GH
Gino H

1 reviews | Active since Nov 2019

04 Nov 2019, 13:41

Struggling with claim payouts

I was involved in an accident early in may, before i lost consciousness i dailed the emergency in app number logging in all my details and no response, i got admitted ini a government hospital receiving the worse possible service, i continuously phoned and phoned after multiple attempts a consultant eventually takes my call and explains to me that they cannot do interhospital transfers as i was requesting to be moved to a facility where i could get better treatment but all my efforts were in vain. After i got discharged a couple of days later i was waiting on the doctors to fill in my claims and it was at that point clientele continuously phoned and pestered me the more i explained that I'm still waiting, they then understood and told me to send the hospital bill which was the only proof i had at the time,i did as they demanded and onky to find days later that they say the documents are insufficient and my claim wil be closed until i send them the needed documents. 3months after the accident the hospital phones saying that my paperwork was done and i had to pay them apon collection(which i did) i then sent the documents thru to clientele who assures me that they will stay in contact with me to keep me uo to date with what's going on, and to this day i haven't received no word from them and whenever i phone them they are more and more surprised when i ask about my claim and then promising to phone me back and they never do, in the meantime they are harassing my girlfriend asking her if i pay my premium regularly. Please shed light on the matter because the way i feel i want to take my business elsewhere, you promise people the world but when push comes to shove you fail your clients

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Replies (5)
Clientele Life
Clientele Life's reply04 Nov 2019, 13:51
Official
 Dear Gino H
 
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 you further with the matter.
 
Yours sincerely,
 
Lindiwe Mabizela

Service Support Specialist 
GH
Gino H's update04 Nov 2019, 14:09
Reviewer Update
You'll be in contact is what has been said to me for two months not, what could possibly be different now?
GH
Gino H's update05 Nov 2019, 16:02
Reviewer Update
just went thru my policy agreement and nowhere does it say anything about the above mentioned soft tissue nor does it mention anything with regards to this, please i am utterly disappointed with clientele and i will not rest until the world know about this
Clientele Life
Clientele Life's reply05 Nov 2019, 16:47
Official
Dear Gino H
 
We confirm receipt of your response and confirm that the matter has been escalated to our Claims Team for review. 

We trust you find the above in order.

Yours sincerely, 

 Shanitha Hanuman

Service Support Supervisor  

Clientele Life
Clientele Life's reply06 Nov 2019, 13:15
Official
 Dear Gino H  We confirm receipt of your response and confirm that our Claims Administrator has been in contact with you.  In the event that you are not satisfied with the outcome of the concerns raised, please do not hesitate to direct your complaint to the Complaints Arbitrator at ***.  The Independent Arbitrator is an Independent Authority with the power to overturn or uphold the above initial findings.  We trust you find the above in order.  Yours sincerely,  Claims Team