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    ComplaintsforQBE Insurance

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    Complaint Details

    Note that complaint text that is displayed might not represent all complaints filed with BBB. See details.

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    Complaint Status
    Complaint Type
    • Complaint Type:
      Service or Repair Issues
      Status:
      Resolved
      I filed a claim to this home insurance company for my roof damage in the storm in January 2024 . I have all the information and sending to my adjuster. He work on the case. And the first check my bank wont let me deposit it so we try to work through together and try to solve problems. And 8 months I still dont get my check and they change to a different adjuster because that adjuster quit the job. Now the Second adjuster work on my case for 2 months and tell me he have everything he needs and will try to get the check for me and asked me to call him next week to confirm. So I did call the next week and the company told me that adjust a quick again and another adjuster will handle my case. After 10 months waiting I still havent get my check! I dont get it!!!

      Business response

      10/24/2024

      October 23, 2024
      BBB of *********
      **********************************************************
      *******************
      ********************************************************************************
      Re: Your file number: ********
      Complainant: *** **** ***
      Claim number: *************
      Loss date: 11/20/2023
      Policy number: PHP2995786
      Insured name: *** **** ***
      Insurance company: Praetorian Insurance Company
      NAIC number: *****
      Dear ****** B,
      We are writing on behalf of Praetorian Insurance Company, a member company of QBE North America,
      which issued Policy No. PHP2995786 to *** **** *** for the period 10/18/2023 to 10/18/2024 (the
      Policy). Please be advised that *** is a claims administrator for the above listed insurance company
      and MSI is handling the above captioned matter on its behalf.
      The purpose of this letter is to respond to the Better Business Bureau Complaint dated October 16, 2024,
      regarding a hail damage claim to the insureds roof with interior water damage to a bedroom (the Claim)
      under the Policy.
      We value our customers and appreciate their business. We will do our very best to address the issues and
      concerns raised in the complaint letter. We understand there have been issues with the checks,
      preventing the checks from being cashed.
      In considering the BBB complaint, we have reviewed the Policy and the listed deductibles that apply. The
      Policy offers $767,000 for Coverage A (Dwelling); $76,700 for ***************** Structures) and carries a
      $1,000.00 deductible.
      We understand there have been issues with the checks being issued correctly, which stemmed from the
      incorrect mortgage company being listed on the policy. We did not receive a request to update the
      mortgagee until payments had already been issued.
      The original check that was issued on 4/19/2024 in the amount of $11,861.64, could not be deposited due
      to the mortgagee branch number being listed. A stop payment was requested, and the check was
      reissued. On 7/9/2024 *** **** *** notified us the second check was never received. The adjuster ****
      **** intended to issue a stop payment; however, this was not requested due to error, and an additional
      check was never issued.
      On 7/22/2024 we received the final invoice for repairs and issued a payment for the depreciation in the
      amount of $2,760.37.
      Page 2 of 2
      On 9/6/2024 adjuster ******* ******* spoke with insured *** **** *** and she explained that she had
      not received the checks. Adjuster ******* ******* requested a stop payment on both checks and advised
      *** **** *** that the policy still had ***** Fargo listed as the mortgagee. *** **** *** advised there was
      a mistake, and she was working with her agent to correct the policy.
      On 10/16/2024 Team Lead **** ****** spoke with *** **** *** and verified the policy had been updated
      to remove the mortgage company and she reissued the payments. *** **** *** expressed appreciation
      and had no further questions.
      It is important to us that our customers are satisfied with our claim service. If you have any questions after
      reading this letter, please contact me so that any additional concerns can be addressed.
      Sincerely,
      **** ******
      Team Lead
      Direct: ************************
      E-mail: **********************

      Customer response

      10/25/2024

      Better Business Bureau:

      I have reviewed the response made by the business in reference to complaint ID ********, and have determined that this does not resolve my complaint.  For your reference, details of the offer I reviewed appear below,its because after I filed my case in the beginning it was fine with the whole process, I think its after April I start having trouble to connect with the adjuster. Something I call and leave many messages. The answer always is leave a message or send a email the adjuster will call me back. I try to call 3,4 time a week still dont get to talk to the adjusters. Thats why my case its been delayed and delayed!!!! I cant get contact with my adjuster, and always told me the check has been send . But I never received it. On the September they told me that adjuster quit the job let the difference adjust work on my case. So I have to start over to explain the whole story and send all the information. The second adjuster Apologize to me and told me work on my case as soon as possible. And after he had all the information and told me he will send a check for me. Ask me call back next week to confirm with him. So I did . I waited and call back next week. The company told me he dont work there anymore. Try to find a other adjuster for me. Next days the supervisor call me told me they will send out the check for me on the 16th. Until today 24th still havent received my check!!! 

      Regards,

      Yun **** ***

      Business response

      11/04/2024

      November 4, 2024
      BBB of *********
      **********************************************************
      *******************
      ********************************************************************************
      Re: Your file number: ********
      Complainant: *** **** ***
      Claim number: *************
      Loss date: 11/20/2023
      Policy number: PHP2995786
      Insured name: *** **** ***
      Insurance company: Praetorian Insurance Company
      NAIC number: *****
      Dear ****** B,
      We are writing on behalf of Praetorian Insurance Company, a member company of QBE North America,
      which issued Policy No. PHP2995786 to *** **** *** for the period 10/18/2023 to 10/18/2024 (the
      Policy). Please be advised that *** is a claims administrator for the above-listed insurance company
      and MSI is handling the above-captioned matter on its behalf.
      The purpose of this letter is to respond to the Better Business Bureau Complaint follow up dated October
      25, 2024, regarding a hail damage claim to the insureds roof with interior water damage to a bedroom (the
      Claim) under the Policy.
      We value our customers and appreciate their business. We will do our very best to address the issues and
      concerns raised in the complaint letter. We understand there have been issues with the checks,
      preventing the checks from being cashed. On 11/1/2024 Team lead ******* ********* spoke with insured
      *** **** *** and confirmed she received the re-issued check. Additionally, we received verification from
      the bank that the check issued on 10/17/2024, in the amount of $14,622.01, was deposited on 10/30/2024
      and shows a status of cashed.
      It is important to us that our customers are satisfied with our claim service. If you have any questions after
      reading this letter, please contact me so that any additional concerns can be addressed.
      Sincerely,
      **** ******
      Team Lead
      Direct: ************************
      E-mail: **********************

      Customer response

      11/07/2024

      [A default letter is provided here which indicates your acceptance of the business's response.  If you wish, you may update it before sending it.]

      Better Business Bureau:

      I have reviewed the response made by the business in reference to complaint ID ********, and find that this resolution is satisfactory to me. 

