CTP Insurer Claims Experience and Customer Feedback Comparison - December 2022
Chapters
Chapters
- Insurer comparison
- Why does SIRA publish insurer data
- How many claims did insurers accept?
- Why were claims declined?
- How long did it take to receive treatment and care benefits?
- How quickly have insurers paid income support to customers after motor accidents?
- What happened when customers disagreed with the insurer’s decision?
- Outcomes of determined internal reviews
- Internal review timeframes
- Internal review timeframes by dispute type
- Recovery through work measures
- Complaints
- Enforcement and Prosecutions (E&P)
- Glossary
13. Enforcement and Prosecutions (E&P)
SIRA is committed to making strong, consistent and evidence-based decisions on enforcement action.
SIRA engages with law enforcement agencies, particularly the NSW Police Force, to deter and investigate fraudulent activity in the CTP scheme. SIRA’s regulatory activities are focused on areas of highest risk. Firm and fair enforcement action is taken as needed, based on the severity of harm or potential harm, the degree of negligence, and/or the need for deterrence.
The regulatory activities outlined below are supported by SIRA’s education and support initiatives. Together, these ensure that the motor accidents scheme is fair, affordable, and effective, and achieves public outcomes.
SIRA receives information on matters for potential enforcement and prosecution action through a range of regulatory monitoring activities:
The following enforcement and prosecution options are available to SIRA:
- Education
- Notification of breach
- Letter of censure
- Penalty provisions
- Criminal prosecution and licencing withdrawal
- Publication of information on breaches or poor performance.
For more information about how SIRA approaches its compliance and enforcement activities, please refer to SIRA’s Compliance and Enforcement Policy.
Regulatory Action taken from 1 January 2022 to 31 December 2022
Insurer | Regulatory Action | Totals |
---|---|---|
Allianz | Letter of Compliance | 3 |
Letter of Censure | - | |
Civil Penalty | - | |
AAMI | Letter of Compliance | 7 |
Letter of Censure | 1 | |
Civil Penalty | 1 | |
GIO | Letter of Compliance | 6 |
Letter of Censure | - | |
Civil Penalty | 1 | |
NRMA | Letter of Compliance | 9 |
Letter of Censure | - | |
Civil Penalty | - | |
QBE | Letter of Compliance | 7 |
Letter of Censure | 2 | |
Civil Penalty | - | |
Youi | Letter of Compliance | 1 |
Letter of Censure | - | |
Civil Penalty | - | |
Total | 38 |
On 1 occasion, the letter of compliance sent to Suncorp was addressing both AAMI and GIO. Those notices are counted separately in the above table.