
DUI exclusions drive increase in motor claim disputes
Motor, homeowners’, and commercial policies again generated the most complaints to the Non-life Division, with exclusions and claim rejections driving many disputes.

Motor, homeowners’, and commercial policies again generated the most complaints to the Non-life Division, with exclusions and claim rejections driving many disputes.

Complaints to the banking ombud jumped 25% in 2025, with phishing, account takeovers, and unauthorised transactions leading the way.

The NFO’s 2025 annual report offers a glimpse into the disputes that reach the banking ombud – and the lessons they hold.

The division recorded more formal investigations in 2025, but improved turnaround times and secured almost R300 million for complainants.

Digital-banking scams, rejected funeral claims, and insurance disputes over exclusions and maintenance emerged as key pressure points in 2025.

Even though the SAPS case was marked ‘unfounded’, the NFO held this did not prove there had been no theft, and the policy claim fell within cover on the facts.

The NFO says proactive disclosure, better underwriting conversations, and stronger intermediary oversight will benefit customers and insurers alike.

The life insurer could not rely on the date of the pathology report to deny cover after premiums had already lapsed.

With 31 May approaching, advisers face a tighter window and higher stakes – choosing CPD that delivers practical value, not just compliance.

The NFO says consumers can limit costs by acting early through voluntary termination, private sale, or Sell Assist programmes.

The FSCA says the information helps it to monitor the extent to which insurers are delivering fair outcomes for consumers.

MBSE launches two practical CPD programmes to help advisers meet crypto compliance requirements and learn from ombud rulings shaping the financial services industry.

A complaint reviewed by the National Financial Ombud Scheme highlights how exclusions linked to unlawful conduct are assessed.

Insurers may reject claims where corroborating evidence places a driver at a pub, shows alcohol purchases, or records behaviour consistent with intoxication.

Expanding the Office’s mandate to include disputes involving advice will enhance member protection, but there are concerns over jurisdictional overlaps and operational costs.

While insurers can decline claims involving unroadworthy vehicles, repudiations must be linked to the cause of the loss.

From hidden VAS fees that quietly inflated balances to wrongful fraud listings, the NFO Credit Division’s interventions have secured millions in write-offs.