      Regards,

      Yun **** ***
    • Complaint Type:
      Billing Issues
      Status:
      Resolved
      I was given a resolution letter from *** on October 9, 2024 saying there will be no further contact, that the account has indeed been **************, October 10, 2024, there is a withdrawal from my bank for collection of a premium.I would like a refund. I am not sure what else to do to have QBE not contact me. Not withdraw funds from my account. I have no account with them per their letter.I would like them to cease and desist all communication, electronic or otherwise effective immediately. AFTER my refund.Thank you kindly.

      Business response

      10/21/2024

      October 9th,


      ****** *.
      Better Business Bureau of *********
      *********************************************************
      ********************************************************************************


                  RE:     Complaint ID:             22319544
                              Complainant:              ***** *****
                             Policy Numbers:         PRH5980769;PRH6173503
                             Issuing Company:       Praetorian Insurance Company


      Dear ****** *.:

      This letter is in response to the follow up inquiry received regarding the renters insurance policy issued by Praetorian Insurance Company (Praetorian) to ***** ***** (the Insured).

      We regret that the insured received a charge,which was not our intent. We apologize for the oversight. To remedy the error,we issued a refund today, which the insured should receive shortly.  

      We appreciate the opportunity to address the Bureaus inquiry. Should you have any additional questions, please do not hesitate to contact the undersigned at the number and email below, or our complaint department at ********************************

      Respectfully submitted,

      /s/ ******* *******

      ******* *******
      Senior Complaint Analyst
      Legal, Regulatory and Compliance
      QBE North America

      Fax: ************
      **************************************************

      Customer response

      10/22/2024

      [A default letter is provided here which indicates your acceptance of the business's response.  If you wish, you may update it before sending it.]

      Better Business Bureau:

      I have reviewed the response regarding the refund made by the business in reference to complaint ID ********, and find that this resolution is satisfactory to me. 

      Regards,

      ***** *****
    • Complaint Type:
      Product Issues
      Status:
      Answered
      I was required to purchase renter's insurance when moving into ************** who has partnered with the business to help provide tenants with an easy partner to purchase renter's insurance from. My policy number was PRH6208596, and I was enrolled in the renter's insurance plan of the business for 12 months. Throughout the 12 months I lived at **************, I never filed a claim and sent in a processed request through QBE Insurance to cancel my policy, as it was no longer needed when I moved out of the insured property in June 2024. I have receipt of email that represents the confirmation of the cancellation of the policy, and in the business's words, "received [my] cancellation request and will have this processed, effective 6/25/2024." However, as my bank statements and email notifications have indicated, I have been continuously charged on the first of each month since June 2024 for the renter's insurance plan that I had canceled. In September 2024, I sent an email to the support team of the business inquiring about these charges and requesting confirmation that my policy was canceled and why I was contuining to be charged, urging them to cancel my plan for good. I received a reply from the support team on September 13, 2024, indicating that "[my] policy has been canceled already." On September 29, 2024, I have received yet another notification that I will be charged on October 1, 2024 for another month of the renter's insurance plan that I canceled back in June 2024. I am asking for a refund of the consecutive months that I have unfairly paid since the cancellation of my policy and an understanding to why and how I have been incorrectly charged for months after more than one confirmation of the cancellation of my policy.

      Business response

      10/08/2024

      October 7, 2024

      George B.
      Better Business Bureau of Wisconsin
      10019 W. Greenfield Ave
      Milwaukee, WI 53214
      georgeb@wisconsin.bbb.org


                  RE:     Complaint ID:             22354846
                              Complainant:              Christoper Ding
                             Policy Numbers:         PRH6208596, PRH6081168
                              Issuing Company:       Praetorian Insurance Company


      Dear George B.:

      This letter is in response to the above-referenced inquiry from the Better Business Bureau of Wisconsin (“Bureau”) sent on behalf of Christoper Ding (the “insured”) regarding a renter’s insurance policy issued by Praetorian Insurance Company (“Praetorian”).

      Our records indicate that the insured has two renter’s insurance policies. One policy, policy number PRH6208596, is serviced by Get Covered, and one policy that is serviced by Praetorian, policy numberPRH6081168. Please note, as per the insured’s request, the policy serviced by Get Covered, policy number PRH6208596, was cancelled on June 25, 2024. The cancellation request was received one day after the policy renewed for the 2024-2025 term, which provided Get Covered with one day of earned premium in the amount of $25.15.

      The policy serviced by Praetorian, policy number PRH6081168, provides renters’ coverage for a different location in Mr. Ding’s name and has been active since July 11, 2022. There have been no attempts to cancel this policy to date.

      If Mr. Ding wishes to cancel the policy serviced by Praetorian, he can contact Praetorian at 1. 866. 318. 2016.

      We appreciate the opportunity to address the Bureau’s inquiry. Should you have any additional questions, please do not hesitate to contact the undersigned at the number and email below, or our complaint department at ComplaintCoordinator@us.qbe.com.

      Respectfully submitted,

      /s/ Shannon Grizzle

      Shannon Grizzle
      Senior Complaint Analyst
      Legal, Regulatory and Compliance
      QBE North America
      949.233.2256
      Fax: 608.825.5899
      Shannon.Grizzle@us.qbe.com
    • Complaint Type:
      Service or Repair Issues
      Status:
      Answered
      Storm damaged roof 3rd quarter 2023, claim *************, never rejected and continued to ask for more photos and information, sometimes taking weeks to respond. New claim ************* after hurricane *****, additional damage being 2 sections of shingles torn off and water leaking into kitchen, pantry and LR, claim not paid as deductible of $7080 not met.Repeated asked for roof to be replaced, quote over $42,000 to replace roof. Believe they simply don't want to cover this claim.

      Business response

      08/22/2024

      August 22,2024


      BBB of *********
      Attn:  ****************
      ********************************************

      Email:***********************************************


      Due to the nature of the insureds concerns, we have sent the insured a written response to the complaint filed with the Better Business Bureau.  The letter addresses the concerns raised by **************. 

      It is important to us that our customers be satisfied with our claim service.  If you have any questions after reading this letter, please contact me so that any other concerns can be addressed.

      cc:  *******************
    • Complaint Type:
      Billing Issues
      Status:
      Answered
      This complaint is regarding the QBE insurance corporation. This is regarding a homeowners insurance policy.My complaint is for poor business practices and lack of important notifications. I I had a policy with this company from 2020 to 2024 in which I paid regularly and never filed the claim. In March 2024, I set up automatic billing with the company. Due to a change in their billing system, in which stopped, sending me the notifications that the bill was due, as they had done previously for years, I had missed a payment and was late. Once I realized that happened, I called and paid the bill, and set up automatic payments. I was assured by the agent that automatic payments were set up and I need take no further action. My payments were set up to be paid quarterly. In August 2024 I received a letter from a debt collector that I owed *************** money for an unpaid premium. After a wait time of 90 minutes, I was able to get a hold of a QBE representative who informed me that my policy had been canceled in June due to nonpayment. I explained to them that I had set up automatic payments and questioned how could this have happened? The agent explained that an automatic payment was declined with no further details available.My main complaint is the following:There was zero notification regarding the unsuccessful automatic payment. I did not receive a single letter or email or any notification. Their response was to cancel my policy and send the balance to a debt collector without ever having notified me. I would have paid the bill immediately, had I been notified that there was a problem. The only way that I knew there was a problem was when I received a letter from the debt collector. I had to wait 90 minutes to talk to someone to tell me what the issue was. I Paid the balance of what I owed, and asked to reinstate my policy, but they refused.

