/ 31 May 2016

2015 Ombudsman report reveals SA’s top short-term insurers

The results of the latest report
The results of the latest report

The Ombudsman for Short-Term Insurance (OSTI) has released her report for the 2015 calendar year. The OSTI is an independent body to whom clients may complain if they feel they have been unduly treated by their insurer regarding a claim. 

The OSTI lists, per insurer, some key statistics:

·       The referral rate, which shows the number of complaints to the OSTI per 1 000 claims received by the insurer.

·       The overturn rate, which shows what percentage of OSTI complaints finalised were overturned with some benefit given to the complainant. 

For the second year in a row, OUTsurance has comfortably beaten the industry averages for both of these key indicators. Of all the typical large short-term insurers, OUTsurance’s referral rate of 2 complaints per 1 000 claims was second only to Zurich Insurance. 

When looking at the overturn rate, however, OUTsurance was ahead of the pack, with only 13% of its complaints overturned in favour of the client. The product of these two key indicators gives a more complete picture of how fairly an insurer has handled its claims. In this regard, OUTsurance outperformed all its major competitors, with an overturn rate of only 2.3 claims per 10 000 claims processed. This is 38% better than the next major competitor and approximately one-third of the average of the major insurers.

“We came out tops for the second year running and I am very pleased. The OSTI report is proof that our company has the right approach to dealing with claims. Fair treatment and awesome service to our clients when they claim is the most important thing we do”, said Ernst Gouws, chief executive of OUTsurance.

“A massive thank-you to all of our claims staff for living our company values, and ensuring our clients ‘Always get something out’” Gouws concluded.

See more on this story here.

Source – 2015 Ombudsman annual report, available at  www.osti.co.za/annual-reports.html