MR
Manusha R

1 reviews | Active since May 2015

17 Sept 2019, 10:04

Unfinalised Claim

My husband had taken out a policy many years ago covering us for death, disability and dread disease. 4 years ago i was diagnosed with an endocrine disease after suffering many years with this illness. I then queried with my broker and was told that we can try to claim since it was on the list if diseases covered. 4 years later and i am still waiting for a response from old mutual. All documentation that was required from doctors and specialists were submitted to Old Mutual. Documents were emailed to them, but they required the originals , which was also submitted. everytime i query what is going on i keep getting the same automated response , they require the documentation that was submitted to them 4 years ago. their service is absolutely pathetic and it seems that they are very quick in taking premiums every month but when it comes to paying out for claims they drag their feet. Waiting 4 years for something to be finalised is absolutely pathetic

0
Replies (8)
Old Mutual
Old Mutual's reply17 Sept 2019, 13:07
Official
Dear M****ha
I acknowledge receipt of your complaint. This matter will be investigated and I will be in contact with you. Regards
Kareemah Sulayman
Old Mutual Complaints Management
MR
Manusha R's update18 Oct 2019, 14:19
Reviewer Update
So its been a month and just as i had thought no answers as yet. 1 Phone call to tell me that the matter is being investigated and that was that .Old Mutual has the same standard response to emails every time i make an inquiry, "Your case has been handed to an assesor and we will be in contact."
Real Terrible service

MR
Manusha R's update21 Oct 2019, 11:56
Reviewer Update
Old Mutual What a Joke!!!!
Even though my Endocrine Specialist and the GP completed the forms requested - which Old Mutual Denied receiving for 5 years - I get a call on Friday telling me that the Old Mutual Doctors dont think i am sick enough to claim dread disease...
my Questions to you are now
1> why does it take 5 years to process a claim
2> do i need to be dead to be regarded as sick enough for Old Mutual Doctors
3> Would the Doctors at Old Mutual prefer to do a full examination their selves to establish just how far this disease has progressed and how quickly it is progressing.
Old Mutual
Old Mutual's reply21 Oct 2019, 14:36
Official
Thank you for your update. With the medical evidence in our possession that you provided in 2018, you do not meet the qualifying criteria to claim. We would like to reassess your current health status to see if you may qualify now and hence our request for updated medical reports.

We wait to hear from you soon.

Kind regards 

Kareemah Sulayman
Old Mutual Complaints Management

MR
Manusha R's update11 Nov 2019, 10:19
Reviewer Update
Again - Old Mutual what a joke - i have submitted updated scans and blood tests twice in maybe a 2 week time frame - no acknowledgment.. i have given up - i am 40 years old - over and above the thyroid disease - which old mutual claims they cover under dread disease - i have now been diagnosed with osteoporosis which is caused through the side effects of the medication i have been taking for so many years because of the thyroid disease - which according to old mutual is not serious enough for me to qualify for their criteria - what a load of *******
MR
Manusha R's update22 Nov 2019, 08:58
Reviewer Update
So yesterday i receive a letter from Old Mutual - what a Shocker - NOT ... claim declined - apparently even though the thyroid gland - which is the ORGAN that is NOT Functioning and needs chronic medication which led me to submit a claim for Endocrine Disorder 5 YEARS AGO..... i have to wait for my OTHER organs ie. kidneys, liver, lungs maybe heart to stop functioning before the reassess my claim.
Maybe after all my organs stop functioning my family will also need to take my body to an Old Mutual Office for them to reassess the serious debilitating illness of Hashimotos disease.
Old Mutual - your services are pathetic - i am not an isolated case...
Old Mutual
Old Mutual's reply25 Nov 2019, 13:47
Official
Thank you for providing us with the information. We really sorry that you don't yet meet the medical criteria needed for a successful claim.

Kind regards 

Kareemah Sulayman 
Old Mutual Complaints Management
MR
Manusha R's update26 Nov 2019, 07:59
Reviewer Update
Yes apparently i have to be dead to qualify for a dread disease claim - go figure !!!