      Business response

      08/14/2024

      August 14,2024


      BBB of *********
      Attn:  ****************
      ************************************************************************************

      Email:***********************************************


      This letter is in response to an inquiry from the Better Business Bureau of Wisconsin (the "Bureau") sent on behalf of ******************************* (the "insured") concerning the insureds homeowner's insurance policy (the "Policy") issued by QBE Insurance Corporation ("QBE").Millennial Specialty Insurance, LLC ("MSI"), is the program administrator for QBE and provides the following response on QBE's behalf.

      MSI can confirm that a payment was received and applied to the insured's Policy on March 27, 2024. A review of our records indicates the insured contacted our office on March 28, 2024, to set up recurring quarterly payments. MSI attempted to charge the credit card on file, however, the payment was declined multiple times. Cancellation notices were subsequently issued on May 10, 2024, and June 4, 2024.  A final invoice was issued on June 14, 2024

      On August 5, 2024, the insured paid the outstanding premium due and requested that his policy be reinstated. However, due to the time that had elapsed, we were unable to accommodate his request and the policy remains cancelled. We are committed to ensuring customer satisfaction. Should the insured have any further questions, we encourage him to contact our office for assistance.


      Respectfully,

      *************************
      *************************
      Regulatory Compliance Lead


      ll us why here...

      Customer response

      08/15/2024

      Better Business Bureau:

      I have reviewed the response made by the business in reference to complaint ID ********, and have determined that this does not resolve my complaint.  For your reference, details of the offer I reviewed appear below.

      I noticed they used the term cancellation notices were issued. I received no emails, no letters,  no calls, nor any form of notification.  I dont know what they mean by the term issued.  I asked their employee if they had a record of notices actually being sent to me in some form, and they did not.  As I stated previously, the only reason I knew my policy was cancelled was because I received a letter from a collection agency requesting the balance.  I would expect a business with reasonable practices to notify me that payment was unsuccessful and that cancellation was pending.   Also, it does not make sense that my credit card would have declined this payment.  I have had zero issues with this card with other companies and purchases.   If they had really communicated as they claimed to have done, they would still have a paying customer, and I wouldnt have the credit lowering effects from having  been turned over to a collection agency.   
      Regards,

      *****************************

      Business response

      08/28/2024

      BBB of Wisconsin
      Attn: ****************
      *********************************************
      Email: ***********************************************
      We have reviewed ***************** (the insured) additional complaint concerning the cancellation of
      his homeowners policy and the alleged lack of notification. Millenium Specialty Insurance, LLC is the
      program administrator for QBE Insurance Corporation and submits this response on QBEs behalf.
      As per our prior response, a review of QBEs records indicates that the insured was sent multiple written
      notifications regarding the cancellation of his policy due to non-payment of premiums. All notices were
      sent to the insureds address via first class mail by the United States **********************
      The insured was sent a final delinquent account notice from QBE, not a collection agency. This notice was
      sent via first class mail by **** to the same address as all the other written notices. After receiving the
      final delinquent account notice, the insured contacted the agency of record, Westwood, and paid the
      delinquent amount. Therefore, no further action was taken by QBE, and no amounts were placed for
      collections.
      Should the insured need further information, we advise him to contact QBE or his insurance agency
      Westwood.
      Respectfully,
      *************************
      *************************
      Regulatory Compliance Lead
      ***************************
    • Complaint Type:
      Service or Repair Issues
      Status:
      Answered
      Policy No.: QHP6299565 Date of Loss: 07/07/2024 Type of Loss: Water Damage multiple Year Built: 2012 Complaint: QBE bad faith claim We got water damage and immediately reported the damage to QBE. The sent a water mitigation company who demolitioned our entire kitchen, 800 sq ft of floor and bathroom. We asked for a rental but QBE has been playing us. They donot pay for rentals, security deposit and 8 month contract. We have been camping in our backyard. The did not send a field adjuster but used a remote service who quotes us damages were $47,000. Lowes, ********** , floor and decor estimate the repair cost at $130,000. The QBE agent was rude and asked we dont call her again. QBE ended up sending the initial repair check to our mortgage company who said they cant do anything with it. It is still not with us. We have neither received the check although it is 1/3 of the cost nor got a rental. *** refused us from starting repairs. Each time they give us a run around. We need QBE to pay for a rental house for 12 months which is the minimum lease term in our area. We need QBE to stop playing games with us and issue full payment and approval for us to start working on our house. We have told them multiple quotes show that it will take more than what they sent a check to our mortgage company for to fix the house.

      Business response

      08/22/2024

      We are writing on behalf of QBE Insurance Corporation, a member company of QBE North America, which issued Policy No. QHP6299565 to ***************************** for the period 08/11/2023-08/11/2024 (the Policy).  

      The purpose of this letter is to respond to the Better Business Bureau of Wisconsin Complaint number WI WA-******** regarding a claim under the Policy for water damage to the insureds kitchen (the Claim). 

      We value our customers and appreciate their business. We will do our very best to address the issues and concerns raised in the complaint letter.  In considering the Better Business Bureau of Wisconsin complaint, we have reviewed the Policy and the claim information available to us. 

