AFCA Backs Policyholder in Stolen Car Dispute

4

The ordeal began when the woman's 2013 Holden mysteriously disappeared from her street in November 2023. Despite promptly informing the police, the car was not recovered. The insurer, IAG, viewed the situation with skepticism due to the claimant's financial situation and contested the validity of the claim.

IAG's skepticism was based on an external investigation, which highlighted that the policyholder was unemployed, received Centrelink support, and had a limited bank balance. These financial conditions appeared to IAG as motives for a dishonest claim, particularly with the vehicle's insurance valued at $30,800—deemed excessive by the insurer.

Additionally, the investigator noted the police's possibility that the car might have simply been misplaced instead of stolen, and pointed out discrepancies in the claimant's account regarding the car keys and her partner's observations of the theft incident.

IAG found further support from a forensic locksmith's opinion. The expert argued that the Holden's dual factory immobilisation made it an unlikely target for auto theft.

Countering the accusations, the car owner maintained her innocence, highlighting her full cooperation with both the insurer and the police. She attributed any errors in her statements to confusion and stress, exacerbated by personal difficulties, including domestic violence.

The claimant also clarified that any prior damage to the vehicle was minor and that she had been planning repairs. Stress and relationship issues had delayed these plans. She explained that her speculation on the vehicle's possible whereabouts stemmed from the local reputation for abandoned cars.

After examining the details, AFCA determined that IAG's fraud assertions lacked substantial proof, emphasizing no clear evidence from both the police and the locksmith that implicated the claimant in the theft.

AFCA's ombudsman acknowledged minor discrepancies in the testimonies from the claimant and her partner but dismissed them as common and insufficient to substantiate a fraud claim.

The ruling ordered IAG to process the insurance claim and address $3000 in compensation for the stress induced by their claims management approach. AFCA stated, “The insurer’s accusations of dishonesty were serious yet unsupported, leading to unwarranted distress for the complainant.”

The case highlights the need for thorough evidence before allegations of fraud are asserted. Engaging with policyholders in good faith remains pivotal to fair claims handling. This incident, originally reported by Insurance News, underscores the importance of compassionate and evidence-based claim assessments.

Published:Monday, 17th Feb 2025
Source: Paige Estritori

Share this news item:

Insurance News

Clear

Asbestos Scare Leaves Hospitality Business Uninsured 04 Jul 2025: Paige Estritori The discovery of asbestos-contaminated mulch in a Sydney park led to the cancellation of a festival, resulting in significant financial losses for a hospitality business. Despite these setbacks, the company's claim for coverage under its business interruption (BI) policy was rejected. - read more

Landmark NSW Decision: Dog Walking Costs Covered in Car Crash Injury Claims 03 Jul 2025: Paige Estritori In a groundbreaking decision by the NSW Personal Injury Commission, an insurer has been directed to cover the costs of dog walking services for a car crash victim. The commission ruled that these services classify as domestic assistance under the state’s Motor Accident Injuries Act. This case could pave the way for broader interpretations of 'attendant care services' for claimants. - read more

Extreme Weather Drives $1.8 Billion in First Half Losses for Australian Insurers 03 Jul 2025: Paige Estritori Extreme weather events in Australia have resulted in significant financial impacts for insurers, tallying $1.83 billion in losses during the first half of the year. This comes as insurance companies gear up for further claims linked to ongoing severe weather in New South Wales. - read more

ClearView Names New Underwriting Head Amidst Strategic Changes 30 Jun 2025: Paige Estritori ASX-listed life insurer ClearView has announced the appointment of Peter Tilocca as Head of Underwriting, coinciding with key updates to its underwriting standards and definitions. Tilocca's extensive two-decade career in Australian underwriting includes leadership roles at Zurich, Noble Oak, One Path Life, and RGA Australia. His new role with ClearView commenced on 30 June. - read more