ZM
Zuziwe M

1 reviews | Active since Dec 2015

30 Dec 2015, 13:46

No commitment to finalise the claim.

I submitted a severe illness claim against my policy on 12 Oct 2015. To this day, there's no final outcome. The relevant reports requested from my doctors were provided to them and the last 5 years medical claims history report required from my medical aid was provided. Then Old Mutual goes back to the GP doctor asking for the same information they had asked for and received feedback on. <br> <br> To me, it is clear that they could not find any reason to decline the claim, now they are stalling and asking for additional information which does not exist or repeated information. There is no evidents to indicate that I had this illness prior to taking this policy.<br> Furthermore, they don't even make a commitment to give feedback. They hide behind the outstanding doctors enquiries, which are not applicable. When I call, the call centre says 'wait mam'<br> <br> Make a decision Old Mutual. Surely you don't need 75 days to finalise a simple claim like this.<br> If this is how you handle claims with policy holders, it concerns me what happens when claims are done by policy beneficiaries or dependants. <br> The only person helpful in this process is my brocker Karina Nozic at Iconic Wealth.

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Replies (1)
Old Mutual
Old Mutual's reply30 Dec 2015, 15:22
Official
Hello Tzi0331,

Thank you for bringing this to our attention. We will investigate and contact you directly to resolve.
Kind regards
Coleen Aanhuizen