      07/07/2024:A claim was reported to *** for water damage to the kitchen.  As reported by ***************************** on July 7th,2024 a total of two leaks were discovered in the kitchen area.  One leak was a result of a broken supply line to the refrigerator and second leak was caused by a supply line to the faucet of kitchen sink. Both leaks caused ensuing water damage to the kitchen and to a bathroom that shares a wall with the kitchen.
      07/08/2024:The claim was assigned to a *** Claim Professional for handling.  First contact was established by the *** Claim Professional and ***************************** outlining the claim status and next steps.
      07/15/2024:The *** Claim Professional spoke to ***************************** who advised no access to the kitchen and the family is cooking in the backyard.  ******** requested coverage for housing.  The *** Claim Professional retained ALE solutions, a housing vendor, to look for housing with a 3-month lease.  Hotel accommodations were offered as needed until housing could be located.  ***************************** advised that they will be acting as general contractor and subbing out the trades to various contractors.
      07/16/2024: A hotel was approved via the Extended Stay Deluxe Seattle- Bothell. The accommodation included 2 queen rooms with 1 full kitchen.  The hotel accommodates pets. Long term housing search remains ongoing via ALE Solutions.
      07/17/2024:Temporary Housing was approved and offered to the insured.  The 3-month lease includes furniture, 3-bedroom,2 bathrooms and is located 3.2 miles from the loss location.  ***************************** declined the rental.  
      07/17/2024:Virtual Inspection completed estimate generated $49,821.32 Replacement Cost.  Check number ****** was issued in the amount of $42,316.02 made payable to ************* NA & ***************************** & Washington Employees Credit Unition.  To better assist the customer, the check was mailed to ************* as they will need to endorse the check and send back to the customer.
      Initial payment breakdown as follows:
      Total Estimate: $49,821.32
      Less Recoverable Depreciation: $5,005.30
      Less Deductible: $2,500.00
      Payment Amount: $42,316.02

      07/23/2024:*** received an estimate from the insureds contractor, Keystone, in the amount of $112,228.60.  The estimate was not fully itemized. 
      07/25/2024:Due to the large variance in estimates, a request for an onsite second inspection was initiated.
      07/23/2024:***************************** requested coverage for a 3-bedroom, 3-bath rental.  The *** Claim Professional responded and approved a 3-month rental.  Requested the contract and paid receipt for reimbursement. ***************************** was unable to secure a 3-month lease and therefore advised will begin working on locating an Airbnb. 
      08/01/2024:*** was notified that the insured would no longer be using Keystone and the insured will be locating a different contractor.
      08/01/2024:A rental for was presented by ***************************** and we approved the proposed rental for 4 months start.
      08/02/2024:An onsite inspection was completed.  The field adjuster confirmed that the home is habitable, the appliances are still in place, however the portions partially demoed is an inconvenience. A sample of the flooring was sent to **** to verify the estimated flooring material amount is accurate.
      08/07/2024:An estimate from Floor & Dcor was submitted by the insured ***************************** in the amount of $11,944.97
      08/08/2024:The claim was reassigned.
      08/09/2024:The Claim Professional reviewed the claim and determined that the use of a building consultant (MKA) would be the best next step to resolve the differences in estimates.  The Claim Professional contacted the insured, *****************************, and explained the next steps towards resolution.
      08/16/2024 The MKA building consultant report is in the final stages.  Additional Living Expense will continue to be extended to the insured during the repair process.

      Pursuant to the terms of the Policy,coverage for Additional Living Expense applies if a loss covered under Section I makes that part of the residence premises not fit to live in. The Policy covers any necessary increase in living expenses incurred by [the insured]that [the insureds] household can maintain its normal standard of living.Please note that such coverage would be limited to the shortest time required to repair or replace the damage. Here, our onsite inspection revealed that although the kitchen has been partially demoed, the home is habitable. The Policy would cover for the increased cost of meals due to partial demo of the kitchen.  We nevertheless agreed to cover the cost of temporary housing. However, while the insured has demanded full payment of 12 months of rent, as noted above, coverage under the Policy would be limited to the shortest amount of time to repair the property, and we have determined the repairs are not expected to take 12 months to complete.  Coverage has been extended for  a period of repair of four months with the option to assess additional costs on a  month to month basis as needed.  Short term rental options were provided to our customer but were declined.  Hotel accommodations have been extended since 07/16/2024 and are available for the customer to use.   
      We will continue to work toward our goal to reach an agreed cost of repair for covered damages replaced with similar kind and quality materials that were present prior to the loss. Once the report is received from the building consultant, MKA, we will provide the detailed report to our insured.

      Please note that the Policy contains a Lenders Loss Payable Endorsement which requires that any loss or damage payable under the Policy shall be paid to the Payee named on the first page of the Policy, its successors and assigns. Here, the insureds mortgage company is identified on the Policy and is required to be included on the check.  We understand that the insureds mortgage company may have certain criteria that will need to be met before the check can be endorsed and sent to the customer. However, the customer will need to work directly with their mortgage company to verify the next steps regarding disbursement of the claim proceeds.

      Please also note that there is no merit to the statement regarding the tone of the adjusters communications with the insured. At all times our Claims Professionals have handled this matter in a prompt and professional manner, including all discussions with the insured.

      It is important to us that our customers be satisfied with our claim service.  If you have any questions after reading this letter, please contact the undersigned so that we can fully respond to any additional concerns.

      Sincerely,

      *******************
      Property Claim Supervisor

      Direct:   ************
      Fax:        ************
      E-mail:   ******************

      Customer response

      08/22/2024

      Better Business Bureau:

      I have reviewed the response made by the business in reference to complaint ID ********, and have determined that this does not resolve my complaint.  For your reference, details of the offer I reviewed appear below.

      QBE has misrepresented information in the response. Specifically two items: (1) the rentals in the area require a 12 month lease minimum. We have been living in a house where the temperature was at the 109 F due to the water mitigation company drying equipment. (2) the statement says the adjuster determined the house was habitable because the appliances were there. The house has had one accident already. My elderly mother had to be rushed to the ** twice due to the accident. The gas was never connected back to the cooker. The water mitigation company that QBE sent disconnected the gas to the cooker. We have to cook in the backyard on a camping stove. (3) The adjuster who was initially assigned to the case was not helpful but intentionally showed bad faith in dealing with me. Her yelling tone and not giving accurate information was usual. *** said they record all calls, why dont they pull the recordings instead of misrepresenting information. This is a bad faith response from them. 

      Regards,

      *****************************

      Business response

      08/28/2024


      Re:     Your file number:             ** WA-********
                 Complainant:                     *****************************
                 Claim number:                  110950P
                 Loss date:                           07/07/2024
                 Policy number:                 QHP6299565
      Insured name:                   *****************************
      Insurance company:       QBE Insurance Corporation
      NAIC number:                   39217

      Dear **************,

      We are writing on behalf of QBE Insurance Corporation, a member company of QBE North America, which issued Policy No. QHP6299565 to ***************************** for the period 08/11/2023-08/11/2024 (the Policy).  

      The purpose of this letter is to respond to the Better Business Bureau of Wisconsin Complaint number WI WA-******** regarding a claim under the Policy for water damage to the insureds kitchen (the Claim). 

      We value our customers and appreciate their business. We will do our very best to address the issues and concerns raised in the complaint letter.  In considering the Better Business Bureau of Wisconsin complaint, we have reviewed the Policy and the claim information available to us. 

      07/16/2024: A hotel was approved via the Extended Stay Deluxe Seattle- Bothell. The accommodation included 2 queen rooms with 1 full kitchen.  The hotel accommodates pets.  The hotel coverage has been open since 07/16/24 to use at the customers discretion. 

