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Wednesday, December 3, 2025

Delay, Deny, Defend in Insurance: Why African Insurers Should Rethink Claims

Delay, Deny, Defend in Insurance

Delay, Deny, Defend in Insurance: A Risky Strategy for African Insurers

Ever seen a valid claim dragged out for months, then rejected, then fought in court? That pattern has a name. It is called Delay, Deny, Defend in Insurance, and it affects trust in insurers worldwide.

This approach shows up in some companies that operate or invest in African markets too. For African insurers and intermediaries, understanding the pattern is the first step to avoiding it. When claims are handled fairly instead, insurers build trust, grow retention, and support real financial protection across the continent.

What Does “Delay, Deny, Defend in Insurance” Really Mean?

Delay, Deny, Defend in Insurance is a claim-handling strategy, not a legal rule. It means a claim is first slowed down (delay), then rejected or cut (deny), then defended in court (defend).

The idea was widely discussed by Jay Feinman in his book and work on Delay, Deny, Defend practices. While much of the public debate started in the US, the same habits can appear in any market. When this pattern spreads, customers feel cheated, and the reputation of the whole insurance industry in Africa suffers.

How Delay, Deny, Defend Shows Up in Real Claim Handling

Delay tactics that wear policyholders down

Delay starts small. A motor claim sits in an inbox for weeks. The customer sends documents, then gets asked for the same papers again. An adjuster changes, then another “fresh investigation” begins.

In health insurance, a hospital bill may wait for “verification” while the patient receives daily calls from the hospital cashier. In some markets, research has already highlighted how long processing times hurt customers, such as a study on delayed claim payments in Zambia. Over time, many people simply give up.

Deny tactics that block or shrink valid claims

After months of waiting, a customer might get a short letter that says no. The denial might point to a tiny error in the proposal form, a late premium by a few days, or a “pre-existing condition” that was never clear in the policy wording.

In life or health cover, that can leave families with hospital debt or funeral costs they can’t bear. In property cover, it can stall rebuilding a small shop. The pattern teaches people that formal insurance cannot be trusted.

Defend tactics that push people into court

Some customers refuse to accept an unfair denial. When they push back, the case moves to court. For many African countries, court cases are slow and costly. Most policyholders cannot afford a long legal fight, so they settle for less or walk away.

Insurers that rely on this step may win one case, but lose in the eyes of the market and draw more attention from regulators and the media.

Why African Insurers Should Move Beyond Delay, Deny, Defend

Stronger trust and better customer loyalty

In markets where many people still prefer cash or informal schemes, trust is everything. Fast, clear, and fair claims show that insurance works. Customers who feel respected are more likely to renew, refer friends, and buy more cover.

Over time, that steady loyalty beats short-term savings from blocking valid claims.

Lower regulatory and legal risk

When a company shows a pattern of delay, deny, defend, complaints pile up. Regulators, ombuds offices, and courts across Africa are paying closer attention to unfair claim practices. That can lead to fines, license conditions, or painful headlines.

A cleaner claims record protects the business and keeps management focused on growth, not damage control.

Practical Steps to Avoid Delay, Deny, Defend in Your Company

Make claims simple, clear, and transparent

Use plain language policies and one-page claim checklists. Send SMS or WhatsApp updates for each stage, such as “claim received” or “assessment complete.” Let customers know what is needed, by when, and why.

Clarity cuts confusion, speeds up files, and reduces complaints.

Measure and reward fair, fast claims handling

Track the numbers that matter: average time to pay, rejections overturned on appeal, and customer feedback. Link bonuses and recognition to fair resolutions, not just low payout ratios.

When staff see that the company values honest payment of valid claims, behavior shifts in the right direction.

Conclusion

Delay, Deny, Defend in Insurance might save money in the short term, but it is a risky path for African insurers that want to grow. Companies that pay valid claims fairly and quickly earn deeper trust, stronger brands, and wider inclusion.

Now is a good time for leaders to review their claim files and incentives, and ask, “Are we building loyalty, or wearing it down?” The firms that choose fairness will help shape a stronger, more trusted insurance market across Africa.

Saturday, November 29, 2025

Common Questions About the African Insurance Landscape

Insurance tips
What is the insurance penetration rate in Africa? The insurance industry in Africa has historically had one of the lowest penetration rates globally, with one report from 2020 showing an average rate of around 2.0% of GDP, far below the global average of 7%.

Which country dominates the African insurance market? South Africa is the most dominant player, accounting for the vast majority of all African insurance premiums, particularly in the life insurance sector.

What are the main challenges facing the sector? Key challenges include low public awareness and confidence, low purchasing power, and a lack of adherence to compulsory insurance laws. Regulatory bodies also flag issues like vague policy wording, unclear claims processes, and mis-selling of policies.

