RM
Ravi M
1 reviews | Active since May 2022
12 May 2022, 22:18
Momentum Insure abuse of Terms of Reference of the OSTI
Greetings OSTI.I would not normally resort to complaining on this platform but i have tried to obtain feedback and resolution through the normal channels but have failed.I humbly request from your Good Office for intervention by a senior Ombudsman (Peter or Ayanda) to intervene in my complaint reference number M693/22 Momentum Insure rejection of my Motor Accident claim lodged 25 March 2022 with the OSTI. My communications with OSTI has gone unanswered.Almost three months later after lodging my complaint, the only response received is that OSTI is liasing with the insurer(21 April 2022) even though terms of reference timelines have been ignored to accomadate a non compliant Momentum insure.I have sent through a number of emails to the OSTI detailing the serious contraventions of the policy protection rules and treating the customer fairly by Momentum Insured. My requests for information on the false claims made by Momentum Insure in rejecting my claim has been totally ignored and I suspect that the OSTI has been given the runaround by Momentum Insure in obtaining the relevant information at my detriment.Please senior ombudsman intervene urgently taking into consideration the ******** behaviour and the serious breach of contract by Momentum Insure with fairness and equity that your Good Office upholds. Yours in anticipation Mr Mogambaran Moodley
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Replies (9)0
Replies (9)
Ombudsman for Short Term Insurance's replyOfficial
13 May 2022, 09:16Dear Ravi Moodley
I have reviewed your file and advise that it is not yet at a stage where it can be escalated internally. The file was assigned to the Assistant Ombudsman on 25 March 2022. On average, a complaint may take between four to six months before it is resolved.
The insurer has failed to submit its answer to the complaint within the agreed timelines. We have issued a penalty against the insurer as a result, in accordance with OSTI's process manual which we must follow.
We will provide you with further feedback on the matter by 30 May 2022.
Yours faithfully,
Ayanda Mazwi
Senior Assistant Ombudsman.
I have reviewed your file and advise that it is not yet at a stage where it can be escalated internally. The file was assigned to the Assistant Ombudsman on 25 March 2022. On average, a complaint may take between four to six months before it is resolved.
The insurer has failed to submit its answer to the complaint within the agreed timelines. We have issued a penalty against the insurer as a result, in accordance with OSTI's process manual which we must follow.
We will provide you with further feedback on the matter by 30 May 2022.
Yours faithfully,
Ayanda Mazwi
Senior Assistant Ombudsman.
Ombudsman for Short Term Insurance's reply13 May 2022, 09:16
Official
Dear Ravi Moodley
I have reviewed your file and advise that it is not yet at a stage where it can be escalated internally. The file was assigned to the Assistant Ombudsman on 25 March 2022. On average, a complaint may take between four to six months before it is resolved.
The insurer has failed to submit its answer to the complaint within the agreed timelines. We have issued a penalty against the insurer as a result, in accordance with OSTI's process manual which we must follow.
We will provide you with further feedback on the matter by 30 May 2022.
Yours faithfully,
Ayanda Mazwi
Senior Assistant Ombudsman.
I have reviewed your file and advise that it is not yet at a stage where it can be escalated internally. The file was assigned to the Assistant Ombudsman on 25 March 2022. On average, a complaint may take between four to six months before it is resolved.
The insurer has failed to submit its answer to the complaint within the agreed timelines. We have issued a penalty against the insurer as a result, in accordance with OSTI's process manual which we must follow.
We will provide you with further feedback on the matter by 30 May 2022.
Yours faithfully,
Ayanda Mazwi
Senior Assistant Ombudsman.
RM
Ravi M's updateReviewer Update
13 May 2022, 09:39Thank You for the feedback Ayanda.This is highly appreciated.As a complainant it is important that I Follow the rules and this is equally so for the Insurer.I will await your feedback by the 30 May 2022.
Kind Regards
Ravi Moodley
Kind Regards
Ravi Moodley
RM
Ravi M's update13 May 2022, 09:39
Reviewer Update
Thank You for the feedback Ayanda.This is highly appreciated.As a complainant it is important that I Follow the rules and this is equally so for the Insurer.I will await your feedback by the 30 May 2022.