      07/17/************** Housing was offered to the insured. ***************************** declined the rental.  We have included an email thread showing this rental was available and approved by our office.  
      Property #1:
      ********************************************
      Located 3.2 miles from the damaged residence
      3 bed, 2.0 bath - 1220 square foot single family home
      Furniture provided by landlord
      Utilities Included: Yes
      Lease Details:
      $120.00/day,$3,600.00/month (includes furniture)
      Total Refundable Deposit: $1,500.00
      Tentative Start Date: 07/22/2024
      3 Months
      Notice To Vacate: 30 days

      08/02/2024:An onsite inspection was completed.  The field adjuster confirmed that the home is habitable, the appliances are still in place, however the portions partially demoed is an inconvenience. While the kitchen may not be fully accessible, this does not render the entire home unusable and require displacement from the home.   Should the customer decide to stay in the home and sustain an increased cost of food to purchase premade food or dine outside of the home, the policy will pay the difference.  Receipts are required to be submitted and the familys normal cost of food will be deducted from the total incurred cost.  Now that mitigation is complete,the temperature in the home can be brought back to normal.

      Pursuant to the terms of the Policy,coverage for Additional Living Expense applies if a loss covered under Section I makes that part of the residence premises not fit to live in. The Policy covers any necessary increase in living expenses incurred by [the insured]that [the insureds] household can maintain its normal standard of living.Please note that such coverage would be limited to the shortest time required to repair or replace the damage. Here, our onsite inspection revealed that although the kitchen has been partially demoed, the home is habitable. The Policy would cover for the increased cost of meals due to partial demo of the kitchen.  We nevertheless agreed to cover the cost of temporary housing.  Coverage has been extended for a period of repair of four months with the option to assess additional costs on a month-to-month basis as needed.  Short term rental options were provided to our customer but were declined.  Hotel accommodations have been extended since 07/16/2024 and are available for the customer to use.   
      We will continue to work toward our goal to reach an agreed cost of repair for covered damages replaced with similar kind and quality materials that were present prior to the loss. Once the report is received from the building consultant, MKA, we will provide the detailed report to our insured.

      Please also note that there is no merit to the statement regarding the tone of the adjusters communications with the insured. At all times our Claims Professionals have handled this matter in a prompt and professional manner, including all discussions with the insured.  Calls with the adjusters are not recorded. 

      It is important to us that our customers be satisfied with our claim service.  If you have any questions after reading this letter, please contact the undersigned so that we can fully respond to any additional concerns.

      Sincerely,

      *******************
      Property Claim Supervisor

      Direct:   ************
      Fax:        ************
      E-mail:   ******************
    • Complaint Type:
      Product Issues
      Status:
      Answered
      Hello,QBE North Pointe North America insurance has 1. refused to refund my $486.62 for a dirty hotel room. 2. refused to negotiate compensation for the injuries of my children through Abritration/Mediation which is required by law in *****************, ** where these injuries took place. Also Ive paid the filing fee 3. threatened to close my claim which has documented ongoing medical treatment and QBE Claims adjuster ************************* has not provided a valid written statement as to why he cannot Arbitrate or Mediate as of July 25, 2024

      Business response

      07/29/2024

      July 29, 2024
      BBB of *********
      Attn: **************
      ****************************************************************************************************************
      Email: ********************************************
      Re: Your file number: BBB WI GA 22041811
      Complainant: ***************************
      Claim number: 104813P
      Loss date: 04/01/2024
      Insurance company: North Pointe Insurance Company
      NAIC number: 27740
      Dear Mr. ******** are writing on behalf of North Pointe Insurance Company (QBE), a member company of QBE North
      America. The purpose of this letter is to respond to the Better Business Bureau of Wisconsin Request for
      assistance dated July 25, 2024 (the Complaint) regarding the Customers allegation that QBE refused to
      negotiate settlement of the claims on behalf of her children.
      We value our customers and appreciate their business. We will do our very best to address the issues and
      concerns raised in the complaint letter. We understand that the Customer alleges that we refused to refund
      her $486.62 for a dirty hotel room, refused to negotiate compensation for the injuries of her children through
      Arbitration/Mediation which she states is required by law in *****************, ** where these injuries took
      place, and was unhappy with correspondence from QBE including a close letter and lack of valid written
      statement as to why he cannot Arbitrate or Mediate as of July 25, 2024. In considering the Better Business
      Bureau of Wisconsin Complaint, we have reviewed the Policy and the claim information available to us.
      An offer of $500.00 per child was accepted by the Customer on April 30, 2024, and settlement releases
      were subsequently sent via email. QBE attempted to contact the Customer via phone on May 8, 2024,
      and May 14, 2024. On May 16, 2024, the settlement releases were sent via ***** QBE left voice mails
      on May 21, 2024, and May 24, 2024, regarding the status of the signed releases. On June 6, 2024, a
      closure letter was sent due to no response and the settlement releases were attached.
      The request for arbitration was received on June 13, 2024, from a firm named Jams. On July 8, 2024,
      QBE responded to Customer and Jams accordingly that we never consented to arbitration and will not be
      proceeding with the arbitration. On July 9, 2024, Jams emailed the Customer that mediation is a voluntary
      process, and the Respondent [QBE] would need to agree to participate; QBE never agreed to participate
      in arbitration/mediation. QBE left a voice mail for the Customer on July 9, 2024, to contact us to discuss

      the settlement of the claim. On July 19, 2024, *** responded to the Customer via email, explaining the

      voice mail left on July 9, 2024, in response to the Customers request for mediation and to discuss the
      matter. Further, QBE outlined the offers, acceptance of those offers, and contact attempts. Though QBE
      has declined the request for arbitration, it was made clear that we are more willing to discuss any
      settlement concerns the Customer has. Furthermore, if there is any additional medical support to present,
      please send that information for consideration. A contact phone number was provided.
      On July 23, 2024, QBE responded to Customer via email outlining the July 19, 2024, email, confirmed no
      new information has been provided, and requested she reach out to discuss a resolution of the concerns.
      It is extremely important to us that our customers be completely satisfied with our claim service. If you have
      any questions after reading this letter, please contact the undersigned so that we can fully respond to any
      additional concerns.
      Sincerely,
      ***********************
      Claims Supervisor
      Direct: ************
      Fax: ************
      E-mail: *************************

    • Complaint Type:
      Service or Repair Issues
      Status:
      Answered
      I owned a renters insurance policy from QBE as our community required it. Part of that policy covers damages due to peril. On February 15, my apartment, along with two other units, had water damage due leaks within the hot water tank system. As I was in the process of moving out, three boxes and their contents (laptop, electronics) were damaged due to the amount of water that entered my apartment. I filed a claim with QBE and followed my obligations as a policy holder throughout the process. The representatives that I have been assigned (********************** and *****) have either been non-responsive, verbally abusive and most recently the investigator *********************** blatantly lied about conversations he had with the property manager. I confirmed what was said (on a recorded line) with people he has questioned and it is vastly different from what he relays to me. QBE sent out their own contractors Strike Check twice to inspect the items and both times the reports back recommended replacement due to water damage. Then, *** refuses to use the information their hired contractors give to them. The last communication today with ***** included condescending accusatory statements. It is nearly impossible to speak to him as he bashfully talks over you in belittlement. QBE has violated numerous state insurance regulations, fabricated narratives and are failing to uphold their contract or policy; simply stated they are unequivocally acting in bad faith by violating state insurance law and regulations, and using coercive or dishonest practices. I have witness affidavits, photos of the damages and just want the company to do what they are obligated to do.

