This page provides information about the process the Australian Financial Complaints Authority (AFCA) follows when we resolve a complaint. We have a range of methods to resolve complaints. We select the method, or combination of methods, that we think is most likely to resolve the complaint fairly and efficiently.
We try to resolve complaints in the most fair, effective and efficient way possible. We will generally try to first resolve a complaint by informal methods, and reach a settlement between you and the financial firm through negotiation or conciliation.
If this doesn’t work, we may then use more formal methods, where we may provide a preliminary assessment about the merits of your complaint, or we may make a decision (called a determination). If we make a determination that is in your favour and you accept it, the financial firm is required to comply with the determination and any remedy that we award. For superannuation complaints, any determination that we make is binding on both parties.
Sometimes, it may be appropriate for us to make a decision straight away, rather than try and reach a settlement through negotiation or conciliation.
When considering the appropriate methods to resolve a complaint, we will take into account:
We will tell you and the financial firm about our proposed approach to resolving a complaint, to ensure you understand what is involved.
Examples of complaints AFCA may refer directly to determination include:
Find out about our approach to complaints that involve financial difficulty
For most complaints, we will generally only be able to consider it if you make your complaint:
We may extend the time limits to make certain types of complaints if we think there are special circumstances.
See section B.4 of our Operational Guidelines for the specific time limits relating to Superannuation and National Credit Code contract variation complaints.
Often we will work to resolve a complaint with the parties by helping them negotiate a settlement. This may involve us exchanging settlement offers and discussing them with each party. To assist negotiations, we may provide guidance about the type of outcome that might occur through AFCA if a settlement is not negotiated and the complaint proceeds to determination.
Sometimes we will hold a telephone conciliation conference with both parties. This is conducted informally. It provides the parties with a chance to hear the other’s perspective in a conversation facilitated by us. During a conciliation we will normally provide the parties with guidance on the issues raised in the complaint and what outcome might be provided if the complaint proceeded to Determination.
If negotiations or a conciliation conference do not achieve an agreed settlement, we will decide the complaint.
If informal methods to resolve a complaint don’t work, or there is a reason to progress the matter without conducting any negotiations or conciliation with the parties, we will make a decision on the merits of the complaint (also referred to as a determination).
Often we will provide the parties with a preliminary assessment before making a binding decision. Sometimes, however, we proceed very quickly to make a binding decision.
We may provide a preliminary assessment verbally or in writing.
A preliminary assessment includes:
Typically, we will give the parties seven days (for fast track complaints) or 30 days (for other complaints) to tell us whether they are willing to settle a complaint based on the preliminary assessment we have provided or, alternatively, whether they want the complaint to proceed to a determination.
A determination is the final stage in our complaint resolution process. For complaints not relating to superannuation and a regulated superannuation fund, you may choose to accept the decision we make, or not. Other than by reference to the courts, it is not possible to appeal a determination.
When determining a complaint, the AFCA decision maker must do what is fair in all the circumstances, and take into account:
There are different decision-making requirements for superannuation complaints. Please refer to our Operational Guidelines for more information about this. In summary though, when determining a superannuation complaint, the AFCA decision maker must consider whether the original decision made by a trustee, insurer, RSE provider or other person was fair and reasonable in all the circumstances. If we are satisfied that the trustee’s decision was fair and reasonable in relation to the complainant (and, in the case of a decision about payment of a death benefit, all joined parties) in the circumstances, we must affirm the original decision.
A determination will be made in writing, and will outline the reasons for the decision. Any remedy that we award, whether it be monetary compensation or some other remedy will also be included. The financial firm is required to comply with our decision, if you choose to accept it.
The determination will set out:
If you accept our determination, the financial firm must provide any remedy in the determination within the timeframe we have stated. Determinations for superannuation complaints, however, normally come into effect immediately once they are made, and do not require you to accept the determination.
If a financial firm does not comply with a determination, we are required to report this to ASIC.
For non-superannuation complaints, if you choose not to accept our determination, you have a right to pursue your claim against the financial firm through the courts. You should seek your own legal advice if you wish to take legal action in the courts.
We may decide that it is not appropriate to continue considering your complaint. This could be because you haven’t suffered a loss, or you have already been appropriately compensated or the financial firm hasn’t committed an error.
We will not exercise our discretion to exclude a complaint lightly. It will only be used in cases where there are compelling reasons for deciding that we should not consider or further consider a complaint.
If we decide to close your complaint, we will inform you and the financial firm in writing with reasons. You are able to object if we advise that we have exercised our discretion to not further consider your complaint. If you object, we will formally review and consider your objection.
You may, at any stage, tell us that you do not want to continue with your complaint.
We may also conclude that you want to withdraw your complaint if you fail to respond to us when we ask you to contact us and provide information.
In either case, we are unlikely to re-open a complaint unless special circumstances warrant further consideration of the complaint.
Note: This text is reproduced, based or adapted from AFCA's Operational Guidelines.