These are disagreements with an insurer over a rejected claim, a reduced payout, delayed settlement, or reliance on a policy exclusion to deny cover. The battle is usually over how the policy wording is interpreted, not over whether the incident occurred.
Reviewing the policy and assessing whether the refusal is legally justified · Submitting a documented claim and grievance to the insurer · Filing before the competent insurance disputes authority · Claiming compensation for unjustified delay · Representing businesses in commercial and industrial insurance disputes.
Medical insurance claim refusals · Motor and accident insurance disputes · Engineering and contractors' all-risk cover · Marine cargo and shipping insurance · Fire and property damage cover · Professional indemnity · Disputes over exclusions and policy conditions · Delayed payment after a claim has been accepted.
When your claim is refused by a brief letter with no clear reasoning; when you are offered far less than the actual loss; when the insurer relies on an exclusion that was never drawn to your attention at inception; or when settlement drags on without justification although your documents are complete.
Insurance disputes are heard before the authority competent to determine insurance disputes and violations under the prescribed procedure, and its decisions are open to challenge. Documenting your correspondence with the insurer before escalating strengthens the file considerably.
We read the policy first: scope of cover, exclusions, notification deadlines, and the insured's obligations. Many refusals rest on a formal breach such as late notification, which can sometimes be addressed if dealt with early. We then build a reasoned claim that closes off a general refusal.
Insurers handle these files daily; you handle one. We close that gap by reading the policy with the same precision they do, with fair and competitive fees set by the value of the claim.
No. A refusal is a one-sided decision open to grievance and litigation, particularly where it is unreasoned or relies on an exclusion that does not apply to your situation.
Late notification may be used as grounds for refusal, but it does not automatically extinguish the right; it depends on the policy wording, the reason for the delay, and whether it affected assessment of the loss.
In some cases yes, where the delay is shown to be unjustified and to have caused additional documented loss.
Yes, including engineering and contractors' cover, cargo, and professional indemnity for businesses.
Send us your case details on WhatsApp and we will set out the right route and the expected fees before any commitment.