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1 independent external review by Lord Hunt of Wirral UK Financial Ombudsman Service David Thomas corporate director and principal ombudsman.

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Presentation on theme: "1 independent external review by Lord Hunt of Wirral UK Financial Ombudsman Service David Thomas corporate director and principal ombudsman."— Presentation transcript:

1 1 independent external review by Lord Hunt of Wirral UK Financial Ombudsman Service David Thomas corporate director and principal ombudsman

2 2 UK Insurance Ombudsman established by insurers voluntarily in 1981 in partnership with consumer bodies alternative to civil courts but redress beyond the law binding on provider, but not consumer

3 3 characteristics complain to provider first free to consumer flexible and informal processes mediation or investigation and decision specialist knowledge encouraging complaint resolution / prevention

4 4 other financial ombudsmen followed banks building societies (mutual mortgage banks) investment product providers investment intermediaries

5 5 Financial Services Authority (the regulator) Financial Ombudsman Service (resolves on unresolved disputes) Financial Services Compensation Scheme Financial Services and Markets Act 2000

6 6 providers covered services provided in or from the UK by all: banks and building societies other lenders (mortgages and consumer credit) mortgage and loan intermediaries credit unions and electronic money institutions insurers and insurance intermediaries investment providers and intermediaries credit reference agencies and debt collectors

7 7 complainants covered individual business(< 1.5 million turnover) from UK and world-wide

8 8 any complaint not resolved by close of the following business day prompt written acknowledgement to consumer within 8 weeks: final response with details of ombudsman what the rules require providers to do keep consumer informed

9 9 If complainant has not complained to provider we: send the provider details of the complaint, and remind it to issue a final response within 8 weeks send the complainant a pre-populated complaint form, to complete and return it if the complaint is not resolved within 8 weeks

10 10 total enquiries (627,814) enquiries converted to cases (94,392) written enquiries (286,359) phone enquiries (341, 455) customer contact division to casework figures are for ALL financial products in year ended 31 March 2007

11 11 casework division final decision by ombudsman early termination by adjudicator case mediation by adjudicator non-binding decision by adjudicator

12 12 early termination by adjudicator for example: no reasonable prospect of success fair settlement on offer more suitable for court legitimate commercial judgment [can ask for review by ombudsman]

13 13 mediation by adjudicator evaluative mediation by agreement

14 14 non-binding decision by adjudicator (paper) investigation legal power to compel evidence non-binding decision both sides can accept either side can ask for the case to go to an ombudsman (<10% do)

15 15 review by ombudsman (internal appeal) request by either side additional evidence/arguments possible hearing (rare) final decision if consumer accepts, both sides bound otherwise, neither is bound

16 16 basis of decision law requires us to decide what is fair and reasonable in the circumstances rules require us to take account of: - relevant law - regulators rules and guidance - industry codes - good industry practice

17 17 redress we can require the provider to: pay compensation up to 150,000 * pay interest pay costs (rare) * we can make a non-binding recommendation for more

18 18 alternatively, or additionally we can direct the provider to take appropriate action in relation to the complainant – for example: put something right reconsider an application or claim apologise

19 19 insurance cases: year to 31 March ,230 motor 3,734 life 1,951 buildings 1,832 loan protection 1,670 travel 1,238 contents 891 income protection 713 extended warranty 680 critical illness 520 commercial 445 legal expenses 388 medical 273 pets 202 breakdown 177 personal accident 77 caravan

20 20 independent external review by Lord Hunt of Wirral twoje_zazalenie_a_rzecznik_praw_obywatelskich.htm


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