Kind Regards
Ravi Moodley
Kind Regards
Ravi Moodley
RM
Ravi M's updateReviewer Update
19 May 2022, 20:05Thank You Assistant Ombudsman Kgomotso Molepo for the communication provided to me, in respect to the actions that the Osti has taken in my matter. The specific deadline given to the insurer shows that the Osti takes its terms of referance and fairness to all parties equally serious.This is really commendable and is worth mentioning. Kind Regards Mr.Mogambaran Moodley
RM
Ravi M's update19 May 2022, 20:05
Reviewer Update
Thank You Assistant Ombudsman Kgomotso Molepo for the communication provided to me, in respect to the actions that the Osti has taken in my matter. The specific deadline given to the insurer shows that the Osti takes its terms of referance and fairness to all parties equally serious.This is really commendable and is worth mentioning. Kind Regards Mr.Mogambaran Moodley
Ombudsman for Short Term Insurance's replyOfficial
20 May 2022, 07:02Good morning Ravi Moodley
Thank you for the positive feedback, which I have relayed to Kgomotso.
Kind regards,
Ayanda Mazwi
Senior Assistant Ombudsman
Thank you for the positive feedback, which I have relayed to Kgomotso.
Kind regards,
Ayanda Mazwi
Senior Assistant Ombudsman
Ombudsman for Short Term Insurance's reply20 May 2022, 07:02
Official
Good morning Ravi Moodley
Thank you for the positive feedback, which I have relayed to Kgomotso.
Kind regards,
Ayanda Mazwi
Senior Assistant Ombudsman
Thank you for the positive feedback, which I have relayed to Kgomotso.
Kind regards,
Ayanda Mazwi
Senior Assistant Ombudsman
RM
Ravi M's updateReviewer Update
29 May 2022, 06:01Greetings Osti.I would like to mention that the special message given by Judge Ron McLaren (Osti Annual report 2021)) was powerful and far-reaching in the way some Insurance Companies are simply abusing their contractual obligations in treating customers fairly.My complaint is an example of this and it is concerning that these insurer's do not respect the Ombudsman and by intentionally misleading, being uncooperative, and simply ignoring the Office of the Ombuds.The impact on the complainant is huge (financially, physical and mental stress) and I can only imagine how difficult it is for the Good Office of the Osti in trying to deal with this type of non cooperation. Dear Ayanda,Peter,Thasnim, Darpana, Kgomotso sorry I could not remember the others but put an end to this because this behaviour brings down the reputation of the Osti and puts your Good Office in a difficult space from a reputational damage perspective. I for one salute the great work that you guys do in trying to bring relief to people like myself.I must also end in saying to Ayanda great presentation on the complaints statistics.As a member of the public "Great Job" Ravi Moodley
RM
Ravi M's update29 May 2022, 06:01
Reviewer Update
Greetings Osti.I would like to mention that the special message given by Judge Ron McLaren (Osti Annual report 2021)) was powerful and far-reaching in the way some Insurance Companies are simply abusing their contractual obligations in treating customers fairly.My complaint is an example of this and it is concerning that these insurer's do not respect the Ombudsman and by intentionally misleading, being uncooperative, and simply ignoring the Office of the Ombuds.The impact on the complainant is huge (financially, physical and mental stress) and I can only imagine how difficult it is for the Good Office of the Osti in trying to deal with this type of non cooperation. Dear Ayanda,Peter,Thasnim, Darpana, Kgomotso sorry I could not remember the others but put an end to this because this behaviour brings down the reputation of the Osti and puts your Good Office in a difficult space from a reputational damage perspective. I for one salute the great work that you guys do in trying to bring relief to people like myself.I must also end in saying to Ayanda great presentation on the complaints statistics.As a member of the public "Great Job" Ravi Moodley
RM
Ravi M's updateReviewer Update
10 Oct 2022, 11:29Greetings Osti. My complaint number M693/22 has been with Assistant Ombudsman Valerie Mngadi and Case Manager Aadelih Solomon I have made numerous requests in the past for a formal response from the team dealing with my matter.We are now in our 7th month of my complaint and will appreciate if a recommendation is made as per Valerie's comments.All information has been provided to the Ombudsman and requires an urgent response from the Osti office.This is not a Matter to be unnecessarily delayed.
