MS
Mohammad S

1 reviews | Active since Jun 2010

30 Mar 2023, 10:37

Centriq Insurance / Dischem Health / Kaelo Gap Cover is a ****!

Centriq Insurance / Dischem Health / Kaelo Gap Cover is the worse medical insurance provider I have ever had!!! I had submitted my claim on the 4th of January 2023 for the shortfall on the birth of my child. I have spoke to a dozen of their staff members, I have submitted numerous forms to them that they claim to have not received even through staff had confirmed over the phone to have received. 2 months later and after MediAssist had been called in to evaluate the claim. Since submitting claim I have received many many system generated emails either indicating that the claim was being sent to an assessor or that the claim form was not submitted. I received an email recently indicating that the claim form which I had submitted 4 times previously was not submitted at all, upon enquiry I was informed that the incorrect claim form. The same incorrect claim form which was sent to me last year by Kaelo in the event of a claim and which i has submitted claims through previously and which was confirmed as received by Kaelo staff who did not indicate that there was anything wrong with the form upon receipt. I humbly obliged the request and completed the new form and waited on the call for the representative to confirm receipt which they did, They informed me that they would discuss and escalate the claim to their manager and that I would receive feedback, the staff promised me that I would either receive feedback and that I would not have received another email requesting a claim form to be submitted. Since submitting of the call I have not received a single call of email from Kaelo regarding the status of my claim. I have spent hours or my workday and airtime on calls with the claims department. Low and behold, I receive yet another email requesting a claim form to be submitted as though one had not been done previously. I had contact the claims department and staff member informed me that a form was not on the system. I had requested a service manager to call me back last week to which my contact details were taken but no call back was received. I have called today and requested to speak to a service manager and I was told that they were busy. I indicated that I would be willing to wait on the line while the manager become available to take my call. I was later, while waiting on the call, told by the staff member that the manager is available but they cannot transfer my call due to opening of the line which would cause other waiting calls to go through and i would not receive attention. The staff member confirmed that the manager would call me back in a few minutes which did not happen. Kaelo have force my hand into taken drastic measures against them which I will soon be doing.

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Replies (1)
Kaelo
Kaelo's reply30 Mar 2023, 10:49
Official
 Hi Mohammad Saloojee , 

We apologise for the service you have experienced and completely understand your frustration.

At the core of our business, we value our people and put people first and you are important to us, therefore, we would like to assist you the best way we can.

We have alerted our team to look further into the matter and you will be contacted as soon as possible. 

The Kaelo Team