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How to Claim for Rejected Insurance Claims

Guide to challenging insurance companies that have wrongly rejected valid claims or unreasonably delayed payment.

9 min read
Updated 2 February 2026

Step-by-Step Guide

1

Understand the rejection reason

15 mins

Get 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.

2

Review your policy

20 mins

Read your policy carefully. Check if the rejection reason is actually valid based on the terms.

3

Gather evidence

20 mins

Collect all documents supporting your claim: receipts, photos, reports, medical evidence.

4

Make formal complaint

15 mins

Use the insurer's internal complaints process first. They must respond within 8 weeks.

5

Escalate to Financial Ombudsman

30 mins

If unsatisfied, complain to the Financial Ombudsman Service (free service).

6

Consider court as last resort

20 mins

If 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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NOT A LAW FIRM | NOT REGULATED BY THE SRA | NOT PROVIDING LEGAL SERVICES

CourtPilot provides AI-powered information tools to help you understand UK small claims procedures. We are NOT qualified solicitors, NOT regulated by the Solicitors Regulation Authority, and do NOT provide legal advice or reserved legal services. All information is for educational and planning purposes only. You are responsible for your own legal decisions.

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