How to Complain
It is Arch Insurance Australia (“AUAL Australia”) intention to provide an excellent service to all our customers; however, we recognise that there may be occasions when you feel that this has not been achieved. If you are unhappy with any aspect of the service that you receive, please contact either your usual insurance adviser or:
The Complaints Manager
Arch Insurance Australia
Level 11, Suite 11.02
360 Collins Street
Telephone: +61 3 9629 5444
Please state the nature of your complaint, and, if applicable, the policy and/or claim number, the name of any claim handling organisation with whom you have been dealing and their reference number.
- We will issue an acknowledgement of the complaint promptly, giving an indication of the action that will be taken and the time-scales.
- We will investigate the complaint and respond within 15 business days provided we have all necessary information and have completed any investigation required. In cases where further information, assessment or investigation is required, we will agree reasonable alternative timeframes.If you remain dissatisfied after our response, please contact Lloyds Australia Limited as explained onthe attached “What to do if you have a complaint” brochure.
The existence of this complaints procedure does not affect any right of legal action you may have against AUAL Australia.
What to do if you have a complaint?
Lloyd’s is the world’s specialist insurance and reinsurance market, bringing together an outstandingconcentration of underwriting expertise and talent.
In Australia, Lloyd’s is proud to be a member of the Insurance Council of Australia. Lloyd’s has adopted theGeneral Insurance Code of Practice subject to certain specific qualifications. You can obtain a copy of the code at www.codeofpractice.com.au
Our aim is to provide the highest service to our Australian policyholders and, to this end, we have developed thefollowing procedures for the fair handling of complaints from Lloyd’s policyholders.
How can we help you?
There are established procedures for dealing with complaints and disputes regarding your policy or claim. Policyholders may be able to take advantage of the complaints service, as may third party motor vehicle claimants who are uninsured and where the amount in dispute is less than $15,000.
Any enquiry or complaint relating to a Lloyd’s policy or claim should be addressed to either your Lloyd’sinsurance intermediary (“the coverholder”) or to the administrator handling your claim in the first instance – in most cases this will resolve your grievance.
They will respond to your complaint within 15 business days provided they have all necessary information and have completed any investigation required. Where further information, assessment or investigation is required, they will agree to reasonable alternative timeframes with you. You will also be kept informed of the progress of your complaint.
In the unlikely event that this does not resolve the matter or you are not satisfied with the way your complaint has been dealt with, you should contact:
Lloyd’s Australia Limited
Level 9, 1 O’Connell St
Sydney NSW 2000
Telephone: (02) 8298 0783
We will usually require the following information:
- Name, address and telephone number of the policyholder;
- Details of the policy concerned (policy and/or claim reference numbers, etc);
- Details of the insurance intermediary through whom the policy was obtained;
- Reasons why you are dissatisfied;
- Copies of any supporting documentation you believe may assist us in addressing your dispute appropriately.
Following receipt of your complaint, you will be advised whether your matter will be handled by Arch Insurance Australia or the Lloyd’s Complaints team in the UK, or what other avenues are available to you:
- Where your complaint is eligible for referral to the Australian Financial Complaints Authority (AFCA), your complaint will generally be reviewed by a person at Lloyd’s Australia with appropriate authority todeal with your dispute.
- Where your complaint is not eligible for referral to AFCA, Lloyd’s Australia will refer your complaint to the Lloyd’s Complaints team in the UK if it falls within the jurisdiction of the UK Financial Ombudsman Service. They will review your complaint and liaise directly with you.
- For all other matters you will be advised of what other avenues may be available to you.
How long will the Stage 2 process take?
Your complaint will be acknowledged in writing within 5 business days of receipt, and you will be kept informed of the progress of our review of your complaint at least every 10 business days.
The length of time required to resolve a particular dispute will depend on the individual issues raised, however in most cases you will receive a full written response to your complaint within 15 business days of receipt, provided we have received all necessary information and have completed any investigation required.
External Dispute Resolution
If your complaint is not resolved in a manner satisfactory to you or we do not resolve your complaint within 45 calendar days of receiving it at Stage 1, you may refer the matter AFCA as follows:
AFCA can be contacted by:
Post: GPO Box 3, Melbourne VIC 3001
Phone: 1800 931 678
More information can be found on their website www.afca.org.au
AFCA is an independent body that operate nationally in Australia and aim to resolve disputes between you and your insurer. AFCA provides fair and independent financial services complaint resolution that is free to consumers. Your dispute must be referred to AFCA within 2 years of the date of our final decision. Determinations made by AFCA are binding upon us.
Customers not eligible for referral to AFCA, may be eligible for referral to the UK Financial Ombudsman Service. Such referral must occur within 6 months of the final decision by the Complaints team at Lloyd’s. Further details will be provided with their final decision to you.
How much will this procedure cost you?
This service is free of charge to policyholders.