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Insurance · 1 min read

Insurance claim declined: first review steps

A draft guide to reading an insurance decline letter, gathering evidence, and preparing an internal review or AFCA complaint.

Read the reason slowly

A decline letter should explain why the insurer says the claim is not covered or why the amount is lower than expected. Highlight policy terms, exclusions, evidence requests, and deadlines.

Build your review bundle

  • The policy schedule and product disclosure statement
  • The claim form and insurer letters
  • Photos, reports, invoices, or expert evidence
  • A short timeline of the event and claim handling
  • The outcome you want the insurer to consider

Escalation path

Start with the insurer internal review process. If the issue remains unresolved, AFCA may be available for eligible disputes.

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Owner: Fairgo content team (draft) · Last reviewed 2026-04-29 · Draft content — legal review pending before production. Review due 2026-07-29.
Insurance claim declined: draft review steps | Fairgo