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Hi, asking for a friend. The story I have heard is my friend’s house got flooded during SA major weather event. They want a cash settlement for the damages. The reason is they want flexibility on own choice of builder, and repairs done at their convenience to minimise disruption. The insurer builder has done an assessment and have obtained quotes. Their insurer is asking them to get their own quotes for repairs if going down route of cash settlement, otherwise accept the insurance builders for repairs to be done asap. Builders reason is they don’t want clients from profiteering so they would pay out on the cheapest quote. My friend felt pressured to go with insurer builder.

My friend claim according to the pds there is no mention of clients to get own quotes for cash settlement. It does say the insurer will pay reasonable cost for repairs.

The insurer according to the pds can reasonably request information to help with claim process, which they are using to get them to get their own quotes. They think this is an unreasonable request.

My thoughts on this is BUPA general insurance is terrible by the sounds of it. Compared with CBA which in my experience gave cash settlements without customers getting own quotes. They just accept their assigned builders quotes. I just told my friend to just get quotes…

What are peoples thoughts on this.

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Comments

  • +3

    Their insurer is asking them to get quotes for repairs if going down route of cash settlement, otherwise accept the insurance builders for repairs to be done asap

    How does the insurance company know what to pay out if they don't have a quote? So seem fair. I mean if it was a car, it is acceptable to get your own quotes for repair.

    I've been down this path before, insurance company sent out a building company to quote, I then asked for a cash settlement, which they paid out what would have been paid to the builder.

    Be aware that if you get paid out, then you can't double dip the insurance company again if the costs are more for the same piece of work. Open up the walls and find its a bigger job, you can't go back for more money.

    Also if there are issues they most likely won't cover that area again in the short term etc. ie paid out for a roof replacement, you got someone else to put the roof on and it leaks in the next rain storm causing internal damage they might not cover it.

    My friend claim according to the pds there is no mention of clients to get own quotes for cash settlement. It does say the insurer will pay reasonable cost for repairs.

    and the only way to know what 'reasonable' costs for repairs is for you or the insurance company to get a quote.

    Compared with CBA which in my experience gave cash settlements without customers getting own quotes. They just accept their assigned builders quotes. I just told my friend to just get quotes…

    Has bupa assigned a builder who has quoted yet? As it sounds like they haven't yet, which is your real problem.

    As you have told your friend to get quotes and bupa said they'll pay on said quotes, seems like a /thread. No insurance company is going to pay some random figure you think it will cost to fix without quotes.

    What are peoples thoughts on this.

    Sometimes you have to jump through the hoops to get the result. As it sounds like there are no quotes on either side, then if you want to push along a payout, you'll have to source them yourself.

  • How does the insurance company know what to pay out if they don't have a quote? So seem fair. I mean if it was a car, it is acceptable to get your own quotes for repair.

    Maybe I wasn’t clear. My friend said the insurer builder has done an assessment and have provided quotes, but because they want a cash settlement they insist my friend get their own quote, and they will pay out whichever is cheaper to avoid profiteering.

    Personally I don’t think it’s the customer role to get quotes nor does it say on the pds according to them. The insurer is using the excuse they can reasonably request information to assist with their claim.

    • Maybe I wasn’t clear. My friend said the insurer builder has done an assessment and have provided quotes, but because they want a cash settlement they insist my friend get their own quote, and they will pay out whichever is cheaper to avoid profiteering.

      In my case the insurance company paid the highest quote of the 2 they arranged. If they have a quote already then ask them to pay out on that quote or arrange another quote.

      Personally I don’t think it’s the customer role to get quotes

      Ok then don't get quotes and use the insurance company supplied builder to fix your house.

      • In my case the insurance company paid the highest quote of the 2 they arranged. If they have a quote already then ask them to pay out on that quote or arrange another quote.

        They made it clear to her that the cheapest quote would be paid, not the highest like in your case, which sounds great.

        What is your insurance company. It sounds better than BUPA General Insurance.

        Ok then don't get quotes and use the insurance company supplied builder to fix your house.

        She wants a cash settlement to do the repairs at her convenience with her choice of builder.

        Do you think it’s reasonable to request the customer to get quotes? Would you have done so if was requested in your past case?

        • Do you think it’s reasonable to request the customer to get quotes? Would you have done so if was requested in your past case?

          Yes totally reasonable to ask the customer to get quotes when they in turn are asking for a cash settlement to do the repairs at their convenience with their choice of builder rather than just letting the insurance company fix it as they have offered.

          I once claimed on a plumbers insurance for a job not done correctly that they wouldn't fix, and that was the process. I gathered 3 quotes and they paid out the middle quote, not that there was a lot in it between cheapest and highest.

          • @JimmyF: Plumbers insurance? Do you mean home insurance?

            • @MuddyClear:

              Plumbers insurance? Do you mean home insurance?

              No, I claimed on the plumbers insurance for a job they screwed up which they wouldn't fix. Nothing to do with home insurance.

              • @JimmyF: In your case I would expect you would have to get your own quotes.

                From my experience with home insurance I did not have to get own quotes with CBA. Clearly, not all insurers are the same.

                • @MuddyClear:

                  In your case I would expect you would have to get your own quotes.

                  Why? The insurance company is still paying either way. I've had one claim the insurance company arranged the quotes and in another I arranged them.

                  As I said, its common for car insurance claims that you arrange your own quotes too.

                  At the end of the day you have to play by their rules and if you want a cash payout, get some quotes.

  • +1

    Common practice. With RAA (also in SA), when I have wanted to go with someone or something else, two things have either occurred:

    • RAA agrees to pay for sum of least amount and I pay difference for item I want. In the case of windows etc, this has involved me getting quotes.
    • RAA agrees to pay out sum for quoted/agreed amount from their preferred supplier. I take that sum/quote elsewhere and attempt to get a better deal (which I have successfully done in the past).

    While the PDS may not specifically state that the customer must provide quotes, does it say that Bupa are under any obligation to entertain alternative suppliers? If not, and your friend wants an alternative/cash pay out, then the onus is on the customer, not the insurer, to do the leg work.

    • does it say that Bupa are under any obligation to entertain alternative suppliers?

      Unlikely as insurers have deals with their own builders. And if customer choose the cash settlement option then payout should be on quotes from their insurers builders.

      In any case they are asking the customer to get quotes so they are entertaining alternative suppliers?, so I’m not sure I follow your reasoning.

      I highly doubt any insurance company would say that in the PDS where they would provide additional quotes from builders other than their own preferred builders. Many insurers just pay out on quotes from their own preferred builder.

      All it says in the PDS from what I’ve heard is that there is a choice for cash settlement and they the insurer would pay out reasonable cost for repairs. It makes no mention of client having to get own quotes.

      • +1

        All it says in the PDS from what I’ve heard is that there is a choice for cash settlement and they the insurer would pay out reasonable cost for repairs. It makes no mention of client having to get own quotes.

        You can look up the PDS yourself online.

        As above, quotes are needed for them to pay out' a 'reasonable' cost of repair, they can be supplied by the insurance company or yourself.

        Your 'friend' wants to get paid out, so they need to jump through the hoops to allow this, which means getting some quotes.

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