Waiting for a decision, another assessment or repairs that never seem to start? Claimboost reviews stalled insurance claims to identify what is holding them up and what needs to happen next.
If we take on your claim, we deal with the insurer on your behalf, ask for specific answers and follow up the unresolved issues.
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You lodged the claim and provided information, but the insurer has not clearly said what it accepts or what is still outstanding.
Reports, inspections and document requests keep coming, without an explanation of what remains unresolved or how another assessment will help.
The insurer has accepted the claim, but the repair scope, start date, settlement offer or payment is still unresolved.
Send a short timeline and the insurer’s latest correspondence. We can review the position and explain whether Claimboost may be able to assist.
An update that says “your claim is being assessed” may tell you very little. You need to know what question remains unanswered, what information is needed and when the insurer expects to decide.
We review the claim timeline against the requests, reports and responses already exchanged. That helps identify whether the delay relates to missing information, an unresolved assessment or work that has not progressed.
Our review looks at:
For example, if you sent an invoice weeks ago and are told it is still outstanding, the email record can help resolve that specific issue. If all requested material has been acknowledged, the next question is what enquiry remains open.
Identify the missing information, the next action and the expected response date.
Check what has been completed and why further investigation is being requested.
Another inspection can be necessary. It can also leave you uncertain when the insurer has not explained what the earlier assessment failed to resolve.
We examine the sequence of reports and requests. What was each specialist asked to assess? Was the report completed? Did it identify a genuine gap, or is the next appointment repeating work already done?
We look for:
Where there is a technical disagreement, we identify the question that needs an answer. A builder, engineer, hygienist or other qualified specialist may need to provide further evidence. Our role is to review how that evidence affects the claim and the insurer’s position.
Acceptance is one step. The scope, repair arrangements, settlement amount and payment process may still need to be resolved.
We check exactly what the insurer has accepted and what is preventing the next action. A claim waiting for a quote needs a different response from an agreed settlement that has not been paid.
If a missing scope item or disputed amount is holding up the claim, we address that underlying issue as part of the review. Advocacy cannot remove every shortage of trades or materials, but it can focus the discussion on the work and decisions still required.
Establish what is preventing the repair, settlement or payment from progressing.
Tell us how long the claim has been open, what the insurer last said and what you are still waiting for. We will review the information and explain whether there is a useful next step for Claimboost to take.
We are best suited to established, complex claims where progress has stalled. These are useful points to include in your enquiry.
The insurer gives a date for a report, decision or repair step, then misses it without explaining what changed or when it will act.
You can show when you supplied the information, but the claim remains on hold and nobody explains whether something different is needed.
An assessment has been completed, but you cannot establish whether the insurer has reviewed it or what decision follows from it.
The claim is accepted, but the scope, authorisation, repair arrangements or settlement remain unresolved despite repeated follow-up.
The response repeats general updates without answering the specific questions or missed commitments you raised.
We start with the current position and the record of what has happened so far.
Give us the lodgement date, insurer and last meaningful action. Explain whether you are waiting for a decision, report, repairs or payment.
Share the latest correspondence, any written decision or offer, and the documents showing the delay. Include complaint responses if you have them.
We explain the issue we can identify, what remains unclear and whether the claim suits our service. If we cannot add value, we will tell you.
If we offer advocacy, we explain the work and fee arrangement before you proceed. The initial review is free and carries no obligation.
For claims we accept, we organise the outstanding issues and communicate with the insurer with your authority.
“We are still assessing your claim.”
A document is requested after you already sent it.
Another inspection is arranged without an explanation.
A report is said to be with another team.
Repairs are accepted but there is no start date.
A settlement is discussed but payment has not followed.
A new case manager asks you to start again.
The complaint response does not answer your concerns.
The initial review identifies whether we may be able to assist. Further work depends on the claim and the agreed engagement.
We look at the stage of your claim, the length of the delay and the information available to assess whether our involvement could be useful.
We organise the important dates: requests, document submissions, inspections, decisions, promises and complaints. This shows where progress stopped.
With your authority, we examine available correspondence and reports to identify unresolved questions, inconsistent explanations or information that has not been addressed.
We check whether the delay is connected to an incomplete scope, missing authorisation, disputed offer or outstanding payment requirement.
