APRA sets out expectations for life insurers and superannuation trustees when assessing insurance claims

APRA has identified a number of areas, where superannuation trustees and life insurers can improve their claim handling processes. APRA has provided a letter to RSE licensees and life insurers which coincides with a report released by ASIC on an investigation into the treatment of insurance claimants.

Regulators to focus on claim handling processes during 2017

During 2017, APRA and ASIC will work closely with the industry to provide a consistent public reporting regime for claims data and claims outcomes, including claims handling time-frames and dispute levels across separate policy types.  The data will be available on both an ‘industry’ and ‘individual insurer’ basis.

Insurance Risk

A number of superannuation trustees and insurers have projects underway to improve their claims processes. APRA will monitor the progress of these activities, and expects key risks to be recognised and actively addressed by insurers and trustees.

Group insurance arrangements in superannuation, including claims oversight and governance practices, remain an area of heightened focus for APRA and it is expected that the superannuation and life insurance industry will continue to work to improve practices in this area over time.

A copy of the APRA correspondence provided to RSE (superannuation) trustees  and life insurance companies may be found on the APRA website via these links:

Letter to Life Insurers

Letter to Chairs of RSE Licensees

A copy of the statement issued by ASIC following its investigation into the treatment of life insurance claimants may be found here:

ASIC: Industry Review of Life Insurance Claims

 

 

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