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How to Navigate the Insurance Claims Process in Several Easy Steps
How to Navigate the Insurance Claims Process in Several Easy Steps

Posted on April 16, 2024 | by | Posted in Insurance

Making an insurance claim can seem daunting and overwhelming on the first attempt. Here at Matrix Insurance, we want all our clients to feel comfortable and secure in the process, so we have broken it down and created the following guidelines. The exact nature of some of the following steps depends on the reason for the claim, but most hold true in any circumstance and will facilitate the smooth processing and payment of your claim. 

Gather information 

The more information you have about an insurance claim, the easier things will be. Provided you have the means and it is safe to perform the following actions, it is far better to have too much information than too little.

  • Take as many photographs and videos of the scene or related areas as possible. Common sense will dictate this; you must not endanger yourself while documenting unsafe areas or items. 
  • Create a list of the items you wish to include in your claim, and try to note where and when they were purchased. If you have receipts for items, attach those to the list. 
  • If you were present, write a clear, concise account of the events as you saw them unfold. If emergency officials attended the scene, ask for their badge numbers and a reference number for the incident. List the names of any witnesses or involved parties. 
  • If a building has been damaged, document and list any affected structural elements, flooring, or large pieces of furniture if they are safe. 

Making the claim

Your insurance provider should provide clear instructions for making your claim; do not hesitate to contact them if you need clarification. If you have friends or family members familiar with making insurance claims, draft them in to help relieve some of the stress and burden. Work systematically through the instructions and check off each action once completed. 

  • If the provider informs you that your inability to provide documentation precludes you from continuing your claim, seek legal assistance. 

Assessment

Your insurance provider may send an assessor to your location. It is critical to be as honest and cooperative as possible, showing them any relevant items and locations and running through the story again if necessary. The assessor may wish to conduct interviews, speak with independent witnesses, and review the reports filed by any attending emergency services.

  • Most importantly, only sign documents once you agree and understand the details and repercussions. You may wish to seek legal advice before signing.

Facilitating faster payments

If you are in a dire financial situation, insurers are required to do everything possible to fast-track your claim. The General Insurance Code of Practice implicitly states this, and you should familiarise yourself with its contents and mention it if necessary. An advance payment must be made within five days of your demonstration of financial difficulties. This will be deducted from your final balance. 

  • If problems occur or the insurer refuses to adhere to the code, you can request a review or complain to the Australian Financial Complaints Authority (AFCA).

Timeframe and final steps

Your insurance company must inform you of its decision within ten business days of receiving your claim unless it requires more information and assessments.

  • If, under normal circumstances, you haven’t received a decision from your insurer within those ten business days, you may wish to write a letter of complaint or request an internal review of the matter.

Rejected claims

If your claim is rejected and you believe it is unfair, ask your insurer to review it internally. If they do not respond within fifteen business days or the matter is unresolved, you can escalate proceedings to a senior level within the company. They then have forty-five calendar days from that point to give you a final assessment of their decision. If your complaint remains unresolved, contact the AFCA and request an independent review. This request must be made within two years of the final decision. 

  • If you remain unsatisfied with the result of these investigations, you can pursue the matter in court at your own expense. 

Luckily, most insurance claims never reach the latter stages of these guidelines, so it is acceptable to be aware of your rights and tackle each phase as and when it occurs. 

Contact us

If you want to learn more about Matrix Insurance and our comprehensive range of quality insurance policies, please do not hesitate to contact us. Our trained, knowledgeable staff are standing by to assist in any way they can. Our reputation as a trusted broker means everything to us, and this is built on honesty and professional integrity. We will never try to sell you unnecessary insurance coverage and will always give you open, honest advice on the best course of action in your circumstances.

Comparing Business Insurance and Providers: What to Look For
Comparing Business Insurance and Providers: What to Look For

Posted on March 04, 2024 | by | Posted in Insurance

It goes without saying that in the modern world, all businesses require some insurance. Whether it is to protect themselves and their property should a natural disaster strike or ensure that any mistakes and accidents affecting outside parties are covered, the list is long and complex. So, where do you begin comparing business providers and the policies they offer? Here at Matrix Insurance, we have gathered a series of tips and strategies to employ and created a brief guide to help you through a process many people find daunting and stressful.  

Opt for proven, reputable insurance companies

As tempting as it may be to lean towards smaller, more obscure insurance companies that offer lower premiums, they must first be recognised as financially stable and robust enough to provide protection. Many independent agencies exist that evaluate insurance companies and will grade them according to a range of factors. Seek out those grades and dismiss those that do not make the cut, switching your focus to reputable companies. 

