NA
Nazmeera A
1 reviews | Active since Aug 2020
27 Mar 2023, 08:56
DISGUSTING BEHAVIOUR
Good day
I previously filed a complaint against this company for the bad professionalism of them when dealing with the claim of my husband, subsequent to that I have indicated as they have promised I will await the claim to be finalised as per their written communication by the end of March failing which I will be reporting the negligence and the complaint to the ombudsman upto date there has been no acknolwedgement of this email and we are 4 days away from month end.
Please stop treating people this way!
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Replies (2)
Different Life's replyOfficial
27 Mar 2023, 09:36Good day Mehmood,
We apologise that you have not received acknowledgement of your email from our claims teams. We will follow up with them.
We apologise that you have not received acknowledgement of your email from our claims teams. We will follow up with them.
Different Life's reply27 Mar 2023, 09:36
Official
Good day Mehmood,
We apologise that you have not received acknowledgement of your email from our claims teams. We will follow up with them.
We apologise that you have not received acknowledgement of your email from our claims teams. We will follow up with them.
Different Life's replyOfficial
27 Mar 2023, 14:20Good day, Mrs Abbas,
Thank you for contacting us regarding the above-mentioned complaint.
The policy contract requires that the answers to the medical and lifestyle questions asked during the policy application process form the basis of the policy contract. The claim assessment aims to establish that the answers given at the application stage were accurate and complete.
The claims department requests reports from medical practitioners as well as medical aid statements showing historical claims related to the applicant. The claims team ask the policyholder’s medical practitioner/s for personal medical attendant (PMA) questionnaires to be completed, and request copies of medical files.
This questionnaire requires details relating to the medical history of the policyholder prior to the policy being issued up until the claim incident. Based on the information noted in the PMAs, additional information may be required from other medical professionals or institutions identified in these records. Questionnaires will then be sent to these newly identified medical professionals to obtain any relevant information required for the accurate assessment of the claim. During the collection of the medical history, the claimant may be called upon to assist with the authorisation of the release of information pertaining to the medical history of the policyholder. Unfortunately, the collection of medical history can take time, as well as change timelines if new information is uncovered, as this is dependent on external parties. The claims team follow up regularly to finalise these documents so that a claims assessment result can be made.
As previously discussed telephonically, we have requested medical tracing for your claim due to gaps in the medical history verification. We can only make a decision once this information is fully verified.
We assure you that Different Life is not pulling out of the claim, the claim is still being assessed and our team is focused on finalising the claim as quickly as possible.
Thank you for contacting us regarding the above-mentioned complaint.
The policy contract requires that the answers to the medical and lifestyle questions asked during the policy application process form the basis of the policy contract. The claim assessment aims to establish that the answers given at the application stage were accurate and complete.
The claims department requests reports from medical practitioners as well as medical aid statements showing historical claims related to the applicant. The claims team ask the policyholder’s medical practitioner/s for personal medical attendant (PMA) questionnaires to be completed, and request copies of medical files.
This questionnaire requires details relating to the medical history of the policyholder prior to the policy being issued up until the claim incident. Based on the information noted in the PMAs, additional information may be required from other medical professionals or institutions identified in these records. Questionnaires will then be sent to these newly identified medical professionals to obtain any relevant information required for the accurate assessment of the claim. During the collection of the medical history, the claimant may be called upon to assist with the authorisation of the release of information pertaining to the medical history of the policyholder. Unfortunately, the collection of medical history can take time, as well as change timelines if new information is uncovered, as this is dependent on external parties. The claims team follow up regularly to finalise these documents so that a claims assessment result can be made.
As previously discussed telephonically, we have requested medical tracing for your claim due to gaps in the medical history verification. We can only make a decision once this information is fully verified.
We assure you that Different Life is not pulling out of the claim, the claim is still being assessed and our team is focused on finalising the claim as quickly as possible.
Different Life's reply27 Mar 2023, 14:20
Official
Good day, Mrs Abbas,
Thank you for contacting us regarding the above-mentioned complaint.
The policy contract requires that the answers to the medical and lifestyle questions asked during the policy application process form the basis of the policy contract. The claim assessment aims to establish that the answers given at the application stage were accurate and complete.
The claims department requests reports from medical practitioners as well as medical aid statements showing historical claims related to the applicant. The claims team ask the policyholder’s medical practitioner/s for personal medical attendant (PMA) questionnaires to be completed, and request copies of medical files.
This questionnaire requires details relating to the medical history of the policyholder prior to the policy being issued up until the claim incident. Based on the information noted in the PMAs, additional information may be required from other medical professionals or institutions identified in these records. Questionnaires will then be sent to these newly identified medical professionals to obtain any relevant information required for the accurate assessment of the claim. During the collection of the medical history, the claimant may be called upon to assist with the authorisation of the release of information pertaining to the medical history of the policyholder. Unfortunately, the collection of medical history can take time, as well as change timelines if new information is uncovered, as this is dependent on external parties. The claims team follow up regularly to finalise these documents so that a claims assessment result can be made.
As previously discussed telephonically, we have requested medical tracing for your claim due to gaps in the medical history verification. We can only make a decision once this information is fully verified.
We assure you that Different Life is not pulling out of the claim, the claim is still being assessed and our team is focused on finalising the claim as quickly as possible.
Thank you for contacting us regarding the above-mentioned complaint.
The policy contract requires that the answers to the medical and lifestyle questions asked during the policy application process form the basis of the policy contract. The claim assessment aims to establish that the answers given at the application stage were accurate and complete.
The claims department requests reports from medical practitioners as well as medical aid statements showing historical claims related to the applicant. The claims team ask the policyholder’s medical practitioner/s for personal medical attendant (PMA) questionnaires to be completed, and request copies of medical files.
This questionnaire requires details relating to the medical history of the policyholder prior to the policy being issued up until the claim incident. Based on the information noted in the PMAs, additional information may be required from other medical professionals or institutions identified in these records. Questionnaires will then be sent to these newly identified medical professionals to obtain any relevant information required for the accurate assessment of the claim. During the collection of the medical history, the claimant may be called upon to assist with the authorisation of the release of information pertaining to the medical history of the policyholder. Unfortunately, the collection of medical history can take time, as well as change timelines if new information is uncovered, as this is dependent on external parties. The claims team follow up regularly to finalise these documents so that a claims assessment result can be made.
As previously discussed telephonically, we have requested medical tracing for your claim due to gaps in the medical history verification. We can only make a decision once this information is fully verified.
We assure you that Different Life is not pulling out of the claim, the claim is still being assessed and our team is focused on finalising the claim as quickly as possible.