Is travel insurance mandatory for entry into African countries? This varies by country and visa type, but for most travelers to South Africa, it is encouraged as international health insurance coverage may not carry over.

Essential Questions for Consumers in Africa to Ask

When purchasing insurance in countries like South Africa, consumers should ask specific questions to ensure adequate coverage.

Questions to ask your insurer/broker before buying a policy:

Is my current cover sufficient for my needs? Life changes like buying a home, starting a family, or expanding a business require policy reviews to ensure adequate coverage.

How are my premiums calculated and why don't they decrease as my asset's value drops (e.g., a car)? Premiums are based on a variety of risk factors, and understanding these can provide clarity on costs.

What is the process for making a claim, and what kind of support is offered? A clear understanding of the claims process and the availability of support during a crisis is crucial.

Does this policy cover specific, less common risks? Inquire about industry-specific risks (for businesses), damage from natural disasters (e.g., flood/earthquake), or specific exclusions (e.g., coverage for car races or aviation accidents on safari trips).

How is fault determined after an accident? While the insurer typically handles this process, knowing the general procedure can help manage expectations during a stressful time.

Questions to ask your broker specifically:

Do you have professional indemnity cover? This protects you financially if the broker is negligent.

Are you properly licensed to sell this specific product? Verify their credentials and ensure they are registered with the relevant financial sector authority, such as the Financial Sector Conduct Authority (FSCA) in South Africa.

How are you compensated for your services? Generally, brokers are paid by the insurance company, and you shouldn't be charged additional fees. 

Friday, November 28, 2025

Insurance Training in Africa: Simple Online Guide for First-Time Buyers 2025, 2026

Insurance training in Africa

Online Insurance Training in Africa: A Simple Guide for First-Time Buyers

Across Africa, more people are asking a clear question: how does insurance really work for me? From small shop owners to boda-boda riders and farmers, families want protection that feels simple and fair.

At the same time, online insurance training in Africa is growing fast. Anyone with a phone or computer can join short lessons, watch videos, or attend live sessions. Global brands like Prudential and local partners are using technology, training, and new policy ideas to make insurance easier to understand, more trusted, and more useful in everyday life.

What Is Online Insurance Training in Africa and Why Does It Matter?

Online insurance training is any learning you do on your phone, tablet, or laptop about insurance. It includes digital lessons, videos, quizzes, webinars, and short courses that explain how life, health, funeral, and business insurance work. Some programs, like the Higher Certificate in Short-Term Insurance (NQF 5), even give formal qualifications for people who want a career.

For people who simply want to start insuring, insurance training in Africa helps you avoid guesswork. You learn what different products cover, what your rights are, and how to avoid fake offers. With basic knowledge, you can protect your income, your goods, and your family with more confidence.

How online lessons make insurance easier to understand

Good training platforms break down complex insurance words into short, clear lessons. They use everyday African examples, like a maize farmer losing crops, a market stall being robbed, or a parent paying school fees.

Many platforms let you learn in your own language, at your own speed, often using low-data mobile sites.

Written and compiled by Nimara Diana

Tuesday, November 25, 2025

Insurance in Uganda: why choose Prudential over others.


 Prudential SMC Insurance company

You should choose Prudential for its long-standing history, financial stability, and comprehensive range of insurance and health products that include flexible options for both individual and group needs. The company emphasizes customer support through a wide network of healthcare providers and a commitment to honoring claims, making it a potentially reliable choice for financial security and well-being.

Financial stability and history
  • Long track record: Prudential has a history of over 170 years, famously paying claims after events like the Titanic sinking and during World War I.
  • Financial strength: It is described as one of the highest capitalized life assurance companies in Uganda, ensuring it can honor claims promptly.
  • Global presence: Prudential is a large and stable international company with a strong financial backing, offering a sense of security.
Product offerings and services

  • Health plans: Provides access to a wide network of healthcare providers and offers a biometric medical card to track benefits. Products include lump sum payouts on critical illnesses, even if medical bills are covered by other plans.
  • Life and savings plans: Offers a variety of life insurance and savings products, like Pru-Life Plus and Pru-Investor Plus, which include features such as death benefits, investment contributions, and critical illness payouts.
  • Customizable options: Many products allow for flexibility in premium payment terms, with some plans offering features like yearly wellness checks and premium refunds.
  • Group plans: Provides group health plans covering services like consultations, treatments, and emergency services.
  • Customer-focused approach
  • Customer service: The company emphasizes its commitment to its customers through initiatives like calling on special occasions and visiting them in the hospital.
  • Provider relationships: Has a strong relationship with healthcare providers to ensure its health cards are respected.
  • Prompt payments: According to service providers, Prudential is known for being prompt with payments.