It wasn't quite true...

 
  1. Can the company decline my claim if I give them information which wasn't true when I made my claim?
  2. The company has told me that, because I included items which were not stolen in my claim for a burglary, it can decline my whole claim. Is this true?
  3. What if it's my word against the Participant?
  4. The company says my claim is fraudulent. What does this mean?

1. Can the company decline my claim if I gave them information which wasn't true when I made my claim?

Yes, if the policy allows the company to do so. Usually an insurance policy will state that you must not give it incorrect or false information when making a claim. Depending on the wording of the policy, it may mean the company can decline your claim or even cancel your policy. It can also affect any future insurance application you make. If the policy does not specifically state that you must not give the company incorrect or false information, then the company may still be able to rely on common law to decline your claim.

The consequences of making false statements to the insurer when you make a claim are very serious, so you must be sure the information you give to the company is truthful and correct. If you don't know the answer to a question, the company or an investigator asks you or you cannot remember, you should let them know that you will get back to them with the right information.

2. The company has told me that, because I included items which were not stolen in my claim for a burglary, it can decline my whole claim. Is this true?

Yes, but it depends on what the policy says. If you provide false information it can often mean your whole claim is declined and/or your policy is cancelled.

3. What if it's my word against the Participant?

The ISO Scheme is an informal scheme and, unlike a court, the ISO cannot decide who is telling the truth. Because of this limitation, the ISO will rely on the documentation provided to decide what is most likely in all the circumstances.

4. The company says my claim is fraudulent. What does this mean?

Your claim is considered fraudulent if you knew that what you were claiming for was wrong, but you did so to get the claim paid by the insurer.

Fraud is a very serious allegation and has serious consequences for any future insurance applications you may make. It can also result in the police laying criminal charges against you.