Kind Regards
Mr.M.Moodley
Kind Regards
Mr.M.Moodley
RM
Ravi M's update10 Oct 2022, 11:29
Reviewer Update
Greetings Osti. My complaint number M693/22 has been with Assistant Ombudsman Valerie Mngadi and Case Manager Aadelih Solomon I have made numerous requests in the past for a formal response from the team dealing with my matter.We are now in our 7th month of my complaint and will appreciate if a recommendation is made as per Valerie's comments.All information has been provided to the Ombudsman and requires an urgent response from the Osti office.This is not a Matter to be unnecessarily delayed.
Kind Regards
Mr.M.Moodley
Kind Regards
Mr.M.Moodley
Ombudsman for Short Term Insurance's replyOfficial
11 Oct 2022, 16:08Dear Mr Moodley
We are investigating this and will ensure that you receive a comprehensive update as soon as possible.
At face value, it does appear that your matter may have taken longer than it ought to.
We apologise that we did not meet your expectations regarding a speedy resolution of the matter.
Yours faithfully
Peter Nkhuna
Senior Assistant Ombudsman
We are investigating this and will ensure that you receive a comprehensive update as soon as possible.
At face value, it does appear that your matter may have taken longer than it ought to.
We apologise that we did not meet your expectations regarding a speedy resolution of the matter.
Yours faithfully
Peter Nkhuna
Senior Assistant Ombudsman
Ombudsman for Short Term Insurance's reply11 Oct 2022, 16:08
Official
Dear Mr Moodley
We are investigating this and will ensure that you receive a comprehensive update as soon as possible.
At face value, it does appear that your matter may have taken longer than it ought to.
We apologise that we did not meet your expectations regarding a speedy resolution of the matter.
Yours faithfully
Peter Nkhuna
Senior Assistant Ombudsman
We are investigating this and will ensure that you receive a comprehensive update as soon as possible.
At face value, it does appear that your matter may have taken longer than it ought to.
We apologise that we did not meet your expectations regarding a speedy resolution of the matter.
Yours faithfully
Peter Nkhuna
Senior Assistant Ombudsman
RM
Ravi M's updateReviewer Update
11 Oct 2022, 17:41Thank You Peter,
Your prompt response is highly appreciated.
Kind Regards
Mr. Moodley
Your prompt response is highly appreciated.
Kind Regards
Mr. Moodley
RM
Ravi M's update11 Oct 2022, 17:41
Reviewer Update
Thank You Peter,
Your prompt response is highly appreciated.
Kind Regards
Mr. Moodley
Your prompt response is highly appreciated.
Kind Regards
Mr. Moodley
Ombudsman for Short Term Insurance's replyOfficial
12 Oct 2022, 10:46Dear Mr Moodley
I have been advised that your matter is being worked on; and that you will receive the decision on the complaint within the next week.
I trust that the above is in order.
Once again, we apologise that our turnaround time was below your expectations.
Yours faithfully
Peter Nkhuna
Senior Assistant Ombudsman
I have been advised that your matter is being worked on; and that you will receive the decision on the complaint within the next week.
I trust that the above is in order.
Once again, we apologise that our turnaround time was below your expectations.
Yours faithfully
Peter Nkhuna
Senior Assistant Ombudsman
Ombudsman for Short Term Insurance's reply12 Oct 2022, 10:46
Official
Dear Mr Moodley
I have been advised that your matter is being worked on; and that you will receive the decision on the complaint within the next week.
I trust that the above is in order.
Once again, we apologise that our turnaround time was below your expectations.
Yours faithfully
Peter Nkhuna
Senior Assistant Ombudsman
I have been advised that your matter is being worked on; and that you will receive the decision on the complaint within the next week.
I trust that the above is in order.
Once again, we apologise that our turnaround time was below your expectations.
Yours faithfully
Peter Nkhuna
Senior Assistant Ombudsman