Page 20 - The Insurance Times October 2025
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Ward v Tesco Stores Ltd (1976). When a customer slipped  denials in claims settlement are becoming routine issues.
         on spilled yogurt, Tesco argued they had a proper cleaning  Documentation complexity, varying  interpretations of
         system. The court disagreed, ruling that the very presence  wordings, and inconsistent customer service often lead to
         of the hazard was proof of negligence. The principle of res  complaints needing formal redressal.
         ipsa loquitur-"the thing speaks for itself"-was applied, forever
         cementing the duty of businesses to ensure safety and  In the United Kingdom and many other countries, the scale
         insurers to honor liability swiftly.                 of liability exposure is considerable. The Association of British
                                                              Insurers (ABI) states that UK insurers settle more than £3.5
         What unites these stories-from Kerala's food poisoning case  billion a year in liability claims, reflecting the prevalence of
         to Tesco's yogurt spill-is not the accidents themselves, but  use and dependency on such insurance products. With
         what followed: delays, disputes, and denials. The pattern is  growing volumes of claims, so grows conflict-particularly
         universal. Businesses buy liability insurance for peace of  where companies perceive the insurer response as poor or
         mind, but when insurers falter in grievance redressal, that  slow. To react, regulatory bodies instituted formal grievance
         peace shatters.                                      redress mechanisms. The UK's Financial Ombudsman Service
                                                              (FOS),  for  example,  provides  policyholders  with  the
         Even with such strong legal precedents and documented  opportunity to escalate complaints in case of non-resolution
         frameworks, policyholders today continue to encounter  of issues within eight weeks by insurers. FOS releases
         significant impediments when seeking redress under liability  anonymized decisions on cases and seeks to settle disputes
         insurance. Almost every insurer in India now boasts of  impartially and without charge for the complainant.
         grievance cells, online portals, toll-free numbers, and
         escalation matrices. Yet, as reflected in Ombudsman data,  A similar situation prevails in India, where liability insurance
         the reality tells another story: more than 50,000 complaints  is picking up pace across industries. Figures from the General
         were filed in FY 2023-24 alone, and nearly one-third involved  Insurance Council indicate liability insurance premium in
         delays or disputes over claim repudiation. The system,  India exceeded Rs.2,000 crore in FY 2022-23, indicating
         though elaborate on paper, too often collapses under its  increasing  legal  awareness  among  companies.  To
         own weight in practice-marked by prolonged processes, lack  acknowledge the increasing grievances, the Insurance
         of transparency, and communication gaps.             Regulatory and Development Authority of India (IRDAI)
                                                              made it mandatory for each insurer to have a Grievance
         The irony is sharp: an industry designed to protect against  Redressal  Officer  (GRO),  keep  complaint-resolution
         risk frequently transfers that very risk back to the insured  timelines, and provide escalation mechanisms via the
         through bureaucratic hurdles. Policyholders find themselves  Integrated Grievance Management System (IGMS).
         not only fighting for compensation but also fighting the
         system meant to safeguard them. Until grievance redressal  Even with these processes, grievance settlement is not
         evolves into a mechanism that is not only structured but also  always smooth. Real-life examples illustrate this disconnect.
         swift, humane, and transparent, the promise of liability  For instance, a customer in a UK restaurant who fell on
         insurance will remain half-kept-a shield that exists in theory,  dropped dessert was awarded £2,600 compensation-but
         but wavers at the moment of impact.                  only after the restaurant's insurer dithered and the case was
                                                              pursued through legal aid. Even in situations of obvious
         A  Historical  Perspective  on  Public               negligence, such delays reflect systemic inefficiencies in the
                                                              response of insurers. These judgments highlight that it is just
         Liability Insurance
                                                              the  starting  point  to  have  an  insurance  policy;  the
         As public liability insurance became integral to modern  effectiveness of grievance redressal ultimately decides how
         business  risk  management,  the expectation was  that  safe the policy actually is.
         insurers would offer not only financial protection but also
         prompt and fair resolution in times of distress. However, the  This is not a recent issue. The 1976 case of Ward v Tesco
         ground reality often paints a different picture. Despite  Stores Ltd is still one of the most heavily cited precedents in
         purchasing policies with the intent of securing peace of mind,  occupiers' liability law. Mrs. Ward fell over yoghurt which
         many policyholders-particularly small businesses-experience  had been spilled in a Tesco store. Though Tesco asserted
         frustration and uncertainty when filing claims. Whether it  regular floor inspections were carried out, they could not
         is a café owner dealing with third-party injury case or a  demonstrate this sufficiently in court. Invoking the doctrine
         contractor dealing with property damage claims, delays and  of res ipsa loquitur-"the thing speaks for itself"-the court held

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