KnE Social Sciences

ISSN: 2518-668X

The latest conference proceedings on humanities, arts and social sciences.

Model and Implication Insurance Claim Payment Failure in Indonesia

Published date: Oct 31 2025

Journal Title: KnE Social Sciences

Issue title: The 8th Legal International Conference and Studies (LICS 2025): Corporate Responsibility and Environmental Law Through Economic & Business Management Practices

Pages: 163 - 177

DOI: 10.18502/kss.v10i27.20059

Authors:

Aryani Witasariaryani@unissula.ac.idFaculty of Law, Universitas Islam Sultan Agung (UNISSULA), Semarang

Sri KusriyahFaculty of Law, Universitas Islam Sultan Agung (UNISSULA), Semarang

Abstract:

Insurance can occur because of an agreement between the insurance company and the customer through an agent. The customer is a weak party, so in the insurance agreement a customer needs to be protected. The purpose of this study is to determine and analyze the form of protection for customers who fail to pay and the factors that cause insurance companies to fail to pay insurance claims. The approach used is the normative legal method supported by field data, namely using secondary data supported by primary data and analyzing them qualitatively descriptively. The results of the study showed that customers need to be protected based on the theory of legal protection. Because they are in a weak position, the customers easily trust insurance companies to provide them protection against the risks faced. The factors that make insurance companies fail to pay insurance claims can be not implementing the claim according to the provisions of the Insurance Law, the company’s financial condition not being healthy, and the implementation of risk management in the company being not optimal.

Keywords: customers, insurance, legal, protection

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