ChatGPT · New Zealand
The insurer says a leak in my first home was caused by maintenance, but I had no idea it was there. Can I challenge that?
Yes, you can challenge it. An insurer saying a leak was caused by “maintenance” does not automatically end the matter — the key questions are what caused the leak, what your policy covers, and whether the insurer has enough evidence to rely on an exclusion. Financial Ombudsman
In New Zealand, you can ask the insurer to reconsider the decision. Your strongest points are usually:
- You did not know about the problem: Explain that the leak was hidden or not reasonably detectable and that you had no knowledge of any defect or deterioration.
- Ask them to prove the cause: Request the assessor’s report, photos, moisture readings, plumber’s report, and the specific policy wording they are relying on.
- Challenge the “maintenance” conclusion: Ask what evidence shows the leak was due to a failure to maintain rather than a sudden or unexpected event.
- Check the exact exclusion: Insurers can decline claims where damage is excluded (for example, gradual deterioration or lack of maintenance), but they need to apply the policy wording fairly. Consumer Protection
- Provide your own evidence: A report from a plumber or building professional may help if it gives an alternative explanation for the leak’s cause.
A useful way to frame your complaint is:
“I dispute the conclusion that this damage resulted from maintenance failure. I was not aware of any leak or defect before the event, and I request evidence supporting the cause determination, including the expert assessment and the policy clause relied upon.”
If the insurer does not change its position, make a formal complaint through its internal complaints process. If it remains unresolved, you can take it to the insurer’s independent dispute resolution scheme, such as the Insurance & Financial Services Ombudsman Scheme or another scheme your insurer belongs to. These services are free for eligible complaints. Consumer Protection
A few details would help assess your position:
- Was the leak inside a wall/ceiling/underfloor or was it visible?
- Did the insurer say “gradual damage,” “wear and tear,” “lack of maintenance,” or something else?
- Was this your home insurance claim after buying your first home, and how long had you owned the house before the leak was found?
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Captured 11 October 2026