1 reviews | Active since May 2017

02 May 2017, 16:00

Worst customer service ever

<p>My Admed Gap Cover claim was repudiated incorrectly. They say that they don't pay because the medical aid didn't pay. But the medical aid did pay...</p> <p> </p> <p>Claim submitted on 10 March. Claim only assessed on 27 March and repudiated within minutes. I responded on the 27th to tell them the medical aid originally rejected the claim due to a system issue, but subsequently paid and submitted all the evidence. No response to date.</p> <p> </p> <p>I then phoned them on 10th April and spoke to CrowderJ. He said I should e-mail the documents to him. No response to date. I followed up again on 19 April, no response to date.</p> <p> </p> <p>I tried to phone the complaints line today, no answer.</p> <p> </p> <p>This business is clearly only interested in taking my premiums. I will give this business until Friday to respond to me on this platform, after which I will lodge a complaint with the OSTI. I will also ask the FAIS department of the Financial Services Board to look into the way this company conducts its business as this company has failed on its Treating customers fairly obligations.</p>

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Replies (2)
Guardrisk Insurance
Guardrisk Insurance's reply03 May 2017, 12:48
Official

Dear Eric Booysen

Thank you for raising your concerns with us.

We are currently investigating your complaint and will provide feedback soonest.

Yours Sincerely,

The Guardrisk Team

's update15 May 2017, 14:10
Reviewer Update

So I was contacted by the insurer and received a more detailed explanation as to why the claim was repudiated. I have sent through additional information on 5 May, which was acknowledged. Subsequently I have not received any feedback.