1 reviews | Active since Apr 2012
call centre unable to assist
If I could please be assisted by someone, I submitted a hoapital claim for the month of September and was called last week Wednesday and told that my claim will not be paid because they did not receive payment for the month of August, prior to this I was told by several consultants that we can not back. My pop clearly states policy no - Aug 15. But the billing department allocated it to July. On Friday I was rudley sooken to by another consultant saying if a payment is allocated it can not be moved and that the claims said they will not pay bevause the claim is not valid . Yesterday I spoke to Portia very helpful consultant who had told me that it can be corrected and after speaking to her supervisor says that the payment will be allocated to the correct month. Please can someone call me. Over the past week I have been sitting half an hour at a time.<br> <br>
Thank you for raising your concerns with us.
Due to the sensitivity of your query, we are not in a position to disclose further information on a public domain however, our records indicate that you also escalated this to the Independent Arbitrator for review.
The Arbitration Department is a higher authority that has been commissioned by Clientele Life with the mandate to review any queries referred to it. Any determination made by the Independent Arbitrator is final and binding on the Company and we will be guided by his response. You have been contacted by his office already and advised you can expect a response within 15 working days.
We trust this is all you require in this regard however, should you require further assistance please do not hesitate to contact us again.
Yours sincerely
Benita Steyn
Service Recovery Specialist
Thank you for raising your concerns with us.
Due to the sensitivity of your query, we are not in a position to disclose further information on a public domain however, our records indicate that you also escalated this to the Independent Arbitrator for review.
The Arbitration Department is a higher authority that has been commissioned by Clientele Life with the mandate to review any queries referred to it. Any determination made by the Independent Arbitrator is final and binding on the Company and we will be guided by his response. You have been contacted by his office already and advised you can expect a response within 15 working days.
We trust this is all you require in this regard however, should you require further assistance please do not hesitate to contact us again.
Yours sincerely
Benita Steyn
Service Recovery Specialist