AM
Albert M
1 reviews | Active since Mar 2018
26 Mar 2019, 08:08
M3114/18
Ombudsman works with insurance companies it’s a watse of time to take your matter to them
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Replies (1)Ombudsman for Short Term Insurance's replyOfficial
29 Mar 2019, 13:20Dear Albert,
Your statement that the Ombudsman works with insurance companies is incorrect. 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.
We look at the individual circumstances of each case. Our recommendations are based on the law and, where appropriate, on what we believe is fair and reasonable. When deciding a complaint we consider all the relevant facts and arguments. The outcome will be based on the version of events that seems the more likely or probable, based on the evidence that is submitted to us. This is called deciding on a “balance of probability” and refers to the standard test to be used when deciding civil (as opposed to ********) disputes.
We will always ask both you and the insurer for your views. We will also give each side a chance to comment on what the other side has said. If we need specific information from you or the insurer in order to assist us in deciding the case we will ask for it. Only once we have gathered all the necessary information will we make a decision.
Yours faithfully,
Ayanda Mazwi
Senior Assistant Ombudsman.
Your statement that the Ombudsman works with insurance companies is incorrect. 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.
We look at the individual circumstances of each case. Our recommendations are based on the law and, where appropriate, on what we believe is fair and reasonable. When deciding a complaint we consider all the relevant facts and arguments. The outcome will be based on the version of events that seems the more likely or probable, based on the evidence that is submitted to us. This is called deciding on a “balance of probability” and refers to the standard test to be used when deciding civil (as opposed to ********) disputes.
We will always ask both you and the insurer for your views. We will also give each side a chance to comment on what the other side has said. If we need specific information from you or the insurer in order to assist us in deciding the case we will ask for it. Only once we have gathered all the necessary information will we make a decision.
Yours faithfully,
Ayanda Mazwi
Senior Assistant Ombudsman.
Ombudsman for Short Term Insurance's reply29 Mar 2019, 13:20
Official
Dear Albert,
Your statement that the Ombudsman works with insurance companies is incorrect. 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.
We look at the individual circumstances of each case. Our recommendations are based on the law and, where appropriate, on what we believe is fair and reasonable. When deciding a complaint we consider all the relevant facts and arguments. The outcome will be based on the version of events that seems the more likely or probable, based on the evidence that is submitted to us. This is called deciding on a “balance of probability” and refers to the standard test to be used when deciding civil (as opposed to ********) disputes.
We will always ask both you and the insurer for your views. We will also give each side a chance to comment on what the other side has said. If we need specific information from you or the insurer in order to assist us in deciding the case we will ask for it. Only once we have gathered all the necessary information will we make a decision.
Yours faithfully,
Ayanda Mazwi
Senior Assistant Ombudsman.
Your statement that the Ombudsman works with insurance companies is incorrect. 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.
We look at the individual circumstances of each case. Our recommendations are based on the law and, where appropriate, on what we believe is fair and reasonable. When deciding a complaint we consider all the relevant facts and arguments. The outcome will be based on the version of events that seems the more likely or probable, based on the evidence that is submitted to us. This is called deciding on a “balance of probability” and refers to the standard test to be used when deciding civil (as opposed to ********) disputes.
We will always ask both you and the insurer for your views. We will also give each side a chance to comment on what the other side has said. If we need specific information from you or the insurer in order to assist us in deciding the case we will ask for it. Only once we have gathered all the necessary information will we make a decision.
Yours faithfully,
Ayanda Mazwi
Senior Assistant Ombudsman.
