How do trauma insurance claims approval rates compare to other insurance types?

Trauma insurance has a reasonably high claims approval rate in Australia, with approximately 86% of trauma insurance claims being paid according to industry statistics. This is a favorable approval rate that demonstrates most legitimate claims are successful when the condition meets the policy definition and proper disclosure was made at application. The main reasons trauma insurance claims are declined include non-disclosure of pre-existing conditions or relevant medical history at the time of application (this is the leading cause of declined claims), the diagnosed condition not meeting the specific medical definition required by the policy (severity threshold not reached), claims made during the waiting or qualifying period (typically 90 days for conditions like cancer, heart attack, and stroke), specific exclusions applying to the claimed condition, and the claimant not surviving the required survival period (usually 14 days). Compared to other insurance types, trauma insurance claim approval rates are similar to or slightly lower than life insurance (which has approval rates around 90-95% as death is relatively straightforward to verify) but generally higher than TPD insurance claims which often have more disputes around whether someone is truly permanently disabled. Income protection claims can have varying approval rates depending on the nature of the disability and occupation definitions. To maximize your chances of a successful trauma claim: make full and honest disclosure during the application process, keep detailed medical records, ensure your diagnosis meets the policy's medical definitions, provide comprehensive medical evidence promptly, and consider working with a financial adviser or claims specialist who can help navigate the process.