      Business response

      07/30/2024

      July 29, 2024
      Better Business Bureau
      ************************************************************************************************
      Re: BBB ID# ***********************************
      Complainant: ***************************
      Claim number: 101898P
      Loss date: February 15, 2024
      Policy number: PRH6253831
      Insured name: ***************************
      Insurance company: Praetorian Insurance Company
      NAIC number: 37257
      Dear Better Business Bureau,
      We are writing on behalf of Praetorian Insurance Company, a member company of QBE North
      America, which issued Policy No. PRH6253831 to *************************** for the period of September 23,
      2023, to September 23, 2024 (the Policy). The purpose of this letter is to respond to the BBB of
      Wisconsin inquiry dated July 19, 2024, regarding the water damage to personal property claim,
      presented by *************************** under the Policy (the Claim).
      In considering the BBB inquiry, we have reviewed the Policy and the claim information available to
      us. Our records reflect that on February 15, 2024, *************************** reported a claim for water
      damage to his personal property. Our adjuster reached out to **************** to confirm the facts of
      loss as well as **************** list of damaged property. We have provided **************** with several
      updates throughout the claim process by both telephone and written communication.
      **************** was in the process of moving out of state when the loss was reported. As a result, we
      were not given an opportunity to inspect the damaged property for three weeks yet when they were
      inspected all the items still contained a significant amount of water given the amount of time that
      had passed. We continued to work with **************** as he said there were additional items that had
      sustained damage and set up a second inspection of his damaged property.
      We also spoke with property manager, who stated they never received any reports of water damage
      to Mr. ******* unit. This was also confirmed with their maintenance supervisor.
      Our investigation of the claim continues. Our adjuster spoke with **************** on July 19, 2024, and
      reminded him that we are still waiting for **************** to provide video footage from his ring camera
      and emails between **************** and the property manager, which **************** states substantiate
      the claim.

      Once we are provided the necessary documents and information, we can move forward with
      determining if coverage is available for the loss.
      Should you have any questions after reading this letter, please contact me so that any additional
      concerns can be addressed.
      Sincerely,
      *************************
      Claims Supervisor
      Praetorian Insurance Company
      Direct: ************
      Fax: ************
      E-mail: ************************

      Customer response

      08/06/2024

      Better Business Bureau:

      I have reviewed the response made by the business in reference to complaint ID ********, and have determined that this does not resolve my complaint.  For your reference, details of the offer I reviewed appear below.

      According to my policy, issued by Praetorian Insurance Company via QBE, I have followed all provisions and obligations in regard to the claim process. The items were inventoried, photographed and remitted to QBE they day after the occurance. After, they were put in storage containers as I was relocating. When I was informed they needed to be inspected, I provided the damaged items to Strike Check, which reports are attached. 

      In regard to their statements from property manager, I spoke with her directly and that statement was not made by her nor the maintenance supervisor. The statement is an incorrectly paraphrased by QBE and is a misleading statement with intent to deceive the bureau. Additionally, I have attached two legal sworn documents to disprove their accusations. 

      Finally, as all calls are recorded, I urge them to review the calls as I never stated I had video footage. Once again that statement is misleading with intent to discredit and not pay on the claim. The attached statements, which can be used in court, prove otherwise

      QBE issued a partial payment of around 500 and then placed a stop payment after it was deposited, which in the state of **** is illegal. There are  criminal charges against the company if the initial facts point to the belief that (a) the individual never had the intent to pay in the first place and (b) there was no valid reason to cancel the check.

      In addition, their SIU has used deception, fabricated statements, attempted to use entrapment tactics for a simple claim of 2300 which covers what was damaged. They have a legal obligation to withhold their contract and act in good faith. They have a continue to do the opposite. I have more than substantiated my claim and question the credibility of this company as a whole. I have also filed an investigation with the state of Arizona. 


      Regards,

      ***************************

      Business response

      08/14/2024

      August 14, 2024
      Better Business Bureau
      *********************************************************************************************
      Re: BBB ID# ***********************************
      Complainant: ***************************
      Claim number: 101898P
      Loss date: February 15, 2024
      Policy number: PRH6253831
      Insured name: ***************************
      Insurance company: Praetorian Insurance Company
      NAIC number: 37257
      Dear Better Business Bureau,
      We are writing on behalf of Praetorian Insurance Company, a member company of QBE North
      America, which issued Policy No. PRH6253831 to *************************** for the period of September 23,
      2023, to September 23, 2024 (the Policy). The purpose of this letter is to respond to the BBB of
      Wisconsin inquiry dated July 19, 2024, regarding the water damage to personal property claim,
      presented by *************************** under the Policy (the Claim).
      In considering the BBB inquiry, we have reviewed the Policy and the claim information available to
      us. Our records reflect that on February 15, 2024, *************************** reported a claim for water
      damage to his personal property. Our adjuster reached out to **************** to confirm the facts of
      loss as well as **************** list of damaged property. We have provided **************** with several
      updates throughout the claim process by both telephone and written communication.
      **************** was in the process of moving out of state when the loss was reported. As a result, we
      were not given an opportunity to inspect the damaged property for three weeks yet when they were
      inspected all the items still contained a significant amount of water given the amount of time that
      had passed. We continued to work with **************** as he said there were additional items that had
      sustained damage and set up a second inspection of his damaged property.
      We also spoke with property manager, who stated they never received any reports of water damage
      to Mr. ******* unit. This was also confirmed with their maintenance supervisor.
      Our adjuster spoke with **************** on July 19, 2024, and reminded him that we are still waiting
      for **************** to provide video footage from his ring camera and emails between **************** and the property manager, which **************** states substantiate the claim. **************** now claims

      that he never said that there was video footage or emails, contradicting his prior statement.

