SS
Sanjith S

1 reviews | Active since Mar 2016

04 Jul 2024, 10:58

Old Mutual Gap Cover

Good morning,

I have been experiencing ongoing issues with my claim with Old Mutual Gap Cover. After submitting a claim, I was informed it was rejected due to PMB. However, my medical aid confirmed that the claim is not a PMB. Despite resubmitting the claim with this confirmation, Old Mutual Gap Cover still refused to pay.

I have been communicating with Lizelle Hendricks via email, but she does not respond. I am now lodging a formal complaint with the ombudsman. Despite paying my premiums on time, Old Mutual continuously finds reasons to avoid paying claims. This matter has been escalated to management multiple times, but I have not received a favorable response.

On Tuesday, I received a partial payment. I emailed Lizelle to request a breakdown of the payment, but, as usual, received no response. According to my records, the doctor has still been underpaid, and no explanation has been provided.

I am in the process of canceling my policy. I received an email from Lizelle this morning after I threatened to take the issue to social media. She explained that she was off sick, my request takes two days, and she has hundreds of emails to respond to. This level of service is unacceptable and reflects very poorly on Old Mutual and its staff.

Please address this issue urgently.

Thank you. Good morning,

I have been experiencing ongoing issues with my claim with Old Mutual Gap Cover. After submitting a claim, I was informed it was rejected due to PMB. However, my medical aid confirmed that the claim is not a PMB. Despite resubmitting the claim with this confirmation, Old Mutual Gap Cover still refused to pay.

I have been communicating with Lizelle Hendricks via email, but she does not respond. I am now lodging a formal complaint with the ombudsman. Despite paying my premiums on time, Old Mutual continuously finds reasons to avoid paying claims. This matter has been escalated to management multiple times, but I have not received a favorable response.

On Tuesday, I received a partial payment. I emailed Lizelle to request a breakdown of the payment, but, as usual, received no response. According to my records, the doctor has still been underpaid, and no explanation has been provided.

I am in the process of canceling my policy. I received an email from Lizelle this morning after I threatened to take the issue to social media. She explained that she was off sick, my request takes two days, and she has hundreds of emails to respond to. This level of service is unacceptable and reflects very poorly on Old Mutual and its staff.

Please address this issue urgently.

Thank you.

Good morning,

I have been experiencing ongoing issues with my claim with Old Mutual Gap Cover. After submitting a claim, I was informed it was rejected due to PMB. However, my medical aid confirmed that the claim is not a PMB. Despite resubmitting the claim with this confirmation, Old Mutual Gap Cover still refused to pay.

I have been communicating with Lizelle Hendricks via email, but she does not respond. I am now lodging a formal complaint with the ombudsman. Despite paying my premiums on time, Old Mutual continuously finds reasons to avoid paying claims. This matter has been escalated to management multiple times, but I have not received a favorable response.

On Tuesday, I received a partial payment. I emailed Lizelle to request a breakdown of the payment, but, as usual, received no response. According to my records, the doctor has still been underpaid, and no explanation has been provided.

I am in the process of canceling my policy. I received an email from Lizelle this morning after I threatened to take the issue to social media. She explained that she was off sick, my request takes two days, and she has hundreds of emails to respond to. This level of service is unacceptable and reflects very poorly on Old Mutual and its staff.

Please address this issue urgently.

Thank you.

0
Replies (1)
iWYZE
iWYZE's reply04 Jul 2024, 11:18
Official
Good day Sanjith S,

We acknowledge receipt of your complaint and regret to learn that our service has disappointed you. Kindly be advised we have escalated your query to the relevant department to assist further.

Regards
The iWYZE Team