Although the official wording online can get a bit dense, the actual steps are surprisingly straightforward.
1. Start by complaining to your insurer.
In most cases, you should first give the insurer the opportunity to consider your complaint through its own complaints process.
- Make it clear that you are making a formal complaint
- Explain what decision or action you disagree with
- Include relevant dates, documents and evidence
- Explain what you would like the insurer to reconsider or clarify
- Keep copies of your complaint and the insurer’s responses
A clear written record can make it easier to understand what has been disputed and what remains unresolved if the matter is later referred to the Financial Ombudsman Service.
2. Wait for their “final response.”
For most insurance complaints, the insurer should provide a final response within eight weeks. If it is not in a position to provide a final response within that period, it should explain why and tell you about your right to refer the complaint to the Financial Ombudsman Service.
If you receive a final response and remain dissatisfied, you can consider referring the complaint to the FOS, subject to its eligibility and time-limit rules. You normally have six months from the date of the insurer’s final response to make the referral, although exceptions can apply.
3. File your complaint with the Financial Ombudsman Service.
If the Financial Ombudsman Service can consider your complaint, provide the information needed to understand the dispute and the insurer’s position. Relevant documents may include:
- Your policy documents and schedule
- The insurer’s final response, if one has been issued
- Relevant photographs and videos
- Repair, survey or other professional reports
- Relevant emails, letters and call records
- Loss adjuster reports
- Other evidence directly relevant to the disputed decision
Try to organise the evidence clearly and explain why you disagree with the insurer’s decision by reference to the policy wording, facts and supporting documents.
4. The Financial Ombudsman Service reviews the complaint.
If the FOS accepts the complaint for consideration, it will review the information provided by both sides and decide what it considers fair and reasonable in the circumstances.
It may ask you, the insurer or relevant third parties for further information or evidence before reaching a view.
5. You receive their decision.
If the FOS considers that the insurer has treated you unfairly, it may require appropriate steps to put matters right. What that involves will depend on the individual complaint and may include financial redress or other remedial action.
If an Ombudsman issues a final decision and you accept it within the specified timeframe, the decision becomes binding on the financial business. If you do not accept the final decision, the business will not normally be bound by it and you may still be able to consider other options.
Accepting a final Ombudsman decision may affect your ability to pursue the same complaint through the courts, so consider obtaining legal advice if you are unsure about accepting a decision.
Has your property insurance claim been rejected?
Before escalating a complaint, it can help to check the insurer’s rejection reason, the policy wording relied upon and the evidence that was considered. Our rejected insurance claim checklist explains what to review before deciding what to do next.