Jay’s Story: Flood claim refused
Jay’s only income is a carer’s pension, and they are the main carer for their partner. In 2022 Jay’s home was damaged in a severe flood. As a result of the floods, water ponded underneath their home. This caused foundation movement and mould damage. Jay’s insurer declined the building claim, relying on a 72-hour earth movement exclusion and a mould claim based on a structural defect clause owing to the property not complying with the Building Code of Australia or the National Construction Code.
Financial Rights raised a complaint in the insurer’s internal dispute resolution, and then the Australian Financial Complaints Authority about their decision to decline the claim. The complaint resolved soon after it was escalated to AFCA. The insurer agreed to accept Jay’s claim and pay $750 in compensation for non-financial loss. The claim’s estimated value was $40,000.