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1 reviews | Active since Jun 2017

13 Dec 2021, 12:48

ALWAYS IN FAVOUR OF INSURER DESPITE THE FACTS

After waiting for over 6 months for a response from the OSTI office, i was told that someone new will be investigating my claim, trust me when i say there was no investigation, they agreed with everything the insurer BAY UNION had to say, whether it was fact or hear say they ruled in the favour, their response and attitude was one of take it or leave, should you wish to accept the insurers offer you can if not do what you must. This body is clearly always in favour of the insurers so i cant understand how our voices are being heard, when there is no fairness to this at all.

Further to their response i was told that the file is closed, never even allowed me the opportunity to escalate this matter within the OSTI........i agree with previous reviews the OSTI is a puppet to the insurance companies, i dont see the point of having a body like this who doesnt stand for integrity and fairness.

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Replies (1)
Ombudsman for Short Term Insurance
Ombudsman for Short Term Insurance's reply17 Dec 2021, 13:27
Official
Dear Ms. Naidoo 

You did not provide your Osti file reference number, therefore, I did not review the specific circumstances of your case.  With that said, our office considers all of the information that has been given to us by both parties before a recommendation is issued. Our recommendations are based on the law and the individual circumstances of each case. If we believe that the insurer has made a mistake, or that your claim was unfairly handled by the insurer, we will say so. If, however, we do not find fault with the way in which the insurer dealt with your matter, we will find in favour of the insurer and will not take the matter further. 

OSTI takes its role as an impartial and independent forum very seriously and deals with each complaint that is lodged with it in this way. 

Yours faithfully, 

Ayanda Mazwi 
Senior Assistan Ombudsman.