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Insurance Claim Assistance for Policyholders
When a claim event occurs, your insurer has a team of specialists working to assess your claim. Build MyWealth works for you. We manage the process, the documentation, and the communication so you can focus on recovery.
What Claim Assistance Actually Involves
Most policyholders do not know that a licensed financial adviser can assist them through an insurance claim. The claim process involves medical documentation, financial evidence, policy interpretation, and ongoing communication with the insurer. Each of these is a point of failure for claimants who navigate it alone.
Build MyWealth provides claim assistance as a standalone service on a fixed fee basis. We review your policy, identify the relevant definitions and obligations, prepare the claim documentation, liaise with the insurer on your behalf, and where necessary, escalate disputed claims through the appropriate dispute resolution channels.
The value of claim assistance is not just administrative. Policy definitions, particularly for income protection and TPD, are technical documents. Whether a claim is accepted often depends on how the medical and financial evidence is presented against those definitions. An adviser who understands both the policy language and your personal circumstances is significantly better positioned to support a successful outcome than a claimant acting alone.
We have assisted clients through life insurance, TPD, trauma, and income protection claims across multiple insurers. Our experience covers straightforward claim lodgements and disputed claims that required escalation.
Fixed Fee Claim Assistance — No Surprises
Build MyWealth charges a fixed fee for claim assistance. There is no percentage of the claim benefit, no commission, and no ongoing fee arrangement tied to the claim outcome. You know exactly what the service costs before we start.
This matters because it means our interests are aligned with yours from the beginning. We are not incentivised to extend the engagement or to recommend policy changes. We are engaged for one purpose: to help you navigate a claim successfully.
Our fixed fee structure reflects the scope of each engagement. A straightforward income protection claim involves different work to a disputed TPD claim that requires escalation to the Australian Financial Complaints Authority. We will scope the engagement and confirm the fee in writing before beginning any work.
Who this service is for: Policyholders who have experienced a qualifying event and need to lodge a claim. Existing Build MyWealth clients whose claim event has occurred. Policyholders who have had a claim denied or disputed and need assistance with escalation. Individuals who are not current Build MyWealth clients but need independent claim support.
How the Process Works
Step 1 — Initial Review
We review your policy documents, the nature of the claim event, and the relevant definitions. We confirm whether the event is likely to meet the policy definitions and identify any documentation requirements or potential complications before lodgement.
Step 2 — Documentation Preparation
We prepare or review the claim documentation, including the claim form, medical evidence requirements, financial evidence, and any supporting material the insurer requires. Incomplete or poorly prepared documentation is the most common reason claims are delayed or disputed.
Step 3 — Insurer Liaison
We manage communication with the insurer through the assessment process. We respond to requests for additional information, clarify policy interpretation where required, and track the claim through to a decision.
Step 4 — Dispute Resolution if Required
If a claim is denied or disputed, we advise on the available escalation pathways, including the insurer’s internal dispute resolution process and the Australian Financial Complaints Authority. We prepare the escalation documentation and represent your interests through that process.
Frequently Asked Questions
Yes. Claim assistance is available as a standalone fixed fee service. You do not need to be an existing Build MyWealth client to engage us for claim support. We will review your policy and the nature of the claim event before confirming whether we are able to assist and what the fixed fee will be.
We assist with life insurance, total and permanent disability, trauma, and income protection claims. We have experience with claims across the major Australian life insurers. We do not assist with general insurance claims such as home, motor, or public liability.
The fixed fee covers initial policy review, documentation preparation, insurer liaison through to a decision, and one round of dispute resolution if required. If the engagement requires additional scope beyond what was agreed at the outset, we will confirm any additional fee in writing before proceeding.
A denied claim is not necessarily a final outcome. Insurers have internal dispute resolution processes and policyholders have the right to escalate to the Australian Financial Complaints Authority. We have assisted clients through both pathways. We will review the denial decision, the policy language, and the available grounds for escalation before advising on whether proceeding is likely to be productive.
Sangram Rana is an IFA Excellence Awards finalist: Risk Adviser of the Year 2022, 2023, and 2025, SMSF Adviser of the Year 2022 and 2023, and Client Outcome of the Year 2022. Published in the Australian Financial Review, Money and Life, Life Insurance Guide, Inside Small Business, Professional Planner, CommBank Brighter Magazine, and Benefolk. Corporate Authorised Representative, Lifespan Financial Planning AFSL 229892.
Get Independent Claim Support
Book a 15-minute call to discuss your claim situation. Fixed fee. No obligation to proceed until scope and cost are confirmed in writing.
Or call 03 7034 4888
Related pages: Risk Insurance Strategy | Business Protection and Succession | Protect My Wealth
Build MyWealth is a trading name of Accounting Cloud Pty Ltd. Sangram Rana is a Corporate Authorised Representative of Lifespan Financial Planning Pty Ltd AFSL 229892. This page contains general information only and does not constitute personal financial advice. Financial Services Guide available at lifespanfp.com.au.