Insurance companies are not renowned for their flexibility or tendency to make exceptions but remember, they are keen to get your name on the dotted line. The insurance industry is filled to the brim with competing providers, and they may be prepared to strike a deal. This is where the assistance of professional insurance brokers like Matrix Insurance Group can be invaluable, as they will have an in-depth understanding of the market at any given moment and which buttons to push to secure the best deals. 

Don’t assume all insurance quotes are created equally

The last thing you need if the time comes to claim on your insurance is a policy that only provides part of the coverage you require. We will look at the specific details to check for shortly but be aware that differences exist and can be fundamental to the efficacy and value of your chosen policy.  

What kind of insurance does your business need?

Although many businesses fall into the same categories for convenience and ease of organisation, no two are ever truly the same. From premises style and location, staff numbers and stock levels, environmental issues, and more. Some common types of business insurance options for Australian business owners include:

  • Cyber Liability—Protection against losses from a malicious data breach or other digital issues, from viruses to accidental emails and misplaced hardware.
  • Business Insurance Pack—Coverage for accidental damage to your property, usually including your business premises and its contents, plus any stock therein. 
  • Commercial Property/Building—Similar to Business Pack Insurance, this insurance covers any loss or damage to the building, loss of rent due to said damage, and the property owner’s liabilities.
  • Public Liability—Necessary for businesses of all types and sizes, this insurance provides cover if any member of the public is injured or has their property damaged due to your business activities. This includes them spending time at your location and any employees working outside the premises under your instruction. If a brick falls from a hod through a car window, you need public liability insurance to protect yourself. 
  • Professional Indemnity—This insurance protects against claims of alleged negligence or breaches of duty during the delivery of professional services of any kind.

Coverage and exclusions

When comparing business insurance quotes, carefully reviewing each policy line and benefit is essential. Luckily for consumers, Australian regulations mean that insurance companies must lay out their policy benefits and exclusions in a clear, straightforward way. Gone are the days when the fine print is used to hide unsavoury elements of any policy in the hope that it will not be noticed. If an insurance company offers confusing, unclear coverage descriptions or seems vague and unhelpful, dismiss it immediately. There are dozens more, and it is a competitive buyers market.

  • Coverage—The maximum liability or risk the insurance company is prepared to pay for.
  • Exclusions—Anything not covered by the insurance policy for any reason. 

Compare policy financial limits and deductibles

When comparing your shortlist of business insurance providers, do not neglect any limits or deductibles they apply to a given policy. 

Limits—represent the stated maximum amount the insurance company will pay in any given circumstance. If your business is more susceptible to external claims due to damage or injury, you should focus on policies with higher liability limits at the expense of property coverage and vice versa. 

Deductibles— The amount you will be liable to pay yourself before the insurance company steps in to take the burden. Most are familiar with deductibles when renting a car or purchasing vehicle insurance. Higher deductibles usually mean lower premiums.

Additional considerations

Before you begin this process, carefully assess your reasons for purchasing business insurance and research your legal responsibilities. Certain types of businesses can only legally interact with clients if fully insured with the correct policy, so do your homework carefully and know where you stand regarding your responsibilities. 

If you can avoid choosing your policy based on premiums alone, you open yourself up to a superior range of options and levels of coverage. Small businesses often operate on a fiercely tight budget, especially in the early days, and it is tempting to select the cheapest policy, but that can be a costly mistake. 

Conclusion

Comparing as many business insurance quotes as possible is crucial to getting a good feel for the market, what to expect, and understanding how the process works more accurately. Give yourself ample time to complete the process satisfactorily and feel confident you have covered all the bases. If in doubt, speak to reputable insurance brokers like Matrix Insurance Group and let them take the weight off your shoulders and handle the job for you. Key factors to focus on include:

  • Risks to your business
  • Exclusions
  • Coverage limitations

Contact us

If you wish to learn more about our role as one of Western Australia’s leading insurance brokers, please do not hesitate to contact us at your earliest convenience. With an experienced, knowledgeable team and unrivalled access to more than 120 competing insurers and underwriters, we can offer you incredible choice and flexibility, no matter your business model. We look forward to speaking with you in the near future and hopefully partnering with you moving forward. 

