MLC to review claims practices

MLC has started a review process of denied disputed claims practices with a focus on critical illness, including heart attacks.

In a statement, MLC said the review process of denied claims will go back as far as 1 January 2014.

NAB Wealth's group executive Andrew Hagger said this was the "right thing to do" to provide certainty to the bank's customers.

"We are confident that we have the right claims processes in place. Providing contemporary life insurance cover to our customers with a claims process that is as simple and empathetic as possible is our priority," Mr Hagger said.

"However, we believe it is the right thing for leading insurers to do to provide customers and advisers certainty about their claims processes."

He added: "That's why we have announced that we will start a process to review denied disputed claims practices over the last two years, with a particular focus on critical illness, including heart attacks."

As part of the review, MLC will be working with independent customer advocate Dimity Kingsford Smith on the implementation of the review process to ensure that the interests of "customers are at the centre" of its work.

"We believe our claims processes are industry leading. We consciously employ health professionals like doctors, nurses, physiotherapists and psychologists in our client-facing claims teams to improve the customer claims experience, pay claims and help customers return to work," Mr Hagger said.

"And, over recent years, we have continuously improved our claims processes – including reducing the case load in our claims teams by around 30 per cent so our people can help customers more. We want customers to spend more time focusing on getting well, and less time filling in forms for us."

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+1 #3 John Edwards 2016-03-24 12:39
Johno we had a client whose family was given hell by MLC in claiming income protection at a critical time in their life. We eventually obtained the insurance payments but not after the family went through hell. What is significantly underestimated is the work that advisers are required to do mediating between the client and the insurance companies. This applies both at implementation and claim time. An analysis of time spent by advisers would help the regulators and public understand the basis of the commissions paid. Lets face it this exercize by MLC is a PR exercize. Fixing up their back office processes would be a better use of their time.
+2 #2 Johno 2016-03-23 20:21
ANNE, bag CommInsure all you want, but hold off bagging everyone else until there's a proven need (if ever). MLC are doing the industry and their clients a favour by doing this review with the expectation they wont find any issues and that outcome will just give their advisers, clients and the general public peace of mind that CommInsure was bad, not the industry. Well done MLC for leading.
+1 #1 Anne 2016-03-23 15:35
They're coming out of the woodwork now promising to review critical illness claims. Sure MLC "consciously employ health professionals etc, etc", so did Comminsure, or more to the point, Consure, but those doctors and health professionals were overridden and ignored by flinty eyed profit seeking and bonus hungry executives, and one was even sacked for his ethical stance. Nothing was revieved until ABC and SMH blew the whistle and shamed these insurers' practices. practices.

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