We take complaints very seriously and would ask that you follow the procedure outlined below if you need to make a complaint to or about us.
The Financial Services Authority define a complaint as
Eligible complainants are entitled to submit a request to Lloyd’s and/or the Financial Ombudsman Service should they remain dissatisfied with the decision.
Eligible complainants include policyholders who are private individuals and businesses with an annual turnover of less than EUR € 2,000,000 and less than ten employees.
Under the Lloyd’s and Financial Ombudsman Service schemes, there are no restrictions to an eligible complainant’s domicile, however more specific local rules and schemes may be applicable.
We will comply at all times with the complaints handling procedures mandated or recommended by local or national law or regulation.
If for any reason, you feel that we have failed to meet the high standards that we have set ourselves, we would like to know and would encourage you to follow the complaints procedure set out below.
None of the above procedure in any way affects your right to legal advice or assistance or to seek assistance from your local insurance regulator.
If a complaint, as earlier defined, is received relating to any aspect of the claims handling procedure the following steps should be followed:
Please Note: If the complaint is made by, or on behalf of, an eligible complainant domiciled in the UK, Lloyd’s procedures require the formal response is issued within two weeks of the complaint’s initial receipt. For an eligible Lloyds complainant, if it is likely that after eight weeks the complaint will still not be resolved then a further letter should be sent to the complainant. At this point the complainant must be advised of their rights, as a possible eligible complainant, to further the complaint either to Lloyd’s Policyholder and Market Assistance Department, if they have not already been involved in the complaints process, or the Financial Ombudsman Service.
The complaint will be handled by the Claims Director and Claims Manager for review. The review shall consist of an initial file review followed by communication with underwriters, claims staff, brokers, adjusters, professional advisers and others as the reviewer may consider necessary. The results of the review should be documented.
The Claims Director and/or Claims Manager will be responsible for issuing a formal response to the complainant. This process should be carried out within a reasonable timescale depending on the nature and complexity of the claim.
During the course of any investigation the parties shall take all reasonable steps to ensure that the complaint is handled with due care and diligence and that the complainant is kept informed of progress. Should an agreed course of action not be reached then the final decision will rest with the Managing Director.
Should Lloyd’s or the Financial Ombudsman Service choose to carry out an independent review of the complaint and make a subsequent file request, the Compliance Officer and/or the Head of Claims shall endeavour to promptly provide the following documentation.
A number of useful contacts can be found below, if you require details of a specific contact please visit the team page of our website and a member of our team will endeavour to provide that contact if we are able to do so.
© Concept Special Risks Ltd. 2023 | Concept Special Risks Ltd. is regulated by the Financial Conduct Authority, Licence number; 312098 Company Registration number; 00952756 England