How to Claim for Rejected Insurance Claims
Guide to challenging insurance companies that have wrongly rejected valid claims or unreasonably delayed payment.
Step-by-Step Guide
Understand the rejection reason
15 minsGet the insurer's rejection in writing with specific reasons. Check these against your policy terms.
Tip: Request the exact policy wording they are relying on.
Review your policy
20 minsRead your policy carefully. Check if the rejection reason is actually valid based on the terms.
Gather evidence
20 minsCollect all documents supporting your claim: receipts, photos, reports, medical evidence.
Make formal complaint
15 minsUse the insurer's internal complaints process first. They must respond within 8 weeks.
Escalate to Financial Ombudsman
30 minsIf unsatisfied, complain to the Financial Ombudsman Service (free service).
Consider court as last resort
20 minsIf FOS cannot help or you disagree with their decision, court is an option.
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Challenging Rejected Insurance Claims
Insurance claims can be rejected for various reasons, some valid and some not. You have the right to challenge rejections and can use the Financial Ombudsman or courts.
Common scenarios: - Valid claim rejected by insurer - Unreasonably delayed insurance payout - Policy cancellation disputes - Coverage disagreements
Types of insurance: - Travel insurance - Gadget/contents insurance - Pet insurance - Car insurance (excluding personal injury) - Home insurance
Evidence You Need
Essential evidence: - Your insurance policy (full wording) - Claim documentation submitted - Rejection letter with reasons - Supporting evidence for your claim
Helpful evidence: - Premium payment records - Any representations made when buying - FCA guidance on similar issues - Expert reports supporting your claim
Tips: - Request the exact policy term they say you breached - Ask for their claims file under data protection rights - Note any verbal promises made by sales staff
What You Can Claim
Typical claim value: £50 - £10,000
You can claim: - The insurance payout wrongly denied - Interest on delayed payments - Consequential losses from the delay - Distress and inconvenience (FOS awards this, courts less so)
Financial Ombudsman: The FOS can award up to £430,000 (most cases are much smaller). Their service is free and decisions are binding on the insurer.
Common Rejection Reasons
"Non-disclosure": Claiming you did not disclose relevant information. Check if you were asked about it and answered honestly. Insurers can only reject for information that would have affected their decision.
"Policy exclusion": Claiming your situation is excluded. Read the exclusion carefully - is it clear? Does it really apply to your situation? Ambiguous terms should be interpreted in your favour.
"Late notification": You reported the claim too late. Check the policy timeframe and whether they have actually been prejudiced by the delay.
"Insufficient evidence": Ask what evidence they need and provide it. If they are being unreasonable about evidence, this itself can be challenged.
Frequently Asked Questions
Try the Financial Ombudsman first - it is free and they are experienced with insurance disputes. Court should be a last resort if the Ombudsman cannot help or you disagree with their decision. For most insurance disputes, FOS is the better route.
Legal Disclaimer
This guide provides general information about UK small claims court procedures and is for educational purposes only. It does not constitute legal advice. CourtPilot is not a law firm and is not regulated by the Solicitors Regulation Authority. The law may have changed since this guide was last updated. For advice specific to your situation, please consult a qualified solicitor or seek help from Citizens Advice.
Related Guides
Industry-Specific Guidance
We have detailed guides tailored for specific industries facing these types of disputes.
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