OSTI - Please provide results of complaint that I lodged on 07 April 2025.

After waiting for 9 months for a recommendation from the National Financial Ombud Scheme on cases: *** -2 August 2024 and Case: *** - 12 August 2024, I finally received the recommendation in favor of the participant on 7 April 2025.

After stating in supporting documents that the Insurance company was unfair in its approach to questioning that was ambiguous and unclear. I was told by National Financial Ombud Scheme that the insurance company was justified in there questioning. It was clearly ambiguous and can be proven with recordings of pre-assessment on inception of policy. On 7 April 2025 was asked to submit further information within 7 days, unless the recommendation would be finalized. I had already submitted this information several months prior, during time of investigation.

On the 7 April 2025 I submitted a complaint to the National Financial Ombud Scheme complaints department, for the recommendation by allocated adjudicator to be reviewed internally by another adjudicator, as I felt that the recommendation was not considered with all the facts that I presented for the investigation. On 16th April 2025 I received a reply from the same adjudicator that the recommendation was finalized and closed.

Was an internal review ever conducted or referred to an external assessor for review as is communicated on the National Financial Ombud Scheme Website.

I believe that the National Financial Ombud Scheme represents the public and should investigate all cases if there is an objection by the client on the recommendation by their adjudicators.

Thank you S.Govender ***

Dissatisfied customer.