Insured Value Disputes: A Closer Look at Claims Resolution

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.

A recent case has sparked significant discussion around the complexities of insurance claims, focusing specifically on the insured value of personal items like jewelry.

A claimant who had a gold necklace insured for $31,500 found himself at odds with his insurer, QBE, after reporting the item's loss.

Following the claim submission under his home and contents policy, QBE offered to arrange a replacement through a designated jeweler, referred to as Jeweler P. However, the claimant sought a cash settlement instead, prompting QBE to offer $15,048, which reflected the jeweler’s estimate for a suitable substitute.

Frustrated with the compensation amount, the claimant requested the full insured value, raising concerns about the jeweler's qualifications and output quality. This scenario highlights a crucial issue: the perceived mismatch between insured sums and actual claim settlements.

According to the ruling by the Australian Financial Complaints Authority (AFCA), the determination of the claimant's compensation was chiefly based on the actual replacement costs rather than the insured amount or premium that had been paid. “The relevant consideration for the purposes of the complainant’s claim is the actual cost the insurer would incur to replace the necklace,” stated AFCA’s ombudsman.

Adding to the complexity, the claimant expressed doubts regarding Jeweler P's capabilities, citing a negative review dated two years prior. Although AFCA acknowledged the claimant’s concerns about the jeweler's reputation and his belief that the suggested replacement was subpar, these factors did not adequately justify a demand for the full insured amount. The ombudsman concluded, “I am not satisfied these matters entitle the complainant to the outcome he seeks.”

In a further analysis, it was revealed that there were discrepancies in the valuation of the necklace. While the insured necklace weighed approximately 156 grams, Jeweler P’s quote was based on a 150-gram estimate. Following this, AFCA indicated that QBE should reassess the replacement cost to align with the revised details provided by the claimant.

AFCA also denied the claimant's request for additional compensation, emphasizing that many of the delays were predominantly due to his insistence on a resolution that was beyond the policy's provisions. This case underscores the importance of understanding both the terms of an insurance policy and the mechanisms of claims processes, especially when expectations revolve around the insured values of personal property.

This incident serves as a reminder for policyholders: the sum insured may not always equate to the cash settlement in the event of a loss, and insurers are likely to adhere strictly to the actual replacement costs as outlined in policy agreements. To navigate such disputes effectively, clear communication and precise documentation during the claims process are imperative.

Details of this case were shared by Insurance News Magazine, shedding light on the finer points of insurance claims involving high-value personal items.

Published:Monday, 6th Jan 2025
Source: Paige Estritori

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

Share this news item:

Insurance News

ICA Advocates for Overhaul of Civil Liability Laws Amid Rising Insurance Premiums

07 Jan 2026: Paige Estritori

The Insurance Council of Australia (ICA) has recently released a white paper highlighting the urgent need for reforms to state and territory civil liability laws, which have remained largely unchanged for nearly 25 years. These outdated laws are contributing to significant increases in public liability insurance premiums, affecting a wide range of businesses across the nation. - read more

Soaring Insurance Premiums Threaten Australia's Leisure and Recreation Industry

07 Jan 2026: Paige Estritori

The Australian Amusement Leisure & Recreation Association (AALARA) has raised concerns over the escalating costs of public liability insurance, which are placing significant pressure on amusement and recreation operators across the country. This warning follows the Insurance Council of Australia's (ICA) recent call for reforms to civil liability laws. - read more

APRA Reports Significant Increase in Public Liability Insurance Premiums

07 Jan 2026: Paige Estritori

The Australian Prudential Regulation Authority (APRA) has released its latest National Claims and Policies Database (NCPD) statistics, revealing a substantial increase in public liability insurance premiums over recent years. According to the data, premiums have risen by 40% since 2015, a rate that surpasses general inflation and places additional financial strain on businesses across the country. - read more

ICA Advocates for Overhaul of Civil Liability Laws to Curb Rising Insurance Premiums

30 Dec 2025: Paige Estritori

APRA Data Shows Significant Rise in Public Liability Insurance Premiums

30 Dec 2025: Paige Estritori

Click for more Insurance News

Business Insurance Articles

The Difference Between Public Liability and Other Insurances Explained

Public liability insurance is designed to protect businesses against claims made by the public for injuries or damages that occur in connection with the business operations. It covers legal fees, medical expenses, and compensation costs that may arise if a customer or a member of the public is injured or property is damaged as a result of the business activities. - read more

Public Liability Insurance for Manufacturers: Are You Fully Covered?

Public liability insurance is a cornerstone of protection for businesses, offering a shield against claims for personal injury or property damage inflicted on third parties as a result of their operations. As manufacturers open their doors to employees, suppliers, and sometimes the public, they navigate a landscape rife with potential hazards. Public liability insurance becomes not just a safety net, but an essential aspect of responsible entrepreneurship. - read more

5 Things Every Restaurant Owner Needs to Know About Public Liability Insurance

Every restaurant owner needs to be familiar with the term 'public liability insurance'. This type of insurance is designed to protect your business financially in case a customer or a member of the public suffers an injury or property damage as a result of your business operations. In a bustling restaurant environment, accidents can happen—the risk of slips, spills, and other mishaps is ever-present. - read more

The Role of Public Liability Insurance in Protecting Hospitality Venues

Public liability insurance serves as a critical safety net for event organizers, often seen as a robust shield safeguarding against potential financial repercussions arising from unforeseen incidents. In the dynamic atmosphere of events, where a multitude of variables come into play, this insurance plays a fundamental role in ensuring the stability and continuance of the host's operations. - read more

Top Mistakes to Avoid When Choosing Public Liability Coverage

Public liability insurance stands as a crucial safeguard for businesses, shielding them from the financial repercussions of legal claims. These claims can arise when members of the public suffer damages or injuries in connection with a business's operations. Understanding the basics of this coverage is not just a matter of legal compliance for many businesses, but a proactive step in asset protection. - read more

Knowledgebase

No-Fault Insurance:
A type of car insurance where your insurer pays for your damages regardless of who is at fault in an accident.

This website is owned and operated by Clark Family Pty Ltd (ACN 010 281 008) as Trustee for the Clark Family Trust (ABN 35 957 893 714), 43 Larch Street Tallebudgera QLD 4228. Clark Family Pty Ltd is an Authorised Representative (AR 1298860) of Unique Group Broker Services Pty Ltd (AFSL 509434) for financial product referrals and an Authorised Credit Representative (ACR 401491) of Saccasan Pty Ltd (ACL 386297). Check our licensing details on the ASIC registers: Clark Family Pty Ltd ACR, Clark Family Pty Ltd AR, Saccasan Pty Ltd, Unique Group Broker Services.

IMPORTANT: We do not provide financial product advice or credit assistance. We act solely as an introducer and refer enquiries to licensed third-party intermediaries, insurers, and lenders - with whom you can then deal directly. We may receive a fee or commission from these third parties in consideration for the referral. Before any action is taken to obtain a product or service referred to by this website, advice should be obtained (from either the third party to whom we refer you or from another qualified intermediary) as to the appropriateness of obtaining those products having regard to your objectives, financial situation and needs. Whilst we have our own process for validating the legitimacy of our referral partners, you should always verify the credentials of your financial adviser before proceeding with recommendations that they may present. Visit the ASIC website for further information.