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Home / Posts tagged “#insuranceclaims”

#insuranceclaims

Videos

Video interview: New mutual insurer enters the market

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Key regulatory and compliance developments: looking back at 2024 and what’s ahead in 2025

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Issues around Budget 3.0 with tax specialist Louis Botha

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Life insurers pay out R39.5bn, with 95.6% of death claims honoured

Policies subject to underwriting had the highest payout rates in 2024, reflecting lower fraud and non-disclosure and the value of comprehensive risk assessment.

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Actuaries forge new path for life and health insurers to quantify climate risk

The first Mortality and Morbidity Impact Assessment Framework guides insurers through a structured approach to evaluate long-term climate-driven health risks.

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Neglecting maintenance? Your insurance claim could be denied

Neglecting routine home or vehicle maintenance could cost thousands in rejected insurance claims – as policyholders found out in 2024, according to the NFO.

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Insurers using tech to beat scammers at their own game

Beyond one-off fakes, syndicates are exploiting AI to reuse damage photos and cloned invoices across multiple claims.

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Sanlam flags rise in cancer-related claims, particularly for younger policyholders

Breast cancer claims increased by 33%, and prostate cancer claims soared by 41%, the insurer’s data for 2024 shows.

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Employer medical boarding doesn’t guarantee a disability insurance payout

Even when an employer’s doctor declares an employee unfit, group policy definitions such as ‘Own Occupation’ vs ‘Any Occupation’ can lead to claim denials.

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Grace period doesn’t prevent insurers from rejecting a claim

Some insurers send SMS or email reminders, but it is the policyholder’s responsibility to ensure that an overdue premium is paid.

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Future-proof cover critical as multiple illness claims climb

Discovery Life’s claims report reveals a sharp rise in repeat severe illness claims and a growing need to factor child protection into long-term insurance strategies.

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Life insurers pay a record R639 billion in 2024

Sales of recurring-premium savings policies continued to improve, while lapses of risk policies declined.

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FSP pays R50 000 settlement because of missing record of advice

A complaint over a claim for stolen jewellery prompts the FAIS Ombud to emphasise the importance of maintaining a proper record of advice.

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OUTsurance’s interim results: strong growth amid Irish losses and ESOP transition

Despite the wind-down of OUTsurance’s employee share ownership plan, CEO Marthinus Visser says the transition to a Customer Shareholding Plan will maintain employee motivation.

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Burial society ordered to pay after failing to inform policyholder of premium hike

The FAIS Ombud found that Luvuyo Burial and Consulting failed to comply with the Policyholder Protection Rules.

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Landmark ruling by UK court in business interruption test case

South Africa’s courts have taken much guidance from the judgments emerging from the United Kingdom relating to Covid-19.

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FSCA wants to know number of personal lines claims in 2024

The information will help the Authority to monitor the extent to which insurers are delivering fair outcomes for consumers.

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Expired driving permit was not material to the loss, non-life ombud rules

The insurer argued the hijacked vehicle should not have been on the road because the driver’s PrDP had expired.

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Don’t let non-disclosure sink your business: insurance insights for owners

Business owners who neglect to inform their insurers of changes risk denied claims, policy voidance, and even lawsuits.

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Jewellery insurance: don’t let warranty clauses take you by surprise

The FAIS Ombud warns that failing to adhere to warranty clauses – such as storing jewellery in a safe when not worn – can significantly reduce claim payouts.

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ConCourt’s landmark ruling on death benefits
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