External Dispute Resolution (EDR)
EDR refers to independent dispute resolution services, particularly AFCA, that resolve complaints between consumers and financial firms when internal processes fail to achieve satisfactory outcomes.
Detailed Explanation
Common Misconceptions
- •EDR doesn't require a lawyer - AFCA is designed to be accessible for consumers representing themselves, though legal assistance is permitted
- •EDR determinations are binding on the financial firm but not on you - if dissatisfied with AFCA's decision, you can still pursue legal action
- •EDR is not the same as court - AFCA considers what's fair in the circumstances, not just strict legal rights, and can award different outcomes than a court might
Real-World Examples
AFCA overturned an insurer's denial of a total permanent disability claim, finding the medical evidence clearly supported the claim despite the insurer's contrary assessment
A dispute over whether storm damage was covered by home insurance was resolved by AFCA, which found the policy wording ambiguous and ruled in the consumer's favor
AFCA awarded $50,000 compensation for an insurer's unreasonable delay in assessing an income protection claim, in addition to the claim payout itself
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Related Terms
Explore related insurance concepts
- AFCA (Australian Financial Complaints Authority)AFCA is the independent external dispute resolution scheme that resolves complaints between consumers and financial firms, including insurance disputes, providing fair and binding determinations.
- Internal Dispute Resolution (IDR)IDR is the mandatory process insurers must have for handling customer complaints internally, requiring acknowledgment within 24 hours and resolution within 30 days for most complaints.