      Our claim investigation is now complete. A disclaimer was issued out to **************** on August 12,
      2024.
      Should you have any questions after reading this letter, please contact me so that any additional
      concerns can be addressed.
      Sincerely,
      *************************
      Claims Supervisor
      Praetorian Insurance Company
      Direct: ************
      Fax: ************
      E-mail: ******************************************

    • Complaint Type:
      Service or Repair Issues
      Status:
      Answered
      I put in a claim for my air conditioner unit. It was not working. They sent out a technician and he agreed it needed to be replaced. After that, the company did nothing. I got a repairman to get it back working. Every ***** days, it would break down again and I had to keep fixing it. Finally, it broke down again in April. I notified the company and asked them to reactivate the claim but again, they did nothing. Shortly after, I received a letter from ******************************** and she stated that she was in charge of my case and did nothing. I tried contacting her at least 30 times and no response. I desperately needed my heating and cooling system, so I had it replaced May 9. I sent ***************** the receipt and again nothing was done. I had to put this on a credit card with high interest rate which is putting me in a financial bind. I need to be reimbursed immediately.

      Business response

      07/11/2024

      July 11, 2024
      Better Business Bureau of *********
      ************************************************************************************************
      Re: Your file number: WI TX BBB 21929633
      Claim number: 880574N
      Loss date: 12/23/2022
      Insurance company: Praetorian Insurance Company
      NAIC number: 37257
      Dear ****************,
      We are writing on behalf of Praetorian Insurance Company, a member company of QBE North America.
      The purpose of this letter is to respond to the Better Business Bureau of Wisconsin complaint
      dated July 2, 2024 regarding the claim resolution for a reported broken **** system (the Claim) under
      the Policy.
      We value our customers and appreciate their business. We will do our very best to address the issues and
      concerns raised in the complaint letter. We understand that the policyholder has reported dissatisfaction
      of the claim resolution. The policyholder has requested payment in the amount of $7,400.00 for the
      replacement of his **** unit.
      In considering the Better Business Bureau of Wisconsin Complaint, we have reviewed the Policy and the
      claim information available to us.
      On December 28, 2022, the policyholder reports intermittent failure of the **** system with no attributing
      specified cause of loss. Multiple unsuccessful attempts to contact the policyholder were made via
      telephone and written correspondence in 2022, 2023, and 2024.
      On June 18, 2024, an email was sent by the insured that did not include a claim number and therefore was
      unable to be uploaded to the claim file for processing. On July 3, 2024, an email from the policyholder was
      received by our office that contained an invoice for **** replacement.
      It is important to note that on December 05, 2022, there was a separate claim made (877643N) for a
      reported date of loss of October 24, 2022, for storm damage to the roof, fence and gutters. An onsite
      inspection was completed on December 12, 2022, at 9am which captured photos of the **** unit. The
      field adjuster confirmed that no storm related damage was sustained directly to the **** unit.
      As of today July 10th, 2024, the recent information received is currently under review for coverage
      consideration.
      It is extremely important to us that our customers be completely satisfied with our claim service. If you
      have any questions after reading this letter, please contact the undersigned so that we can fully respond to
      any additional concerns.
    • Complaint Type:
      Product Issues
      Status:
      Answered
      The California State Controller sent me a letter stating that QBE had $2449.50 of property that I needed to claim before 5/30/2024. I contacted QBE on 5/14/2024 at 8:24am. I was informed that the check had been cashed. They provided me with a document they received from a person who was not me, asking that the check be sent to an address that was not mine, claiming to be our old insurance broker. They sent the check to this brokers address, it was cashed by someone other than the requester. This correspondence occurred in early January of 2024. The broker we worked with had gone out of business in Feb of 2023. QBE is claiming that it is my responsibility to address this matter with my bank (who was not involved with the transaction) and that they cannot do anything. I've called their bank (listed on the check copy I received) as well as my own and both informed me that only *** could begin the fraud case. QBE did no duedillegenc, they didn't contact me to confirm I approved the reissue of the check. The person I was assigned to doesn't respond to phone calls or emails and always seems to be "on vacation". It feels like they are purposely dragging this out in the hopes it will simply go away. The endorsement on the check does not match my address or my name.

      Business response

      07/09/2024

      July 8,2024

      Better Business Bureau of *********
      *************************************************************************************************************






      Re:    Your file number:              BBB WI CA 21928847
               Complainant:                   ***************************
               Claim number:                 748641N
               Loss date:                        04/26/20
               Policy number:                 QHP7964214
      Insured name:                  ***************************
      Insurance company:         QBE Insurance Corporation
      NAIC number:                  39217

      Dear ****************,

      We are writing on behalf of QBE Insurance Corporation, a member company of QBE North America, which issued Policy No. QHP7964214 to *************************** for the period 09/11/2019 - 09/11/2020 (the Policy).  

      The purpose of this letter is to respond to the Better Business Bureau Complaint dated 07/02/2024 regarding an inquiry for a claim involving a slab leak which caused ensuing water damage to home (the Claim) under the Policy. 

      We value our customers and appreciate their business. We will do our very best to address the issues and concerns raised in the complaint letter.  We understand that *************************** is not satisfied with the Unauthorized Endorsement of Check dispute process as well as the timeliness of communication. 

      In considering the Better Business Bureau Complaint, we have reviewed the Policy and the claim information available to us. 

      On 5/13/2020 a check was issued to *************************** & Midwest Equity Mortgage LLC in the amount of $2,449.50 for the damages to the home because of the slab leak.
      The check remained uncashed.  If a check remains uncashed for a period of time, it is subject to the states unclaimed property process.  In order to verify status of the check we attempted contact.
      On 11/09/2020 a letter was sent to *************************** requesting status of the uncashed check, with no response.
      On 05/16/2022 a letter was sent to *************************** requesting status of the uncashed check, with no response.
      On 12/21/2023 a letter signed by ***************************** identifying himself as an account manager for Midwest Equity Mortgage was received by our office.  This correspondence requested the check be reissued to the named insured, *************************** and mailed to ***************************************************** 
      On 01/04/2024 this request was processed, and the check was reissued solely to ***************************. 
      On 5/15/2024 *************************** contacted the ********************** requesting the check to be reissued.  It was communicated to our customer that the check had been issued and cashed.  A copy of the check was provided to ***************** who confirmed the signature on the check was not his. 
      On 05/16/2024 the claim was assigned to ************************************* who immediately forwarded the notice of fraud to the Treasury Team. 
      On 05/24/2024 A member of the treasury team responded to **** and provided the next steps in the process as well as the necessary document to be completed.
      On 05/26/2024 **** forwarded issued a letter to *************************** confirming the information was submitted to the *** Treasury team.
      On 05/28/2024 ************************************* forwarded the information to *************************** and provided the correct email address to submit the documentation.
      On 5/28/2024 multiple email exchanges occurred between **** and ****** answering questions and **** explaining the required process.  ****** provided feedback that he expected the check to be reissued to him only as he was not the one who cashed the check.  **** explained the required process and that he was not able to reissue the check.
      On 06/03/2024 *************************** emailed the requested completed document (it was later discovered by ******************* on 7/2/24 that he emailed to the incorrect address)
      On 06/24/2024 07/08/2024 ************************************* was out of office.  His out of office automatic email response was set up to advise his customers. *********************** was his assigned back up. 
      On 07/01/2024 *********************** returned a callback request of *************************** and explained that the check cannot be reissued by *** and that the request must go through the fraud dispute process.  *************************** requested supervisor review.
      On 07/02/2024 ******************* reviewed the file and noticed that *************************** sent the documentation to the incorrect email address.  ******************* forwarded the email to the correct email address and ccd the insured *************************** to advise of error.
      On 07/03/2024 An email from the **************************** confirmed the document was received and was forwarded to the ***************** Fraud Team. The timeline for resolve was unknown, but updates would be provided.This information was promptly forwarded to ***************************
      On 07/08/2024 An update was provided that the *** Fraud team confirmed receipt of the documents

