JP
JANELLE P

1 reviews | Active since Jun 2016

13 Jun 2016, 11:43

HIGHLY UPSET CLIENT

<p>On the 05/06/2016 I submitted a claim to clientele for a hospital plan I have with them since I had been hospitalized for 4 days. I called on the 08/06/2016 and they confirmed receiving all documents on the 06/06/2016 only and they said that the turnaround time is between 4-5 days. Then I called on the 10/06/2016 They have not said anything only that my claim is with the assessors and it should take about 5-7 days and when I called in on the 13/06/2016 I was told the claim is with the assessor and there is no turnaround time for hospital claims.</p> <p>I said to the agent to please cc me on the email sent to the assessor and this was never done I asked for a call back and inquired about my claim, which has been with clienteles claims department and I was told that I should wait for the assessors to assess my claim and only then will they call me.</p> <p>The funny thing is that I keep calling them and sending numerous emails with a promise to call back which never happens. They assessor Joelene I was told never ever returns my calls or provide any feedback</p> <p>Is this the kind of service that clientele offers its clients?</p> <p>Why is the advertised services and processes difference when it’s time for them to pay out? </p> <p>I would not have joined clientele and payed so much money if I knew there were such delays and that all the adverti*****t were false.</p> <p>This is not a very good impression that is being made on this company and this is ridiculous and really frustration because you can take the money on the specific day but to pay of the claim then it takes ages. If this is the case then I won’t ever recommend anyone to this company ever again</p> <p> </p> <p>Ref: s ********** </p> <p> </p>

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Replies (3)
Clientele Life
Clientele Life's reply13 Jun 2016, 12:08
Official

Thank you for raising your concerns with us.

Your query has been escalated to the relevant department for investigation and we will be in contact to assist you further with the matter.

Yours sincerely,

Benita Steyn

Service Recovery Specialist

Best regards,

JP
JANELLE P's update13 Jun 2016, 12:11
Reviewer Update

Good day

please also provide me with the copy of the plan that i have taken out with you guys please

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Clientele Life
Clientele Life's reply14 Jun 2016, 08:37
Official

Thank you for raising your concerns and bringing this matter to our attention.

At the outset we would like to apologise for any delays you might have experienced in the assessment of your claim. This is not the level of service we aim to provide our clients and we assure you of our best intentions.

We confirm that our Claims Assessor (Jolene Fraser) was in contact with you regarding this claim. The claim payment will be made in full on 14/06/2016.

We trust this matter was resolved to your satisfaction, however should you require any further assistance in this regard please feel free to contact us again.

Kind Regards

Anne-Marie Botha

Clientele Claims

Best regards,