For accepted engagements, we request specific answers, follow up agreed actions and keep a written record of the insurer’s response.
Where appropriate, we help present the delay, supporting evidence and requested outcome through the insurer’s complaint process or an AFCA complaint.
Claimboost reviews suitable delayed general insurance claims by phone and online. We work with policyholders in capital cities, regional centres and remote areas.
We review the circumstances before confirming whether we can assist. The relevant policy, claim stage and reason for the delay matter more than the number of days alone.
There is no single timetable for every claim. For subscribing insurers and claims covered by Part 8 of the General Insurance Code of Practice, the benchmarks include:
| Step | Code benchmark |
|---|---|
| Progress updates | At least every 20 business days. |
| Response to routine progress enquiries | Within 10 business days. |
| Acceptance or denial after all relevant information is obtained and enquiries are complete | Within 10 business days. |
| Acceptance or denial from claim receipt | Generally within four months, subject to exceptions. |
Part 8 applies to retail insurance. Exceptions and alternative timeframes can apply; these figures are not universal deadlines for every business or strata claim. A coverage decision is also different from completing repairs or making payment. Read the current Code.
The insurer may need to clarify the cause, extent or value of the loss. Ask what each request is intended to resolve. If you already supplied the document, provide the original submission date and ask whether it was received. If a different document is needed, ask the insurer to identify it clearly. We can review the request history as part of a suitable claim dispute.
Send a written request naming the specific action you are waiting for and the date of the last update. Ask what remains outstanding and when the next action is expected. For example:
My claim was lodged on [date]. I supplied [documents] on [date] and am still waiting for [decision or action]. Please confirm what remains outstanding, who is responsible for the next step and when I can expect a response.
Keep that request and any reply. If the issue continues, make a formal complaint that sets out the delay and the response you want.
Acceptance does not always mean the final amount has been agreed. Check whether the insurer is still assessing the loss, preparing an offer, waiting for agreed documents or processing an approved payment. If payment has been agreed, ask for written confirmation of the amount, any outstanding requirements and the expected payment date. Claimboost can review those records to identify the disputed or incomplete step.
Tell the insurer promptly and keep a dated record of what has changed. Photographs, repair advice and invoices can help show the impact. Ask the insurer to address any temporary protection, accommodation or other support you need under the policy. Additional costs or damage are not automatically covered; the cause, policy and circumstances need review. Do not wait for a Claimboost appointment to report an immediate safety issue or urgent need to the insurer.
Start with:
Include the policy schedule and relevant policy wording where available. Send what you have and identify the next action you are waiting for.
Write to the insurer through its complaint process. Identify the claim, the delay, the key dates and the action you want taken. Attach the relevant records and keep a copy. If the complaint remains unresolved, AFCA may be available under its rules. AFCA is free for consumers, and you do not need a paid advocate to lodge a complaint. ASIC Moneysmart explains the complaint process.
Where the Code’s complaint provisions apply, the benchmark is a decision within 30 calendar days. If the insurer cannot decide in time, it must explain the delay and AFCA access in writing before that deadline. Code, Part 11.
Sometimes. A prolonged delay, repeated assessments or unanswered evidence may justify a review before a final decision. If the claim was recently lodged and normal assessment is progressing, full advocacy may be premature. We are generally best suited to established, complex disputes where there is a clear issue to address. You do not need to wait for our assessment to follow up or complain to your insurer.
The initial claim review is free and carries no obligation. It helps us understand the delay and assess suitability; it is not a full investigation. If we offer advocacy, we explain the proposed work and fees before you agree to proceed. Booking a review does not authorise us to act for you or commit you to paid work.
No. We can identify outstanding issues, seek explanations and support appropriate complaints, but we cannot control the insurer’s response, specialist availability or repair capacity. If we accept your claim and you authorise us, we can communicate with the insurer on your behalf. Outcomes depend on the claim circumstances, evidence and policy. Claimboost provides claims advocacy, not legal advice.
Tell us what you are waiting for, how long it has been outstanding and what the insurer has said. We will discuss the information available and whether Claimboost may be able to help.
Have the latest correspondence and important claim dates available if you can. The initial review is free, with no obligation to proceed.
If the information provided shows the claim is outside our service, we will let you know.