TP
TERSIA P

1 reviews | Active since May 2024

31 May 2024, 06:37

Non-payments and time frames of payments

times I have been asking to assist regarding my claims.

But still up to date I have not received any feedback. And all that is happening the one is passing the emails to the other one.

• This is clearly breach of policy due to TIME FRAMES, SYSTEM FAILURES. Ambledown are not in good practise doing what is asked from them.

I have been getting automated response from them on the 14 days turnaround time, but the issue is GUARDRISK is upholding my payments. Firstly, thank you for responding after several email being sent to you (Guardrisk) and ambledown. Now the email below refers to highlight out that Guardrisk is upholding my payments and now I am being held accountable for paying doctors accounts for the time delay, system failures from both sides. I have ten to 50 emails that I have been sending to get feedback on but nobody is in any way concerned to just reply or get back to me on the claims.

1. Last week Friday I took upon myself again to phone ambledown and get my claims sorted, whereby Shaney told me that all have been processed and awaiting feedback from Guardrisk to pay them.

2. You are with in breach of the policy stating that all claims will be processed and paid for in 14 days, whereby this is not at all happening. Everytime I follow-up no one can give me a straight answer or just saying Guardrisk is upholding my payments.

3. Attached is the email from ambledown clearly stating that you are delaying my payments / claims that has already been processed from the 3rd of April.

0
Replies (4)
Guardrisk Insurance
Guardrisk Insurance's reply31 May 2024, 08:49
Official
Dear Tersia Du Plooy ,

Thank you for raising your concerns with us.  

The complaint has been escalated for urgent attention, and you will be contacted shortly. 

Yours Sincerely,
The Guardrisk Team
TP
TERSIA P's update31 May 2024, 08:51
Reviewer Update
Get this resolved today as I have never had these issues with Constantia. Hope people will read this.
TP
TERSIA P's update01 Jun 2024, 06:25
Reviewer Update
I take note of this, also note that this is causing severe emotional stress, etc. on me as my husband is again in hospital. And not getting any assistance is frustrating too as well to do my daily job. This unfounded claim has not only caused me immense emotional pain but have also affected my personal and professional life. I am struggling to cope with the stress, anxiety, and feelings of humiliation that have arisen as a result. The emotional distress has manifested in various ways, impacting my daily life, relationships, and overall sense of security.
Also, I do apologize if I was “hard” on the phone, but I am really in anger of how this has been handled.
What guarantee do I have that Ambledown will now process my new / registered claims?
See below claims submitted two weeks ago still not processed on the APP. Also, the app needs to be fixed as I have never submitted 58 claims.
TP
TERSIA P's update01 Jun 2024, 06:25
Reviewer Update
Still Nothing has been resolved and hope people will read this as Guardrisk is not there for you as the policy holder.