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    See how we helped Derek secure $250,000 from his TPD claim despite insurer’s rejection.

    June 23, 2024 Return to case studies

    Attention to detail and well thought out submissions were needed to ensure Derek’s claim was accepted.

    Many people think making a Total and Permanent Disability Claim is as simple as completing and submitting a form to the insurer. With large sums of money at stake it isn’t unusual for insurers to find reasons to reject a claim.

    While it was clear to Derek he had a permanent disability, having lost his foot, a successful claim required satisfying all the terms of the insurance policy. In this case the insurer was attempting to avoid payment by relying on a “pre-existing injury” exclusion in the policy. The team at Trilby Misso closely examined the terms of the policy and the available medical evidence. They then carefully prepared submissions addressing why the terms of the policy were satisfied and the claim should be paid. 

    Derek was grateful that the team were skilled in preparing their argument and were able to see the claim accepted and his $250,000 policy was paid in full.

    *Names have been changed to maintain confidentiality

    Kathryn MacDonell

    Chief Executive Officer

    Kathryn is Trilby Misso’s Chief Executive Officer.

    Meet Kathryn

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