YC
Yolande C
1 reviews | Active since Mar 2020
06 Mar 2020, 13:04
Disappointing service
Very disappointed in their service. When you have a rejected claim from your insurer do not even waste your time in referring your dispute to them. They will just confirm your insurer's decision. Totally waste of your time.
Helpful (0)
Replies (2)0
Replies (2)
Ombudsman for Short Term Insurance's replyOfficial
06 Mar 2020, 16:26Dear Yolande
Our dispute resolution process is one that follows due process, considers facts and the available evidence to reach decisions supported by same.
We can only make a decision in favour of a party in line with the available facts and evidence, and in the light of applicable principles of law, fairness and equity.
Our records show that those whose complaints can be upheld do get a favourable outcome. We refer you to our annual report statistics over the years.
If the complainant (or even the insurer) was guaranteed a favourable outcome, our process would not be fair. Each matter must be decided on its own merits.
If you really have a case, we would encourage you to pursue it further in the courts, where some of our limitations, like the ability to cross- examine witnesses, do not apply.
Yours faithfully
Peter Nkhuna
Senior Assistant Ombudsman
Our dispute resolution process is one that follows due process, considers facts and the available evidence to reach decisions supported by same.
We can only make a decision in favour of a party in line with the available facts and evidence, and in the light of applicable principles of law, fairness and equity.
Our records show that those whose complaints can be upheld do get a favourable outcome. We refer you to our annual report statistics over the years.
If the complainant (or even the insurer) was guaranteed a favourable outcome, our process would not be fair. Each matter must be decided on its own merits.
If you really have a case, we would encourage you to pursue it further in the courts, where some of our limitations, like the ability to cross- examine witnesses, do not apply.
Yours faithfully
Peter Nkhuna
Senior Assistant Ombudsman
Ombudsman for Short Term Insurance's reply06 Mar 2020, 16:26
Official
Dear Yolande
Our dispute resolution process is one that follows due process, considers facts and the available evidence to reach decisions supported by same.
We can only make a decision in favour of a party in line with the available facts and evidence, and in the light of applicable principles of law, fairness and equity.
Our records show that those whose complaints can be upheld do get a favourable outcome. We refer you to our annual report statistics over the years.
If the complainant (or even the insurer) was guaranteed a favourable outcome, our process would not be fair. Each matter must be decided on its own merits.
If you really have a case, we would encourage you to pursue it further in the courts, where some of our limitations, like the ability to cross- examine witnesses, do not apply.
Yours faithfully
Peter Nkhuna
Senior Assistant Ombudsman
Our dispute resolution process is one that follows due process, considers facts and the available evidence to reach decisions supported by same.
We can only make a decision in favour of a party in line with the available facts and evidence, and in the light of applicable principles of law, fairness and equity.
Our records show that those whose complaints can be upheld do get a favourable outcome. We refer you to our annual report statistics over the years.
If the complainant (or even the insurer) was guaranteed a favourable outcome, our process would not be fair. Each matter must be decided on its own merits.
If you really have a case, we would encourage you to pursue it further in the courts, where some of our limitations, like the ability to cross- examine witnesses, do not apply.
Yours faithfully
Peter Nkhuna
Senior Assistant Ombudsman
YC
Yolande C's updateReviewer Update
06 Mar 2020, 22:06I am an attorney so I am well aware of the law and the application thereof. I am merely giving people some advice regarding this service or may I say the lack thereof. Thanks for the response anyway.
YC
Yolande C's update06 Mar 2020, 22:06
Reviewer Update
I am an attorney so I am well aware of the law and the application thereof. I am merely giving people some advice regarding this service or may I say the lack thereof. Thanks for the response anyway.