KN
Krishna N

1 reviews | Active since Jul 2020

20 Jul 2020, 12:20

Short Terms OMBUDSMAN is a merely a Post-Office service REF - C7D / N258/20

REF - C7D / N258/20 OSTICRM:***

Have a claim outstanding since Jan which Insurers have rejected. Ombuds merely forward Insurers responses to me, my responses to them several times already& it is a 2 way communication with the OMBUDS being a Post-Office between us. They have never once explained to me if either party needs to do anything. The last response was they gave me 7 days to respond to the Insurers email, failing which they will close the file. I responded at the end of June, but never heard from them. It is quite obvious the OMBUDS is not an impartial body but "bats" for the Insurer ! They continue to take the part of the Insurer. It is quite obvious they not going to let the Insurer down. I wonder how any cases the OMBUDS vote in favour of the clients ? Why have an OMBUDS if the client & insurers can deal directly instead !!

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Replies (1)
Ombudsman for Short Term Insurance
Ombudsman for Short Term Insurance's reply20 Jul 2020, 17:16
Official
Dear Krishna Naidoo
   
We regret that this matter has taken longer to be resolved than you anticipated.
  
I have looked into the file and confirmed that on receiving your correspondence dated 29 June 2020, we requested additional information from your insurer on 3 July 2020. Our Office informed you of this in writing on the same date. 
 
The insurer's reply was received on 10 July 2020. Please note that our office deals with high caseloads. As such, please allow the Assistant Ombudsman attending to this dispute an opportunity to review the correspondence and formulate her findings. Should there be additional information required from either party, the Assistant Ombudsman will inform you of this. 
  
The Insurance Ombudsman takes its role as an impartial and independent forum seriously and deals with each complaint that is lodged with it in this way.

The Assistant Ombudsman has been notified of this enquiry. Please expect to receive feedback on the matter by the end of the week. 
  
 Yours faithfully, 
   
 Ayanda Mazwi 
 Senior Assistant Ombudsman.