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AFCA Complaints Trends Are a Timely Reminder for Office-Based SMEs

Policy clarity, documentation and realistic cover limits can make a practical difference when claims become contested

AFCA Complaints Trends Are a Timely Reminder for Office-Based SMEs?w=400

The information on this website is general in nature and does not take into account your objectives, financial situation, or needs. Consider seeking personal advice from a licensed adviser before acting on any information.

Fresh complaints data from the Australian Financial Complaints Authority has again placed insurance claims handling under scrutiny, with disputes commonly linked to delays, claim decisions, communication breakdowns and disagreement over settlement amounts.
For office-based small and medium businesses, the message is not simply that disputes can happen.
It is that the quality of preparation before a claim often determines how smoothly the claim can be assessed.

Many office businesses carry a package of covers across property, contents, business interruption, public liability, cyber and professional indemnity. These policies can work together, but they do not all respond in the same way. A water leak that damages computers, a theft of portable equipment, a client injury in a meeting room or a cyber incident that halts operations may each trigger different sections, excesses, exclusions and evidence requirements.

The complaints trend is an extension of earlier concerns about industry standards, particularly around how clearly insurers communicate with customers and how consistently claims are handled. For SMEs, however, there is also a practical lesson: do not wait until a loss occurs to understand what your policy actually says. Waiting periods, sub-limits, definitions of insured events, maintenance exclusions and proof-of-loss requirements can all become important at claim time.

Business interruption remains a common pressure point for office operators because the financial impact of a disruption is not always obvious at renewal. Lost revenue, temporary relocation, replacement equipment, staff downtime, specialist IT recovery and additional operating expenses can quickly exceed the amount originally expected. Businesses should periodically estimate appropriate sums insured using current replacement values and realistic recovery periods rather than relying on last year’s figures.

Record-keeping is equally important. Office tenants and owners should keep updated asset registers, invoices for major equipment, lease details, maintenance records, cyber security procedures and photographs of fit-out and contents. Service-based firms should also retain engagement letters, client instructions and change approvals, especially where professional indemnity exposure exists. These records may not prevent a dispute, but they can reduce uncertainty and help support a claim with clearer evidence.

The other takeaway is to ask questions before renewal. If a policy term is unclear, clarify it in writing. If a sub-limit seems low, test whether it reflects the business’s current operations. If new software, hybrid working, outsourced providers or additional premises have changed the risk profile, make sure those changes are disclosed. The most useful office insurance policy is not necessarily the cheapest one; it is the one that is understood, current and capable of responding when the business is under pressure.

Published:Tuesday, 4th Aug 2026
Author: Paige Estritori

Please Note: We do not endorse any specific products or companies. Some content is sourced from third parties, including press releases, and may not be independently verified for accuracy or completeness.

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Knowledgebase
Claim Adjuster:
An insurance professional who investigates and evaluates insurance claims to determine the amount the insurance company should pay.