This article is intended for those of you who are not or have not yet been clients of L&G Insurance Broker, including those who purchased insurance policies directly from insurance companies or through agents. Many companies and individuals only realize the limitations of their policy coverage when they experience a disaster and file a claim—especially when the compensation received is far below the actual loss.
This situation is often frustrating and raises questions:
“Why do I pay premiums every year, but the compensation paid is only a fraction of the losses incurred?”
An insurance broker has handled several cases like this one. One involved a property insurance claim for a textile factory worth Rp 25 billion. When the fire occurred, the insurance company was only willing to pay Rp 7 billion, citing underinsurance and certain policy limitations. After the insured sought the broker’s assistance, we conducted an in-depth analysis of the policy wording, prepared arguments based on the average clause, and negotiated directly with the adjuster.
The result: claim payments rose to Rp 21.5 billion.
This true story demonstrates one important point: a low claim settlement doesn’t mean you’re not entitled to more. With the assistance of a professional broker like L&G, your claim settlement can be optimized to meet your rights as the insured.
Contact L&G Insurance Broker now at Phone number 08118507773 for a free consultation before the risks haunt your business.
Why Claim Replacement Values Often Fall Far Below Expectations
Many policyholders feel they’ve done everything right—paying premiums on time, completing paperwork, and reporting promptly after an incident. However, when the compensation offer letter arrives, the value is far below the estimated loss. Why does this happen?
Here are some common reasons:
- The Policy Contains a Limit of Liability Clause
Each policy has a maximum coverage limit for each incident. Many insured parties don’t realize that the stated coverage amount doesn’t guarantee that all losses will be paid.
- Application of Average Clause or Under-insurance
If the insured value in the policy is lower than the actual value of the insured asset, the insurance company has the right to reduce the claim payment proportionally.
- The existence of a deductible or own risk
Nearly all policies have a deductible, which is the portion of the loss that the insured must cover out-of-pocket. This can range from millions to hundreds of millions of rupiah, depending on the type of insurance.
- Differences in Interpretation of Policy Clauses
Often, insurers and insured parties have different understandings of the definition of covered risk. Without expert guidance, the insured is likely to suffer losses.
- Errors in Compiling or Filling Out the Claim Form
Incomplete forms or inaccurate statements can cause insurance to reduce the replacement value due to unclear loss circumstances.
- Lack of Verified Documentation of Losses
Loss reports that lack substantial evidence — such as repair cost estimates from independent contractors or engineering reports — often lead adjusters to award minimal replacement value.
These issues can actually be anticipated and addressed, provided you have a partner who understands the technical details, policy law, and claims practices in the field. That’s the role of an L&G Insurance Broker.
How L&G Helps Increase Your Claim Reimbursement Value
As an independent insurance broker supervised by the Financial Services Authority (OJK), L&G acts as an advocate for the insured—not part of an insurance company. Our role is to ensure you receive fair and maximum claim payments.
Here are the steps the L&G team takes in handling claims with low replacement values:
- Policy Wording Audit and Analysis
We start by reviewing the entire policy: liability limits, exclusions, additional clauses, and endorsements. Many cases show that the insured is entitled to a higher payout but doesn’t understand the clauses that could form the legal basis for a claim.
- Review of Loss Adjuster Report
We will examine the loss adjuster’s report in detail to identify any potential miscalculations or misinterpretations. If any discrepancies are found, L&G will prepare a counter-report based on technical data and field evidence.
- Calculation of Fair Compensation Value
L&G uses a professional approach with the replacement cost or actual cash value method, according to policy provisions, so that the compensation value reflects the actual conditions.
- Negotiation with the Insurer
We communicate directly and professionally with insurance companies. Negotiations are not based solely on emotion, but on legal arguments, policies, and objective data.
- Assistance Until Final Payment
Our team will continue to monitor the process until the claim funds are actually received in the insured’s account. We ensure there are no unreasonable delays on the part of the insurer.
Real Case: From 30% to 90% Claim Payments
A national logistics company filed a Marine Cargo claim after one of its trucks caught fire. Total losses reached Rp 10 billion, but the insurance company only approved Rp 3 billion, citing that some of the goods were considered excluded items.
The company then contacted L&G Insurance Broker for assistance. After reviewing the policy, we discovered that the exclusion clause used by the insurer was irrelevant to the context of the incident. We prepared a technical note and held a three-way meeting with the adjuster and underwriter.
Within two months, the claim value rose from Rp 3 billion to Rp 9 billion, and was paid in full.
This case serves as concrete evidence of how a professional approach and a thorough understanding of policy wording can significantly change the outcome.
Why You Don’t Have to Be an L&G Client to Get Help
In accordance with OJK (Financial Services Authority) regulations, insurance brokers are licensed to assist anyone who needs claims assistance, even if the policy is not regulated or issued through L&G.
This means that if you feel the claim amount offered is unfair, you don’t need to be a long-standing L&G client. Simply provide a power of attorney, and our team will represent you in the claims settlement process.
We will act entirely in your best interest — reviewing documents, correcting misinterpretations, and negotiating more appropriate payments.
L&G Insurance Broker Service Advantages
- Over 30 Years of Experience
We have handled numerous major claims cases in the energy, logistics, manufacturing, construction and financial sectors.
- Experienced Technical and Legal Team
L&G has expert staff who understand both the technical and legal aspects of insurance policies.
- Independent and Objective Approach
Since we do not represent any insurance company, our interest is only one: defending the insured.
- Extensive Connections with Insurance and Adjusters
Our extensive network enables the negotiation process to run quickly and effectively.
- No Upfront Fees
In most cases, we only receive compensation if the claim is successfully paid. This means you don’t risk losing anything.
Why Claims Need to Be Fought Professionally
For companies, claims aren’t just about money, but also about operational continuity and business reputation. Low claim values can hamper cash flow, delay asset repairs, and even damage relationships with clients or investors.
Relying on a standard approach—such as simply writing a complaint letter—is often insufficient. A thorough understanding of the policy, OJK procedures, and industry practices is required to ensure you get the most out of your case.
L&G Insurance Broker has been a partner for many national and multinational companies in situations like this. We not only fight for your claims, but also restore your trust in a fair insurance system.
Cover
If you feel your insurance claim is too low, don’t give up or simply accept it. Many cases show that claim outcomes can be significantly improved after being reviewed by a team of experts.
L&G Insurance Broker is ready to help you—even if your policy wasn’t previously managed by us. We’ll review your case at no initial cost, provide an objective analysis, and help you fight for your rights.
💼L&G Insurance Broker – Your Advocate for Fair and Maximum Claims.
HOTLINE L&G 24 JAM: 0811-8507-773 (CALL – WHATSAPP – SMS)
Website: lngrisk.co.id
Email: halo@lngrisk.co.id