Breaking down the differences: public liability vs professional indemnity insurance explained
Breaking down the differences: public liability vs professional indemnity insurance explained

Posted on March 04, 2024 | by | Posted in Insurance

The world of insurance can be a little overwhelming to navigate, and understanding whether you need public liability or professional indemnity insurance is one of the complexities that many people come across. There are instances where you may need both depending on your profession but in short, public liability protects you against lawsuits for damage or injury that may occur to a customer or their property, while professional indemnity insurance is to cover you personally in the event of professional negligence or errors. Let’s look a little deeper into what this means.

Public liability

Public liability is a type of insurance suited to any sized business that could potentially be sued for damages arising from a client or member of the public claiming they were injured or had property damage due to your business activities. Examples of public liability claims could include a customer slipping on a wet floor and sustaining injuries or a delivery driver damaging a customer’s letterbox as they entered the driveway. 

Professional indemnity

Professional indemnity insurance will cover you personally against a client or patient bringing charges of negligence. You may be a surgeon who performed a procedure your patient was not happy with or a financial adviser who has a client who feels you gave bad advice resulting in a significant financial loss. Essentially, professional indemnity insurance is to ensure that any costs associated with a dissatisfied customer who feels you were negligent in performing your professional services are covered.

How to tell which insurance you need

Some industry and registration requirements for certain professions and trades will dictate which insurance you need; however, the best way to discover what is required to keep you covered appropriately is to consult an experienced insurance broker such as Matrix Insurance. While there may not be a regulatory requirement for certain insurance, assessing your risk status will reveal if you need public liability insurance, professional indemnity, or both.

Public liability cases

To execute a public liability insurance claim, a member of the public will first need to establish that you failed to exercise a duty of care. In this event, their injury or damage could have come about from faulty equipment, maintenance issues, or avoidable hazards that could have reasonably been rectified or cordoned off before any injuries occurred. Examples include an overloaded shelf collapsing and crushing a customer, a puddle on the floor causing a slip hazard, or perhaps you have a lot of moving machinery in an area the public can access, allowing for accidental collision or impact injury.

Professional indemnity cases

Typically, we would think of professional indemnity as a type of insurance that is attributable to healthcare professionals and malpractice lawsuits. It actually extends to all professions, with examples being an IT consultant accused of breach of confidentiality, an accountant making an error that causes serious financial issues, or a lawyer accused of misrepresentation. If you offer services that could cause financial losses or physical injury, professional indemnity will keep you covered for any potential costs arising from claims of malpractice.

Costs associated with lawsuits

If a claim is made against you there are several types of damages that you could be liable for. Medical costs, compensation based on the severity of the injury, construction costs in the case of property damage, and loss of income could all be brought against you. Couple this with your legal fees and potentially the legal fees of the person suing, it can amount to quite a substantial sum of money. Having the appropriate insurance safeguards you in the event of a claim against you, seriously affecting you and your business financially.

Where to from here?

If you are still unsure if you need public liability insurance or professional indemnity insurance, consider this. Does the service you provide have room for error? Is there a possibility you may cause property damage? Are there any hazards within your premises that may cause injury? From something as simple as serving coffee that burns a customer, or a lawnmowing service that accidentally breaks a window from a stone flying up, or a masseuse who may have gone a little too hard on a person’s body, the potential for lawsuits or claims for compensation are constantly present.

The vast number of options available in the market when considering insurance makes it a wise choice to enlist an experienced insurance broker. Find someone with a proven track history of successfully finding the best insurance for their clients such as Matrix Insurance. With a nationwide client base, and a wealth of access to some of the best insurers in Australia, the ideal match for your insurance needs is but a phone call away.

The Risks of Underinsurance: Why You Should Be Cautious
The Risks of Underinsurance: Why You Should Be Cautious

Posted on January 10, 2024 | by | Posted in Insurance

Securing comprehensive insurance coverage in today’s dynamic business landscape is a crucial element to maintaining success, security, and peace of mind. However, many businesses are not aware that they are underinsured, and this could have devastating repercussions if they ever need to claim. In today’s blog post, we want to explore the risks of what might happen when businesses find themselves underinsured. 

First of all, we need to understand underinsurance 

Underinsurance can occur when a business doesn’t look into the details of its insurance and fails to secure adequate insurance coverage to protect its assets and liability completely. This detrimental shortfall can happen for various reasons, including misjudgement of the company’s value, a failure to reassess coverage needs over time, or a misunderstanding of the potential risks they might face. 

Why might underinsurance occur?

