Insurer Prevails in Fraudulent Rental Claim Dispute

2

The information on this website is general in nature and does not take into account your objectives, financial situation, or needs. Consider seeking personal advice from a licensed adviser before acting on any information.

The claimant asserted the lot was leased to a company as a conference facility, incurring a monthly rent of $3300, but became uninhabitable due to water damage. While QBE compensated the water damage, initially declining the rental loss claim, they later approved it after a review, disbursing $31,818 from January to October 2022.

However, concerns about the rental claim's legitimacy were raised by the owners' corporation, prompting further investigation. The claimant had provided a formal lease agreement purportedly made on October 1, 2021, but the incorporation of the tenant company occurred almost six months later. The claimant's director admitted the written lease was backdated in tandem with the claim submission, originally having only a verbal agreement, believing the document was necessary for the claim's success.

Furthermore, a rental ledger indicated payments for October through December 2021, which the director later conceded were never made, fabricated to bolster claim acceptance. QBE branded these actions as attempts to unjustly secure entitlements, enabling them to retrieve $46,830 in payments and costs.

Despite opposing the fraud accusation, stating the ledger mistake was not intended to mislead, AFCA concluded the claim was deceptive. They highlighted misrepresentations regarding the timeline of the lease agreement and rent payments as intentional efforts to deceive the insurer. Given the rent claim constituted a major part of the payout, AFCA deemed it justifiable for QBE to reclaim funds.

This resolution underscores the stringent expectations on claim accuracy and integrity, flagging potential repercussions for misleading insurance practices.

Published:Monday, 17th Mar 2025
Source: Paige Estritori

Please Note: If this information affects you, seek advice from a licensed professional.

Share this news item:

Insurance News

Clear

Celebrating Excellence: 2025 National Trucking Industry Award Winners

24 Dec 2025: Paige Estritori

The Australian Trucking Association (ATA) has proudly announced the recipients of the 2025 National Trucking Industry Awards, recognising outstanding contributions and achievements within the sector. These awards highlight the dedication and excellence of individuals and organisations that drive the industry forward. - read more

Insuregroup Achieves Milestone Amid Surge in Truck Insurance Demand

24 Dec 2025: Paige Estritori

Insuregroup, a specialist insurance brokerage serving Australia's transport and logistics sector, has announced a significant milestone, surpassing 10,000 processed policies since its inception. This achievement includes a remarkable 25% year-on-year growth in policy count, highlighting the escalating demand for comprehensive truck insurance solutions among Australian freight operators. - read more

Australia Implements Mass Limit Increase for Euro VI Compliant Trucks

24 Dec 2025: Paige Estritori

In a significant move to enhance productivity and environmental standards within the trucking industry, the Australian government has amended regulations under the Heavy Vehicle National Law. Effective from 1 November 2024, heavy vehicles that comply with Euro VI or equivalent noxious emissions standards are permitted a 500kg increase in general access mass limits. - read more

Australian Insurers Falling Behind in Risk Preparedness

24 Dec 2025: Paige Estritori

Recent findings from the PwC Insurance Banana Skins Survey reveal that Australian insurers are lagging behind their global counterparts in risk preparedness. The survey, which gathered insights from 698 insurance executives across 42 territories, indicates that Australian insurers scored 6.6% lower on the Preparedness Index compared to the global average. - read more

Rising Home Insurance Premiums in Australia

24 Dec 2025: Paige Estritori

Australian homeowners are facing significant increases in home insurance premiums, with average rates rising by 16% over the past year. This surge is largely attributed to the escalating frequency and severity of extreme weather events, which have led to higher claims and increased rebuilding costs. - read more

Click for more Insurance News