MD
Mukelisiwe D
1 reviews | Active since Feb 2016
15 Feb 2016, 15:28
Disgusted and Disappointed
Clientele life refused to accept my claim from a hospital plan policy, they said it was not necessary for my son to be admitted to the hospital. This is really insulting to me and the doctor as this implies that the doctor does not know what they are doing. I have read my policy documents and there is nowhere where it stipulates if there are minor illnesses. I real do not understand the reason to have my claim declined, i have went through expenses getting the documents for this claim such as Medical File, Doctor's information.
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Clientele Life's replyOfficial
15 Feb 2016, 15:59Hello Zama1979,
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 your query was escalated to the Independent Arbitrator for review.
The Arbitration Committee is a higher authority that has been commissioned by Clientele Limited 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 will be guided by his response. You have been contacted by his office already and advised you can expect a response shortly.
We trust this is all you require in this regard however, should you require further assistance please do not hesitate to contact us again.
Regards
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 your query was escalated to the Independent Arbitrator for review.
The Arbitration Committee is a higher authority that has been commissioned by Clientele Limited 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 will be guided by his response. You have been contacted by his office already and advised you can expect a response shortly.
We trust this is all you require in this regard however, should you require further assistance please do not hesitate to contact us again.
Regards
Benita Steyn
Service Recovery Specialist
Clientele Life's reply15 Feb 2016, 15:59
Official
Hello Zama1979,
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 your query was escalated to the Independent Arbitrator for review.
The Arbitration Committee is a higher authority that has been commissioned by Clientele Limited 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 will be guided by his response. You have been contacted by his office already and advised you can expect a response shortly.
We trust this is all you require in this regard however, should you require further assistance please do not hesitate to contact us again.
Regards
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 your query was escalated to the Independent Arbitrator for review.
The Arbitration Committee is a higher authority that has been commissioned by Clientele Limited 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 will be guided by his response. You have been contacted by his office already and advised you can expect a response shortly.
We trust this is all you require in this regard however, should you require further assistance please do not hesitate to contact us again.
Regards
Benita Steyn
Service Recovery Specialist