MF
Michelle F

1 reviews | Active since Jun 2012

17 Jul 2025, 11:43

Horrid service by Centriq Insurance (Sanlam Gap Cover)

I submitted a claim for Sanlam Gap Cover for the short fall on the hospital payment (Penalty Co-Payment) for the emergency appendectomy, all within the timelines and using the correct form on 1 July 2025.

Following that I had to call to update the details on the policy on 9 July 2025 as the dependent details were incorrectly captured. The consultant who assisted me indicated that they would escalate the claim as it was not yet processed, this after I had responded to a request for additional documentation on 2 July 2025.

On 16 July 2025 I called to do a follow up on the claim and after waiting 30 minutes to speak to a consultant I was advised that the claim is marked as PMB and would be escalated yet again...

It is now 17 days since my initial claim submission and I am still in the dark regarding the status of may claim despite the 10 working day turn around time indicated on the acknowledgement of receipt.

0
Replies (2)
Centriq Insurance
Centriq Insurance's reply17 Jul 2025, 15:07
Official
Dear Michelle

Thank you for sharing your experience,

We will investigate and provide feedback.

Kind regards
Centriq Team
MF
Michelle F's update29 Jul 2025, 11:53
Reviewer Update
It is now 12 days later and despite an email received on 18 July 2025, and multiple follow up calls.

Still nothing, not even an update on progess