AFCA COMPLAINT ASSISTANCE

Need Help With An AFCA Insurance Complaint?

If your insurer has declined, delayed or underpaid your claim and the internal complaint process has not resolved it, Claimboost can help review the evidence and prepare your dispute for AFCA.
WHERE ARE YOU UP TO?
WHERE ARE YOU UP TO?

I’m Considering AFCA

Your insurer has not resolved the complaint internally, and you want to know whether your claim is ready before you lodge with AFCA.

I’ve Already Gone To AFCA

Your AFCA complaint is underway, but you need help organising the evidence, timeline, reports and arguments.

The Insurer’s Reports Seem Wrong

The insurer may be relying on reports, scopes, quotes or findings that appear incomplete, unsupported or inconsistent.

The Offer Still Seems Too Low

The insurer has made a settlement offer, but it may not reflect the real cost, scope, risk or evidence behind the claim.

Preparing For An AFCA Complaint

An AFCA complaint is easier to follow when the dispute is clear. Before escalating, it helps to understand what the insurer decided, what evidence they relied on, what you disagree with, and what outcome you are asking for.

Claimboost reviews the insurer’s decision, complaint response, policy wording, reports, scope of works, settlement offer and claim history to identify whether the dispute is ready to be presented clearly.

PRE-AFCA

Complaint Review

Before escalating, the claim needs a clear timeline, evidence summary and outcome position.
LODGED

AFCA File

Your complaint is underway, but the evidence and dispute points may need to be sharpened.

Already Lodged With AFCA

If your complaint is already with AFCA, the way the claim is explained still matters. A long claim history, multiple reports, changing insurer positions and a low settlement offer can make the dispute difficult to follow.

Claimboost can review the material already submitted, organise the timeline, identify gaps in the evidence and help clarify the strongest dispute points before the matter progresses further.

The Insurer’s Evidence Seems Wrong

Many AFCA complaints turn on the evidence behind the insurer’s decision. This may include assessor reports, builder reports, engineer reports, hygienist reports, causation reports, investigation reports, repair scopes, supplier quotes or claim file notes. A report can influence the entire outcome of a complaint, but it is not automatically correct. It may rely on assumptions, miss important damage, use incomplete information or draw conclusions that do not match the claim history.
EVIDENCE

Report Review

The insurer’s complaint response may depend on evidence that should be tested.

NOT SURE IF YOUR COMPLAINT IS READY?

Start With A Free AFCA Complaint Review

Tell us what happened, what your insurer decided or offered, and where the complaint is up to. Claimboost can take an initial look and let you know whether there may be a path forward.

Quick self-check

Signs your AFCA complaint may need a stronger evidence review

If two or more of these sound familiar, a free review may be worth 30 minutes of your time.
01

The Final Response Still Does Not Make Sense

The insurer has responded to your complaint, but the decision still does not appear to match the policy, evidence or claim history.
02

The Complaint Relies On Reports You Disagree With

The insurer is relying on an assessor, builder, engineer, investigator or other expert report that appears incomplete or unsupported.
03

The Offer Does Not Match The Real Cost

Repair quotes, replacement costs or expert advice suggest the insurer’s settlement offer may not cover what is required.
04

The Claim Has Dragged On For Months

The claim has moved between handlers, stalled after inspections, or been delayed without a clear explanation or resolution.
05

You Are Not Sure What Evidence Matters

You know the insurer’s outcome feels wrong, but you are unsure how to organise the timeline, reports and argument.

What happens next

After you contact us

No commitment until you have had our honest first view on your AFCA complaint or insurance dispute.

  • You reach out

    Send an enquiry or call us. Tell us what happened, what your insurer decided or offered, and whether you have already complained or gone to AFCA.

  • Free 30-minute review

    We take an initial look at the decision, complaint response, reports, settlement offer, claim file or AFCA material you provide.

  • Straight answer

    We tell you whether Claimboost may be able to help. If the insurer’s position appears reasonable, or we do not think we can add value, we will say so upfront.

  • Clear fee proposal

    If there may be a path forward, we explain our role, the likely next steps and the fee structure clearly before you decide whether to proceed.

What changes when we step in

From Preparing The Complaint Alone To Having An Advocate In Your Corner

Trying to explain months of claim history without knowing what AFCA needs to understand first

Feeling frustrated with the insurer but unsure how to turn that frustration into a clear complaint
Not knowing whether the insurer’s reports are strong enough to rely on
Trying to prove the settlement offer is too low without knowing how to frame it
Submitting information without a clear outcome or argument
Not knowing whether to keep negotiating, escalate further or accept the insurer’s response

How Claimboost Helps

AFCA complaint assistance for complex insurance disputes

Free Claim Review

We take an initial look at the insurer’s decision, complaint response, reports, settlement offer and claim history to see whether Claimboost may be able to help.

Complaint Readiness Review

We check whether the claim is ready for AFCA, whether the key dispute points are clear, and whether the evidence supports the outcome you want.

Evidence And Timeline Preparation

We organise the claim timeline, decision history, reports, photos, quotes, correspondence and complaint issues so the dispute is easier to follow.

Insurer Report Review

We review the reports behind the insurer’s position and identify gaps, assumptions, inconsistencies or findings that may not be properly supported.

Cash Settlement Review

If the insurer has made an offer, we review the scope, quote, cash settlement and missing items to see whether the offer appears complete and realistic.

AFCA Complaint Support

We help prepare the complaint around the evidence, policy wording, insurer conduct, disputed reports and the outcome that appears fair and reasonable.

Homeowners who trusted ClaimBoost

    Maria
    Maria

    After months feeling lost in the maze of call centres and assessors, ClaimBoost has been a true lifesaver.

      Julian
      Julian

      Deep expertise and clear guidance at every step, removing the stress that usually comes with insurance disputes.

        Elise
        Elise

        Very helpful and knowledgeable in the complexities of insurance. I would recommend ClaimBoost.

          Maria
          Maria

          After months feeling lost in the maze of call centres and assessors, ClaimBoost has been a true lifesaver.

            Julian
            Julian

            Deep expertise and clear guidance at every step, removing the stress that usually comes with insurance disputes.

              Elise
              Elise

              Very helpful and knowledgeable in the complexities of insurance. I would recommend ClaimBoost.

              AFCA Complaint Assistance Across Australia

              Claimboost helps clients across Australia with insurance claim complaints and AFCA preparation. Whether you are in Sydney, Melbourne, Brisbane, Perth, Adelaide, Hobart, Darwin, Canberra or a regional area, we can review your insurer’s decision, reports, complaint response and settlement offer remotely.

              Our work is built around evidence, not location. We deal with insurers in writing, review the claim material, and help identify whether the complaint appears ready for escalation.

              AFCA COMPLAINT ASSISTANCE FAQS

              Questions People Ask Before Or During AFCA

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