LP
Leroy P
1 reviews | Active since Oct 2024
17 Oct 2024, 15:31
Bad claims experience
I submitted a claim that is only R2000 and when i call the call centre they say the same thing 14 working days i have submitted big claims in the past weather it was for short term insurance or medical aid ive never waited so long they recieved all my docs nothing outstanding so im not sure whats the delay i will have to move my Gap cover not very happy with the service i am receiving this is a fast track claim and they take it like its a major claim sorry but bad service
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Replies (2)LP
Leroy P's updateReviewer Update
18 Oct 2024, 15:45Once again bad service all my documents was sent through Monday the 14th of October they took 5 days to tell me i had one document missing this delays my claim by 5 days i will never use Ambeldown again very bad service
LP
Leroy P's update18 Oct 2024, 15:45
Reviewer Update
Once again bad service all my documents was sent through Monday the 14th of October they took 5 days to tell me i had one document missing this delays my claim by 5 days i will never use Ambeldown again very bad service
Ambledown's replyOfficial
18 Oct 2024, 16:22Dear Leroy P,
Thank you for your review.
Claims turnaround times are influenced by volumes received and not by claim complexity.
Claims received before yours are prioritised and that can only be fair to those members.
The quoted 14 days period is a guideline, the maximum time we anticipate taking us to finalise a claim. We do not delay claims unnecessarily.
Your review gives us courage and brings to reality the impact and value of the product, thank you.
We will strive to keep the levels of service to the highest possible standard.
On receipt of the Discovery Health Claims Transaction History and the detailed Hospital/Casualty invoice your claim will be escalated for assessment and within reasonable time, completion.
I thank you for your co-operation and understanding.
Yours Sincerely
Paul Makwea
***
Thank you for your review.
Claims turnaround times are influenced by volumes received and not by claim complexity.
Claims received before yours are prioritised and that can only be fair to those members.
The quoted 14 days period is a guideline, the maximum time we anticipate taking us to finalise a claim. We do not delay claims unnecessarily.
Your review gives us courage and brings to reality the impact and value of the product, thank you.
We will strive to keep the levels of service to the highest possible standard.
On receipt of the Discovery Health Claims Transaction History and the detailed Hospital/Casualty invoice your claim will be escalated for assessment and within reasonable time, completion.
I thank you for your co-operation and understanding.
Yours Sincerely
Paul Makwea
***
Ambledown's reply18 Oct 2024, 16:22
Official
Dear Leroy P,
Thank you for your review.
Claims turnaround times are influenced by volumes received and not by claim complexity.
Claims received before yours are prioritised and that can only be fair to those members.
The quoted 14 days period is a guideline, the maximum time we anticipate taking us to finalise a claim. We do not delay claims unnecessarily.
Your review gives us courage and brings to reality the impact and value of the product, thank you.
We will strive to keep the levels of service to the highest possible standard.
On receipt of the Discovery Health Claims Transaction History and the detailed Hospital/Casualty invoice your claim will be escalated for assessment and within reasonable time, completion.
I thank you for your co-operation and understanding.
Yours Sincerely
Paul Makwea
***
Thank you for your review.
Claims turnaround times are influenced by volumes received and not by claim complexity.
Claims received before yours are prioritised and that can only be fair to those members.
The quoted 14 days period is a guideline, the maximum time we anticipate taking us to finalise a claim. We do not delay claims unnecessarily.
Your review gives us courage and brings to reality the impact and value of the product, thank you.
We will strive to keep the levels of service to the highest possible standard.
On receipt of the Discovery Health Claims Transaction History and the detailed Hospital/Casualty invoice your claim will be escalated for assessment and within reasonable time, completion.
I thank you for your co-operation and understanding.
Yours Sincerely
Paul Makwea
***