PV
Piet V

1 reviews | Active since Oct 2019

11 Jan 2020, 12:51

Unfair claim rejection by Dialdirect

I have been with the above mentioned Insurance company since July 2017 and never had a claim up to now. We had 185 mm of rain for November up to 12 December with gusty winds on various occasions. Up to the 9th December 2019 there were no indication of any damage to the ceiling in the bedroom. On awakening the morning of the 9th December I noticed the ceiling was wet and damaged. and as it was still raining I climbed into the ceiling and placed a bucket in position where the water was seeping through to prevent further damage to the bedroom carpet ass well. The next day I inspected the roof to find that a single roof tile has shifted and was the cause of the leak. With the heavy rains we also had strong winds, and I suspect the roof tile was moved out of position during the night of the 8th and the morning of the 9th of December 2019. After continuous rains and strong winds and only noticing the wet ceiling on the morning of the 9th December is indicative that the roof tile must have been moved out of position around the 8th December. I emptied my rain meter on the 26th November and I measured 2 weeks later on the 12th December 100 mm of rain. Surely had the roof tile been out of place any number of days before the 9th the rain would have caused damage to the ceiling then and it was periodically pouring down the previous 2 weeks. Other areas of damage that Paul the Contractor for ZZZ Maintenance and construction appointed by ONECALL claims Solution who did the inspection pointed out was due to inadequate maintenance and I accepted and have already attended to those, but the shifted roof tile was sudden and unforeseen. The contractor Paul claims that the roof tile could not have been moved by the wind as generally a few tiles would have been out of position. But in this case I can confirm that both roof tile on either side of the one that moved were held in position by previously done maintenance with Membrane and Fiber tech. And from their Conclusion and description and quote for fixing damages as a result of inadequate maintenance they will sand off damaged area of Knotty Pine Ceiling Varnish the complete Ceiling and paint one wall for R4573.96. and what makes me wander about their findings is I do not have one knotty pine Ceiling anywhere in my house. If required I can supply photos of the bucket in the ceiling and a photo of the roof with one roof tile out of position. Persons I dealt with Jamie Naicker Internal Dispute Specialist, Ryan Kisten Claims processing Manager and Jeffrey Smith. I can say Jamie did not even want listen to my side of the story.

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Replies (1)
Dialdirect
Dialdirect's reply11 Jan 2020, 12:55
Official
Hello Piet,

We acknowledge receipt of your complaint.

One of our Customer Relation Specialist will make contact with you on Monday to address your concerns.

Kind Regards,
The Dialdirect Team.