meant substantive repair work did not begin for months, during which mould spread throughout the property. When contractors attended to the home’s contents in November, items from affected areas were relocated into uncontaminated rooms, creating secondary cross-contamination that Suncorp later acknowledged in writing.

In a February 2026 letter, Suncorp admitted “the initial restoration process for your claim could have been managed more effectively,” adding that remediation “should have been completed promptly to minimise the impact on water-affected contents” and that “unaffected contents should have been stored externally, rather than in the living room, to prevent cross-contamination.” A Suncorp spokesperson told the ABC: “This is a complex claim, and we are continuing to work with the family to complete the restoration and repair works as a matter of urgency.”

The ASIC context

The Balzan case does not arrive in isolation. In May 2026, the ABC reported on a nine-year dispute between a physically disabled Western Sydney pensioner and GIO Suncorp, in which a contractor’s repeated attempts to fix roof tiles resulted in water ingress and toxic black mould spreading throughout the property – a matter ASIC is now investigating. The regulatory backdrop to both cases is direct. Between August 2024 and April 2025, ASIC reviewed the claims handling action plans of seven insurers, including AAI Limited (Suncorp) – the parent entity behind AAMI, APIA, GIO, Shannons, Suncorp, and Vero.

ASIC found that insurers did not have a systemic approach to overseeing the quality of independent expert reports and generally relied on claims-handling staff, who may not have the required level of subject matter expertise, to identify errors. ASIC commissioner Alan Kirkland said at the time: “Oversight of builders and repairers has improved since our last report, but there are still gaps in oversight of independent experts – the external advisers who provide the expert reports insurers rely on to make claim decisions.” ASIC subsequently identified claims and complaint handling failures by insurers as a 2026 enforcement priority.

Suncorp's complaint footprint

The Australian Financial Complaints Authority (AFCA) received 1,968 complaints about Suncorp’s home and contents insurance products in 2024-25, with 1,042 resolved at the registration and referral stage – a referral resolution rate of 52.95%. The Balzan family has an open AFCA complaint; Suncorp has offered $6,300 in non-financial loss compensation to close it, alongside the outstanding remediation. That figure sits within a sector under sustained pressure. Delay in claim handling was the most complained-about issue across the entire Australian financial system in 2025, generating 9,274 AFCA complaints. Home building insurance produced 7,359 complaints for the year, up 3%.

Contractor liability and the code

Prue Monument, general manager of the General Insurance Code Governance Committee (CGC), said the insurer’s obligation in contractor-caused damage is clear. “If they’re engaging repairers or they’re engaging experts to support the claims, then the insurer also remains responsible for their compliance with the code and ensuring that the work is to quality, ensuring the work is timely to avoid these flow-on cases,” Monument said, as reported by ABC.

Since January 1, 2022, insurance claims handling has been regulated as a financial service under the Corporations Act 2001, carrying a statutory obligation to act efficiently, honestly, and fairly. Industry-wide compliance data from the CGC reinforces the systemic dimension. The committee recorded 70,325 code breaches in 2024-25, a 20.5% rise year-on-year. Claims-related failures made up 59% of that total, and the requirement to provide policyholders a progress update at least every 20 business days was breached 18,350 times – up 67%. The CGC imposed sanctions on two insurers for systemic claims and complaints handling failures, overseeing $2.9 million in remediation payments to 13,528 consumers.

Erin Mulally, director of advice at the Financial Rights Legal Centre, said contractor-driven delays were a pattern across the industry. “Part of the poor claims handling practices that we’ve seen are when insurers are engaging experts that produce poor repairs that then have to be rectified,” Mulally said, noting some cases had extended to two years.

Trust data and code reform

CHOICE research published in 2026 found trust in general insurers at 17% – the lowest point in 11 years of the survey. Monument said clarity and accessibility of communication had become critical as premiums continued to rise, with Finity reporting in February 2026 that home insurance premiums had risen 51% over five years. The Insurance Council of Australia’s (ICA) public consultation on a redrafted General Insurance Code of Practice closed on July 21, 2026 – the day before the Balzan story published. The redraft draws on the Industry Action Plan of March 2025, following the Independent Code Review and the Parliamentary Flood Inquiry. A notable new provision is automatic claim acceptance: home and motor claims would be accepted after 12 months without a decision, subject to defined exceptions. The Balzan claim, lodged September 2025, is approaching that threshold.

Drew MacRae, principal of policy development at the Financial Rights Legal Centre, welcomed the enforceability shift but said approximately 30% of existing code clauses had “either disappeared or in some way have gone backwards,” describing broadened delay grounds as functioning “like a get-out-of-jail card.” The ICA said the revised code would be “contractually enforceable, strengthening every commitment insurers make and giving consumers clear new avenues for redress.”

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