Incorrectly assessing the value of a business – One of the most common reasons is inaccurately assessing the overall value of a business. As a business grows, assets, revenue, and potential liabilities evolve with it. Failing to regularly reassess all these things can result in outdated, inadequate coverage. 

Cutting costs – In an attempt to reduce costs, businesses sometimes opt for minimal insurance to keep their premiums low without fully understanding the potential risks involved. Even the shortest term of cost-cutting measures can expose a business to significant risk. 

Failing to anticipate risks – Sometimes, businesses may underestimate the potential risks they face and fail to anticipate emerging ones. Without an in-depth understanding of potential threats, a business might not purchase enough coverage against them. 

The risks of underinsuring a business 

Unfortunately, businesses underinsuring themselves is a common occurrence, so it is essential to understand the risks involved when a business fails to assess everything correctly. 

Financial vulnerability – When a business is underinsured, the most immediate risk is its vulnerability. In the event of significant loss, property damage, theft, or natural disaster, it may be likely that the business will never get back on its feet. 

Facing legal consequences – underinsurance also exposes businesses to legal consequences if they are unable to fulfil financial obligations that arise from liability claims. This can result in long-lasting disputes, hefty fines, and damage to its reputation. 

Limited recovery options – Inadequate coverage may also limit business recovery options. This can impact replacing damaged assets, mitigating the financial impact of lawsuits, recovering from cyberattacks, and much more. 

Find out how to avoid underinsuring your business. 

If you are unsure if your business has been assessed incorrectly for its insurance packages, it is essential to look into it immediately. Matrix Insurance Is proud to provide trusted insurance solutions to businesses in Perth and all over Australia. If you want to mitigate risk, we are the ones you need. Our comprehensive risk assessments ensure you understand all potential risks to your business. We also regularly assess your business and review its coverage so it always aligns. Our customised insurance solutions and business expertise are what you need to keep your business safe. 

Why Professional Indemnity and Liability Insurance is Essential for Marketing Consultants
Why Professional Indemnity and Liability Insurance is Essential for Marketing Consultants

Posted on January 10, 2024 | by | Posted in Insurance

For marketing consultants, business revolves around navigating the intricacies of client expectations and the challenges within their industry. When it comes to safeguarding your practice, it should always be of the utmost importance. Professional indemnity and public liability insurance act as indispensable protection against potential risks, providing a tremendous amount of financial protection and peace of mind. This is why we want to discuss what they both mean to your business and the genuine risks of operating without them. 

Knowing what professional indemnity and liability insurance is 

Professional indemnity insurance – This is designed to protect businesses and professionals from any legal action that may arise from the professional advice or services they provide. For marketing consultants, this can cover claims for errors, negligence, or omissions arising when providing services to clients. 

Liability insurance – This encompasses public and product liability, protecting against claims that relate to property damage or bodily injury caused by the consultant’s business operations or on their premises. The public aspect focuses on incidents involving clients or third parties, while the product extends coverage to the potential harm caused by products or services. 

Four primary risks that can be avoided with indemnity and liability insurance 

Though the risks can extend to several things, there are four primary risks we believe are the most important to discuss: legal consequences, financial strain, property and personal injury claims, and damage to client relationships. 

Legal consequences – For marketing consultants, nothing is certain. The nature of the game is to provide strategic advice and creative services, so if a client doesn’t do well from a decision, there is a chance they will take legal action. Without professional indemnity insurance, one could face a significant legal battle. 

Financial strain – Without insurance, you may be responsible for legal costs and compensation, potentially threatening the stability of your business. In today’s business climate, it is uncertain what legal costs will come your way, so being protected is imperative. 

Property and personal injury claims – Marketing consultants often deal with clients on their premises. Without the correct liability insurance, there could be legal claims if a client or third party sustains an injury or property damage relating to your business. 

Damage to client relationships – Legal disputes can be detrimental to client relationships and significantly decrease levels of trust. Even if the claim is unfounded, the existence of legal action being taken against you can create massive tension. Professional indemnity insurance aids you in navigating such situations, preserving client trust, and maintaining professional standing. 

Protecting yourself has never been easier 

If you run any sort of business, you need an insurer who understands its unique risks. Matrix Insurance offers seamless access to professional indemnity and liability insurance, eradicating your concerns for the future. Our team are proud to be at the helm of Australia’s insurance industry, creating tailored solutions governed by our expertise and passion for our work. If you want an easy time and professional advice to keep your business safe, Matrix Insurance is your go-to place. 

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