Not exact matches
Admiralty
practice — Pleading — Claimant shipowner suing cargo
insurer under
general average guarantee — Cargo
insurer pleading defence of unseaworthiness — Whether adequate factual foundations for allegation — Whether claimant entitled to summary judgment.
Maggie McClatchey is engaged in a
general civil litigation
practice, representing the interests of
insurers with an emphasis on the defense of healthcare and medical practitioners.
Her
practice principally involves representing
insurers in complex insurance disputes on a broad range of issues arising under primary and excess policies and reinsurance coverages, with particular emphasis on
general liability coverage claims involving environmental and other long - tail liabilities, personal and advertising injury coverage and errors and omissions insurance and the «bad faith» issues arising from such disputes.
The TPA had earlier run into trouble after the Competition Commission of India (CCI) had ordered an investigation by the CCI director -
general, into alleged anti-competitive practices of General Insurers» (Public Sector) Association of
general, into alleged anti-competitive
practices of
General Insurers» (Public Sector) Association of
General Insurers» (Public Sector) Association of India.
Under section 7.3 of
General Insurance Code of
Practice,
insurers have agreed that they will only take into account «relevant information» when deciding on your claim.In the context of fraud, «relevant information» can be interpreted very widely.
The flow chart below gives an idea of the timeframes that apply to
insurers under the
General Insurance Code of
Practice when they receive a claim:
Insurers are required to comply with the
General Insurance Code of
Practice.
Where the
insurer has rejected your claim they are required to provide you with written reasons under clauses 7.19 (a) and 10.19 (a) of the
General Insurance Code of
Practice.
The
General Insurance Code of
Practice sets out how an
insurer should deal with your complaint (see Fact Sheet What can I do if my insurance claim is refused and www.codeofpractice.com.au).
You have the right ask for copies of information that the
insurer has relied upon in assessing your claim under clauses 7.19 (b) of the
General Insurance Code of
Practice.
Under section 7.3 of the
General Insurance Code of
Practice, the
insurers have agreed that they will only take into account «relevant information» when deciding on your claim.
If the
insurer refuses to provide the evidence, you can rely on sections 7.19 and 14.2 of the
General Insurance Code of
Practice, and also on the duty of utmost good faith, to argue that they should provide it.
This is provided under the
General Insurance Code of
Practice, which states that where your
insurer has selected and directly authorised a repairer, they will:
Earlier, TPA had got a setback when Director -
General of Competition Commission of India (CCI) ordered an inquiry for alleged anti-competitive
practices of
General Insurers» (Public Sector) Association of India.