1 reviews | Active since Sept 2019
Clientele seriously just commits ***** and should be declared and should get a fine from the Ombudsman and be declared undersired business
I am so shocked and disappointed in Clientele. I have had this policy for over a year now and never had a claim. I was admitted to hospital first time in June for 3 days and diagnosed with an illness and then I was hospitalized again in August where they tried to run more tests on this disease and tried to find solutions. I provided Clientele with all the required documents and supporting documents. They pay out less than a third of my claim. The consultant I speak to tells me pain management is not covered. I explain to her I was not admitted for pain management and request that the assessor calls me back. Up till no now I have had no luck all I hear is that they referring it back. I called in again trying to follow up on this and again the consultant tells me the same thing. I go through everything again with her and request to speak to her manager she tells me there's nothing her manager can do. Eventually I ask her for the Ombudsmans details as I am clearly not having any luck they said they would send it nothing, I am an insurance specialist went through my documents their reason for not paying out does reflect in my policy documents and their reason for hospitilzation is incorrect and instead of calling me or getting more information about the incident they rather pay me out a section of my claims. THIS IS ***** AND *********
We confirm receipt of the concerns raised.
Your query has been escalated to the relevant department for investigation and we will be in contact to assist further with the matter.
Siphesihle Rodolo
Service Support Specialist
We confirm receipt of the concerns raised.
Your query has been escalated to the relevant department for investigation and we will be in contact to assist further with the matter.
Siphesihle Rodolo
Service Support Specialist
Thank you for raising your concerns and bringing this matter to our attention.
We confirm that our Claims Experience Administrator was in contact with you regarding this claim, and confirmed the outstanding documents needed in order for us review your claim.
Should you require any further assistance in this regard please feel free to contact us again.
Thank you for raising your concerns and bringing this matter to our attention.
We confirm that our Claims Experience Administrator was in contact with you regarding this claim, and confirmed the outstanding documents needed in order for us review your claim.
Should you require any further assistance in this regard please feel free to contact us again.
