MM
Matshediso M

1 reviews | Active since May 2011

21 Feb 2023, 20:00

Clientele conning its way out of paying a claim

I have a funeral cover for my brother since 2006 till now which makes it 17 years and have been loyal with payment. My brother passed on on the 26th November 2022, we had payed till October 2022 and defaulted in November 2022. I was sick and could not claim then. I called clientelle today to claim and I was told they will be no payment cos we defaulted one month. I asked when did the policy lapse, and was told in December, which is 3 months after the default but it was confirmed by Karabo the supervisor before my brother passed on. So I asked Karabo to confirm the meaning of Lapsing and he told me something I have never heard of. I have worked in insurance and I know what policy lapse means. So he basically gave the meaning in Clientelle's terms. I know you are still covered till policy lapses. In all these nobody asked why we defaulted for a month after being loyally paying for 17 years, all I got was a NO, we not gonna pay. Clientelle trying for find ways not to pay.

0
Replies (3)
Clientele Life
Clientele Life's reply22 Feb 2023, 11:08
Official
Dear Matshediso, 

Our deepest condolences go out to you and your family on the passing of your brother.
 
According to our records, your query was escalated to the office of the Independent Arbitrator for review. 

The office of the Independent Arbitrator was created by Clientèle to address any complaint that a client feels has not been adequately dealt with by the relevant department or an employee of Clientèle. The office of the Independent Arbitrator can review any decision previously made and has the ability to amend these, should the need arise.   Any determination made by the office of the Independent Arbitrator is final and binding on the Company. 

Your query would have already been acknowledged and a date would have been provided by when a response would be sent.  Accordingly, a response would either have been provided or can be expected shortly. Should you have any queries, these can be raised directly with the office of the Independent Arbitrator. 

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,
   
Lindiwe Mabizela
Service Support Specialist
Clientele Life 
MM
Matshediso M's update27 Feb 2023, 11:27
Reviewer Update
I haven't received any feedback till today.
Clientele Life
Clientele Life's reply01 Mar 2023, 13:51
Official
Dear Matshediso,  

According to our records, your query was escalated to the office of the Independent Arbitrator for review. 
 
Your query would have already been acknowledged and a date would have been provided by when a response would be sent.  

Should you have any queries, these can be raised directly with the office of the Independent Arbitrator. 

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,
   
Shanitha Hanuman
Service Support Supervisor
Clientele Life