If you're our client and you or your family needs to make a claim – relax, there's a plan in place to help and we’re here for you- Drew Browne - Director Sapience
Our claims assist service is called Priority #1 Our clients call it a promise kept - and it's routinely included in all our insurance advisory services for all our clients.
Some insurance claims are straightforward like claiming on a Life Insurance policy.
But when you need to claim for a Medical Crisis, Terminal Illnesses, a sickness or injury covered by Income Protection or a longer-term Total and Permanent Disability (TPD) - this can quickly become a complex and drawn-out process.
Often numerous medical, psychological and pharmaceutical reports are needed to support a complex claim. Now if you’ve seen multiple doctors, perhaps you’ve moved house, maybe the original medical records have been moved to offsite storage and perhaps historical documents are held at different medical centres (that have now either moved, combined or sold) – these realities add to the delays and uncertainty.
A claim is never just about the money—it's also the acknowledgement and respect of the individual, closure, privacy and dignity (often for their family and or business too) at a very difficult time in their life.
We’re automatically here to help you and your family (whether that’s biological or logical) through the claims process should that ever occur so that your case doesn’t stall in some claims managers ‘too hard basket’.
Tip: People often mistakenly confuse general insurance companies with personal insurance companies. We describe the difference this way: general insurance is about things and personal insurance is about, well, people.
We’ve overseen millions of dollars in claims for our clients so we know how to navigate through the life insurance claim systems and skillfully advocate for your best interests.
Tip: Did you know that a Total and Permanent Disability (TPD) claims usually have an initial 6 months waiting period before a claim can be made?
Tip: Did you know that some claims result in partial payments and degenerative health conditions like cancers, MS and Leukaemia often result in multiple claims needing to be made on the same policy over time?
Data from the Australian Prudential Regulation Authority (APRA) shows that, for the year ending 30 June 2016, at least $8.2 billion in net policy payments were made by life insurers.
When you need to claim on your personal insurance policy, people without a financial adviser can often feel underrepresented and vulnerable to a corporate system of red tape, delays and uncertain futures.
So what are the options available?
Frustrated with the DIY approach, a potential avalanche of paperwork and uncertainty about how to practically manage a difficult personal situation, some people turn to a lawyer to lodge a claim for them.
Everything slows down...
When a lawyer submits an insurance claim on behalf of their client to a life insurance company, the claim routinely leaves the usually claims process and gets diverted to the insurance company’s internal legal team to manage.
These legal teams are usually smaller than their claims team, work slower and well – you can probably guess what this means for the speed of a claim payment.
This is probably not what you want at this time of life.
First, we read the relevant policy wording to make sure we understand where you stand and what’s needed to prove the claim.
Then, we can decide if we want to work together.
Our Priority #1 system then takes over the process and our team works with an agreed timeline shared with the relevant claims assessor and your medical professionals.
If you're not an original Sapience client but would like to use our Claims Assistance Services, our fee is simple
When you’ve spent 10 years in courts presenting and winning cases and then combine that legal insight with 18+ years in specialist risk insurance services, you learn what’s needed and how to navigate around the different systems.
Put our significant capability into your personal situation and benefit from our expertise.
An insurance claim is for many of us a difficult part of life. How we get past that part of life depends upon what we do today to prepare for it tomorrow.