      As of today, July 8,2024, the unauthorized endorsement of the check is under review by ********** and PNC Bank.  An update will be provided every 30 days by the **************** Team until resolved.  The recovery of funds is not guaranteed.  However, should the banks confirm fraudulent activity, they will advise of next steps in the process. 

      Our review of the file reveals more than adequately prompt and proactive communication with our customer.  We will not only continue to provide updates throughout the remainder of the process, but we will also continue to respond promptly to the customer as appropriate based on current volume.   

      It is extremely important to us that our customers be completely satisfied with our claim service.  If you have any questions after reading this letter, please contact the undersigned so that we can fully respond to any additional concerns.

      Sincerely,

      *******************
      Property Claim Supervisor

      Direct:    ************
      Fax:       ************
      E-mail:   **********************

      Customer response

      07/09/2024

      Better Business Bureau:

      I have reviewed the response made by the business in reference to complaint ID ********, and have determined that this does not resolve my complaint.  For your reference, details of the offer I reviewed appear below.

      Hello Candy,

      This is an awfully watered-down version of the events that have transpired. Your team has communicated to me on several occasions that there is "nothing QBE can do" and that this is an issue I must resolve with "the bank" myself. Repeated requests to speak with you, specifically, have gone unanswered. I informed **** that I would be sending the information to him and received no response. I sent the information to ****, and again, heard nothing. Weeks passed as I tried and failed to get any information from **** - my "specialist" at ***. I then had to call the generic phone number provided by the California State Controller and go through several hops in your phone system to get to a person. It was only after I received your name from this phone call did any action come.

      I contacted you by phone, left a voicemail, and to-date I have never received a call back. I emailed you, and like the phone call, received no response. Instead, you (I'm guessing) had someone else contact me who was completely unqualified to take my call. He had no prior knowledge of what needed to be done with a case such as mine, could not transfer me to you or your manager, communicated that QBE sends checks to wrong address "all the time", and insisted that my only recourse was to continue trying to reach **** (who again was not returning email and was out of office again). I began this process with the BBB on July 1st and only heard from you on July 2nd. Please do not characterize these events as "business as usual" and place blame on where the email was sent. I was assigned to ****, he was absent from his duties. 

      When I contacted my bank, they were shocked QBE had not attempted to qualify this request by contacting me or confirming the company's information. QBE should be held accountable for their practices which make them prone to fraud, they should not be sending checks to people other than the insured and should have some kind of measure to ensure the person who is requesting payment isn't a fraud. From my experience, QBE is cutting a corner and putting the responsibility of fraud detection on their current/past customers. They are also making the process of addressing such fraud as difficult as possible in what I can only describe as a means to ensure the customer doesn't follow through with the request. 


      Regards,

      ***************************

      Business response

      07/16/2024

      TellJuly 15, 2024
      Better Business Bureau of ********* *************************************************** ***********************
      Re: Your file number: BBB WI CA ********
      Complainant: ***************************
      Claim number: 748641N
      Loss date: 04/26/20
      Policy number: QHP7964214
      Insured name: ***************************
      Insurance company: QBE Insurance Corporation
      NAIC number: *****
      Dear ****************,
      We are writing on behalf of QBE Insurance Corporation, a member company of QBE North America, which
      issued Policy No. QHP7964214 to *************************** for the period 09/11/2019 - 09/11/2020 (the Policy).
      The purpose of this letter is to respond to the Better Business Bureau Complaint dated 07/10/2024
      regarding an inquiry for a claim involving a slab leak which caused ensuing water damage to home (the
      Claim) under the Policy. We will do our best to address the issues and concerns raised in the complaint
      letter. We understand that *************************** has provided additional feedback. The BBB follow up requests
      that we acknowledge the customer concerns and explain our actions to resolve the concerns.
      According to ****************** the check was fraudulently endorsed and cashed. First and foremost, Mr. ************ claim of fraud must be verified. The inquiry must go through the proper steps (as previously
      provided to ******************) to determine that fraud occurred. Our office alone is unable to confirm such facts.
      Therefore, this incident must be reviewed and investigated by the banks involved. Based on those results
      of the review completed by the banks, further investigation into the origin of the alleged fraud is likely.
      Attached to this letter is an email thread dated 5/28/2024 between ****************** and ********************************
      explaining the next steps process. Within this correspondence ****************** continued to dispute the
      process and requested resolution by QBE reissuing the check. The request to reissue the check was not
      approved. ****************** returned the completed documentation on 06/02/2024. However, ******************
      continues to communicate that he still does not agree with the process and expects the check to be
      reissued.
      It is not unusual for stop payment and reissue requests on claim stale dated payments (especially for
      checks that are multiple years old). The documentation provided to our office appeared to be in line with
      the facts associated with the claim. The check was reissued solely to the Named Insured, ***************************.
      Attached to this letter is an email sent by myself to ****************** which is time stamped July 2, 2024, at 8:54
      a.m. CST. This email was sent by me prior to having any knowledge of a BBB Complaint, which was
      received on my desk as of Wednesday, July 3, 2024, at 1:40 p.m. The allegation that our office is
      deliberately deterring ****************** from pursuing the next steps related to the improperly endorsed check
      are unfounded. ****************** has received timely responses from our office but remains in dispute of our
      position.
      Page 2 of 2
      As of today, July 15, 2024, the unauthorized endorsement of the check is under review by **********
      and PNC Bank. An update will be provided every 30 days by the ******************** Team until
      resolved. The recovery of funds is not guaranteed. However, should the banks confirm fraudulent activity,
      they will advise of next steps in the process.
      It is important to us that our customers be satisfied with our claim service. If you have any questions after
      reading this letter, please contact me so that any additional concerns can be addressed.
      Sincerely, ***********************
      Property Claim Supervisor
      Direct: ************
      Fax: ************
      E-mail: ****************** us why here...

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