Insurers reject 40% of claims hoping you'll just give up. A properly written appeal citing your exact policy doubles your chance of approval.
Most people don't know they can appeal. Here's what insurers don't want you to know:
Every insurance policy has an internal dispute resolution process. You have the legal right to use it.
Insurers can't add requirements that aren't in your original policy document. We check for this.
If your insurer still refuses, you can escalate to the Financial Ombudsman at no cost. They hate this.
Depending on your country, you can appeal months or even years after rejection. UK gives you 6 years.
Hospital, dental, ambulance — emergency treatment overseas
Bags that never arrived, arrived damaged, or delayed 6+ hours
Cancelled because of illness, family emergency, or work reasons
Hotels, meals, transport caused by delayed or cancelled flights
Had to cut your trip short and fly home early
Phone, camera, laptop, or valuables taken while traveling
Collision, theft, or damage to rental vehicles abroad — excess recovery included
Skiing, scuba, bungee, trekking — even when insurers claim "excluded activity"
Passport, visa, or ID replacement costs and emergency travel document fees
| Factor | Without appeal | With InsureClaim |
|---|---|---|
| Cites your policy clause | ✕ No | Section 4.2(a), verbatim |
| References consumer law | ✕ No | Insurance Ordinance Cap. 41 |
| Mentions ombudsman | ✕ No | 14-day escalation deadline |
| Document checklist | ✕ Missing | Complete list provided |
| Success rate | ~20% | ~75% |
We've studied their tactics. Here's how they reject — and how we fight back.
These are the kinds of wins our appeal letters make possible.
Rejected as "pre-existing condition." Our appeal cited the 12-month lookback window in their policy and the attending physician's acute diagnosis.
✓ Reversed in 11 daysRejected as "hazardous activity exclusion." Our letter proved the policy's winter sports add-on was active at time of purchase.
✓ Settled in 18 daysRejected for "insufficient documentation." We itemized every expense receipt and cited the policy's own evidence checklist.
✓ Approved after ombudsman threatKnow how long you have — and where to escalate if they won't budge.
| Country | Time limit | Ombudsman / Body | Cost |
|---|---|---|---|
| 🇭🇰Hong Kong | 6 months from rejection | Insurance Authority (IA) | Free |
| 🇸🇬Singapore | 6 months from rejection | FIDReC | Free |
| 🇬🇧United Kingdom | 6 years from incident | Financial Ombudsman | Free |
| 🇦🇺Australia | 2 years from rejection | AFCA | Free |
| 🇺🇸United States | Varies by state (60 days–2 years) | State Dept. of Insurance | Free |
| 🇯🇵Japan | 1 year from rejection | FSCA (消費者相談窓口) | Free |
| 🇹🇭Thailand | 90 days from rejection | OIC (คปภ.) | Free |
| 🇪🇺EU (varies) | 2–3 years by member state | National ombudsman / ADR body | Free / Low cost |
Every letter we generate is battle-ready. Here's what's inside.