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.
Detailed Explanation
Common Misconceptions
- •IDR is not optional - you must attempt IDR before going to AFCA, though you can escalate if the insurer doesn't respond within 30 days
- •Making an IDR complaint doesn't affect your insurance coverage or future claims - insurers cannot penalize you for complaining
- •IDR responses are not legally binding decisions - if you're unsatisfied, you can still escalate to AFCA or pursue legal action
Real-World Examples
A claim was denied for alleged non-disclosure; the policyholder lodged an IDR complaint, and after review, the insurer's IDR team found the original decision was incorrect and approved the claim
An income protection claim took 3 months to assess; the IDR complaint resulted in the insurer appointing a dedicated case manager, expediting the assessment, and paying compensation for the delay
After an unsatisfactory IDR response where the insurer maintained their claim denial, the customer escalated to AFCA who overturned the insurer's decision
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Related Terms
Explore related insurance concepts
- ASIC (Australian Securities and Investments Commission)ASIC is Australia's corporate, markets, and financial services regulator that oversees insurance companies, financial advisers, and ensures compliance with consumer protection laws.
- 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.
- 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.