CommInsure has named two independent expert groups to oversee the insurer\u2019s review of declined life insurance claims and possible issues around its policy wording and definitions and claims handling.<\/p>\n
The insurer has appointed audit and consulting group Deloitte Touche Tohmatsu (Deloitte) as an independent expert to select and review a representative sample of declined claims over the last five years to 30 April 2016.<\/p>\n
Deloitte will use that sample to ascertain whether the declined claims need further action by CommInsure and will make recommendations to its board as to changes that could be made to its claims policies and procedures.<\/p>\n
CommInsure said the selection of claims, their assessment and the recommendations and the reporting would be carried out independently with no input from CommInsure, the CommInsure Board or the Commonwealth Bank.<\/p>\n
While Deloitte will cover past declined claims, legal firm DLA Piper has been commissioned to investigate claims made in the media in March and April of this year regarding CommInsure\u2019s policy wording and definitions, claims handling, interaction with medical practitioners, medical file and record keeping and treatment of staff and governance.<\/p>\n