SC
SASH C

1 reviews | Active since Jan 2016

31 Aug 2016, 14:54

SECOND TIME *********** USELESS SERVICE-HOSPITAL CASH BACK BULL****

<p>POLICY NUMBER ********** 30 CASE S ********** Miss Eleanor Elisha</p> <p>Once again clientel hospital cash back failed to deliver!!!! WARNING DONOT TAKE UP THIS POLICY. </p> <p>Submitted claim 2 weeks ago no feedback. Had to phone myself to get feedback. we took up this policy so that we can be covered for unforeseen finacial burdens arising from me being hospitisied. i didnt get a salary for a month and hope that clientel will settle my claim promptly. Unfortunately clientel looks for reasons not to pay. The assesor department say that they wont pay my claim because it was a result of a previous operation. i had an unbilical hernia which was far away from the operation site. None of my medical reports submitted indicate that the hernia was a result of a pre existing condition or a previous op. the assessor who thinks she is a doctor assusmed without any evidence that this hernia was a result of a prev op. this was not the case. I have reported this to the arbitrator of clientel which i am still waiting feedback as i now have 2 claims unpaid. DEAR ASSESOR WHO MADE YOU A DOCTOR? HOW DO YOU COME TO THE CONCLUSION THAT THIS HERNIA WAS A RESULT OF A PREVIOUS OP WITHOUT PROOF WITHOUT A MEDICAL EXAM. I AM GOING TO EVERY SOCIAL MEDIA PLATFORM TO EXPOSE WHO CLIENTEL REALLY IS. A BUNCH OF CLOWNS WITH FALSE ADVERTISING AND PROMISES WHO CANNOT DELIVER. I WILL BE CONSULTING MY LAWYERS SHOULD MY CLAIMS NOT BE PAID. MY POLICY NUMBER ********** 30</p>

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Replies (3)
Clientele Life
Clientele Life's reply31 Aug 2016, 17:14
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

Clientele Life
Clientele Life's reply07 Sept 2016, 15:29
Official

As per our telephonic discussion dated 17/08/2016, you were advised that the claim will be reviewed based on submission of additional documentation.

Following our internal investigation, we have clinically concluded that both claims with reference numbers: S ********** and S ********** will be reviewed for payment and payment has since been made on 02/09/2016.

We have tried to contact you on the same day however we were not successful.

Regards

Pamela Zondi

Claims

SC
SASH C's update07 Sept 2016, 15:39
Reviewer Update

hi

thank you. i have been paid in full . you have me back as a loyal customer. CLIENTELE HOSPITAL CASH BACK PLAN HIGHLY RECOMMENDED. Thanks Pamela Zondi for your exellent service and thank you for listening to us without predjudice.