EE
Eleanor E

1 reviews | Active since Aug 2016

17 Aug 2016, 03:54

Incompetant disgusting service from Clientele hospital plan

<p>Hi I am Miss Eleanor Elisha policy number ********** 30, Cellphone Number ********** 560, case number S ********** ,I am very dissapointed in the services rendered by clientele life due to the following reasons.I was admitted on the 18th of July 2016 till 24th July 2016.I have sent through all my completed documents for asessing to Clientele life on the 4th of August 2016.A consultant called me asking me about my operation and history,she there after called me again regarding my history on the 11th of August 2016 and said to me i will have feedback regarding my claim on the 12th of August 2016 but she did not call me at all,on Monday the 15th of August i made 4 calls to clientele wanting feedback regarding the claim the 1st consultant i spoke to on Monday said to me the claim had been completed on the 12th and i must wait till the assesor calls me.I thereafter called 3 times again requesting to speak to the asessor but i was told they cant put me through to her so i waited that entire afternoon dissapointed and she didnot call me back,yesterday the 16th of August 2016 my husband called the consultant requesting help regarding my case and feedback he was told the asessors are gone home,he insisted on knowing what was going on,he was told by the comsultant that my case was declined on Friday the 12th of August 2016 and the asssesor made a note stating reason for declining was due to my operation 2 years ago in which i had a cyst and oop****ctomy done thus resulting in my present hernia developing,the asessor has not given feedback i am still waiting as to were is her medical evidence that i was examined and diagnosed by a Medical doctor stating that my hernia developed due to a previous operation,how can a hernia be a pre exsisting condition? i did not have a hernia before joining clientele life its not related to any previous operation so why is Jolene Fraser assuming that it is related to my previous operation did she examine me,where is her evidence to prove that this hernia is a pre exsisting condition related to the previous operation,is she a doctor? Clientele is full of promises but does not deliver quality service.Your policy states i as a client will be notified within 5 working days my documents for this claim was sent 4th of August 2016 today is the 17th of August 2016 and no feedback till today.I am gravely dissapointed in your service if you cannot assist me or re asess my claim i will be forced to go to other social media and to my lawyer.</p> <p>Regards</p> <p>Miss EJ Elisha</p> <p>cell number: ********** 560</p> <p>policy details see above</p>

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Replies (1)
Clientele Life
Clientele Life's reply17 Aug 2016, 04:58
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