Mental Health Drives Growing Claims in Insurance Benefits: TAL Insights
Mental Health Drives Growing Claims in Insurance Benefits: TAL Insights
2
⚠️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.
The latest release of data from renowned Australian insurer, TAL, demonstrates the pervasive impact of mental health on insurance claims.
Notably, mental health conditions have sustained their status as the leading cause for claims under Income Protection (IP) or Total and Permanent Disability (TPD) covers.
From April 1 to September 30, 2024, TAL processed IP or TPD claims for 28,450 individuals rendered unfit to work due to health challenges, with mental health accounting for 29% of these claims. This represents a marked increase of 6% from the previous year, when mental health was cited in 23% of 24,340 similar claims during the same timeframe in 2023.
These figures surface in the context of a CALI-commissioned report highlighting a surge in mental health-related TPD claims by Australians in their 30s and 40s over the past decade.
Moreover, the insurer reported dispensing $2.3 billion across various claim types during the past six-month window, reflecting a climb from $2 billion allocated to 32,456 claimants a year prior. TAL’s Chief Claims Officer, Georgina Croft, emphasized the critical role life insurance plays, underscoring, “Life insurance offers more than financial support when a loved one passes away. In the past 6 months, TAL benefit payments provided an important safety net to more than 28,000 Australians unable to work due to injury or illness.”
Croft elaborated on the company's broader mission: “Helping Australians during their toughest times with care and compassion is the most important thing we do. Beyond a claim payment, we want to help - for customers claiming IP or TPD this is about assisting them on their recovery journey. We do this by providing the financial, emotional and physical support they need to get back to health and on with life.”
TAL has been incorporating innovation and AI to enhance the claims process, thus facilitating a more responsive support network for those navigating claims. Croft noted, “We continue to uplift the personalised support we give Australians navigating the claims process and through their recovery.”
Uniquely placed through in-house health expertise, TAL contributes to swift claim adjudication and connects policyholders to crucial health services spanning mental health, occupational rehabilitation, and cancer support, fostering their journey to wellness and helping achieve established health goals.
In addition, TAL's pioneering 'Mental Health Assist' initiative, launched in 2021, extends virtual psychiatric assessments within 10 days to eligible customers. By 2023, feedback showed substantial benefits - diagnostic revisions for 70% of users, medication adjustments for 68%, revised therapy courses for 64%, and a 16% acceleration in the return to work for some participants.
Kate Tran, TAL Claims Recovery and Support Specialist, summarized the ultimate goal: “We’re focused on supporting our customers to live full lives, whether that’s improving their functional capacity so they can better engage in everyday activities and with those important in their life or return to work.”
Essentially, TAL aims to orchestrate early intervention and remove financial barriers to recovery aids, bolstering faster, enriched paths to rehabilitation for customers.
Published:Tuesday, 10th Dec 2024 Source: Paige Estritori
Please Note: If this information affects you, seek advice from a licensed professional.
In a strategic move to make life insurance more relevant to younger Australians, TAL has expanded its Health Sense Plus program to encompass income protection policies. This initiative allows advisers to offer clients enhanced value through a straightforward preventative health engagement. - read more
The Australian Prudential Regulation Authority (APRA) has expressed concerns regarding the sustainability of income protection insurance, following significant losses within the industry. Over a five-year period, insurers have reported losses totaling $2.5 billion on this product. - read more
HCF Life, part of Australia's largest not-for-profit health fund, has been honored with the 'Best for Income Protection Insurance (Direct)' award by WeMoney for the third consecutive year. This accolade underscores HCF Life's commitment to providing competitive and customer-focused insurance products. - read more
In a notable development for Australian businesses, commercial insurance rates have experienced a significant decline. According to Marsh's Global Insurance Market Index, the Australia-Pacific market saw an 8% drop in commercial rates during the fourth quarter of 2024, marking the most substantial decrease globally. - read more
The Australian insurtech sector is experiencing rapid growth, introducing innovations that are set to transform the insurance landscape. A recent report titled 'Insurtech Down Under: Trends, Tech and Triumphs' highlights the sector's expansion and its potential to enhance efficiency, security, and customer engagement within the industry. - read more
Public liability insurance is a crucial aspect of managing risk for businesses in Australia. This type of insurance covers costs associated with claims made against a business for property damage or personal injury caused during business operations. - read more
Public liability insurance is designed to protect your business from financial loss if you are found liable for causing injury or property damage to a third party. This type of insurance covers legal costs and any compensation claims that might arise from accidents or incidents involving your business operations. - read more
Today, we're diving into the world of public liability insurance, a crucial topic for anyone running a small business or working as a self-employed professional in Australia. - read more
Liability insurance is a crucial form of protection that offers coverage against claims resulting from injuries and damage to people or property. Within the bustling landscape of Australian businesses, possessing this form of insurance is key to financial security and continuity. It acts as a safety net, ensuring businesses can manage risks without bearing the full brunt of potentially costly legal claims. - read more
As a business owner in Australia, navigating the complexities of insurance is crucial to safeguard your enterprise against unforeseen events. Liability insurance emerges as a cornerstone of a sound risk management plan, protecting you financially when held responsible for accidents, injuries or negligence. Its importance cannot be understated, as it serves not only to defend your business assets but also to ensure peace of mind in a climate of continually evolving liabilities. - read more
Start Here !
Knowledgebase
Underwriting: The process by which an insurer determines the risk of insuring a client and decides the terms of coverage.
