Paula Luckhoff17 October 2024 | 19:10

Homeowners insurance: Push back if claim rejected as 'wear and tear' and you know it's not

An insurer has to backtrack on rejecting a claim on wear and tear grounds, after intervention by Wendy Knowler.

Homeowners insurance: Push back if claim rejected as 'wear and tear' and you know it's not

Toilet leak, plumbing. Wikimedia Commons/Plumberondemand

If you have a bond, homeowners insurance is compulsory.

This covers damage caused by things like natural catastrophes, fire and accidents, consumer journo Wendy Knowler reminds us.

All your property’s fixtures should be included whether for example walls, roof, pool or fitted carpets.

This cover is there to protect you against loss as a property owner, but comes with its own pitfalls.

RELATED: CHECK value of assets in your insurance policies (esp. if there's an automatic escalation)

Knowler herself has received scores of complaints over the years from people whose homeowners insurance claims have been rejected by the particular insurer.

The two main reasons for rejection are failure to maintain the property (e.g. to get the roof checked) and wear and tear, which is a gradual deterioration of the fixture as opposed to an unexpected, uninsured event.

Thanks to Knowler's intervention in a recent case, Absa Insurance had to backtrack on its rejection of a claim.

The property owner's tenant reported that they found the bottom floor of the house flooded, which led to the discovery that the toilet cistern was cracked on both sides.

Absa’s insurance arm said this incident was not covered because it was due to a wear and tear issue, despite a plumber's assessment that the cistern was defective.

In the end, the insurer had to admit they'd closed the case before investigating it fully and that their initial conclusion had been incorrect.

Knowler's advice is to push back if your homeowners insurance claim is rejected as a wear and tear issue and you know that not to be the case. 

"If the insurer won’t budge you can lodge a complaint with the National Financial Ombudsman’s insurance division – it’s free."
"Or, raise it with a journalist."
Wendy Knowler, Consumer Journalist

Also important is to do the necessary home maintenance so that you have receipts if your insurer rejects your claim on the basis of lack of maintenance.

Scroll up to listen to Knowler's detailed advice