Why this answer
What actually matters
- Ask for the exact question and answer relied on.
- Request the underwriting evidence showing what the insurer would have done.
- The consumer’s care and state of mind matter.
- Avoidance, amended terms and reduced payment are different remedies.
Important nuance
When the statement may have a point
- Fraudulent claims engage separate rules.
- A deliberate or reckless misrepresentation can justify a much stronger remedy.
What you could say
Keep the response tied to the actual rule.
Evidence
What to have beside you
- Policy schedule, wording and pre-contract questions
- Claim form, chronology and supporting evidence
- Expert reports, valuations, photographs and repair estimates
- Insurer or broker final response
If they still refuse
Move the dispute forward.
- Ask the firm to identify the precise policy term, evidence and regulatory basis for its position.
- Challenge the reasoning and calculation separately where both coverage and amount are disputed.
- Escalate an eligible unresolved complaint to the Financial Ombudsman Service within the applicable time limit.
Read the full rules
Go deeper before escalating.
Official sources