CW
Corne W

1 reviews | Active since Mar 2018

09 Mar 2018, 11:46

Invalid rejected claims !! Pathetic !

So Get This.

My wife has been in a accident with a person who is insured with Outsurance. The party that is insured by Outsurance admitted that the accident was his fault and even stated that on the accident report with the EMPD on site and still the 3PP from outsurance rejected our claim and refuses to pay. I cannot by the life of me understand how it can be rejected even after he admitted and stated on the AR report that he was at fault.

I will make sure this goes to News Papers all over that the reason why " Outsurance can beat any car insurance quote " is because they save money for all the claims they reject for all the 3PP claims.

I feel this is pathetic and i will not leave this here!!

0
Replies (3)
OUTsurance
OUTsurance's reply12 Mar 2018, 15:53
Official

Good day,

Every claim is dealt with on its own merits. Lebo our legal manager contacted you to discuss the merits of the claim in detail. He informed you we do not have the report that you are referring to. Once we have the report we will review the matter.

Thank you,

Kelvin

CW
Corne W's update13 Mar 2018, 11:12
Reviewer Update
Good Day, Please note i have provided Lebo with the required report with a clear explanation of what happened. I look foward in hearing from you as this matter needs to be resolved ASAP. Pleas note failure to resolve our claim will re**** in Carte Blanche contacting outsurnace as well as taking this matter to all news papers as this is clearly the fault of the driver insured by outsurance. Regards Corne Van Wyngaarden
CW
Corne W's update06 Apr 2018, 15:26
Reviewer Update
Waited four weeks to hear this ridiculous feedback. "Good day Please note that we evaluated the merits herein. Your driver came from stop street into a through road. That through road is being used for 2 lanes. When someone drives into a through road from a side street, the person entering that road is legally more liable because the drivers in the through road has write of way. The driver coming from the stop street has to be more careful when entering the road. In light of the above we apportioned the matter 60/40. That means that we accept 60% liability herein and based on the merits we feel that your driver is 40% negligent herein. Our quantum is R24 385.80. According to our assessors report, attached hereto your damages is R13 132.77. Therefore we take 40% of our damages witch will be R9 754.32, and 60% of your damages witch is R7 879.66. Then it means that you need to pay us R9 754.32 and we pay you R7 879.66. So to make it simple we subtract the R7 879.66 from the money that you need to pay us, therefore you need to pay us R1 874.66. Rather than the claim the R1874.66 from you, we are willing to settle this matter on each party bears their own costs. " Sumari Breytenbach the lady that was dealing with my case said that because cars always drives on that Yellow lane that their driver had the right of way. How the hell can a insurance company say that because all cars does that it makes it right???????? Pathetic!!!! Her manager Lebogang Senne gives the case back to her after a escalation?? This is pathetic !! I will make sure that all family and friends cancels their insurance with this pathetic "insurance company". I do not want to be contacted by Sumari or Lebogang as I feel they are *********** in there work. Can someone in a higher position contact me. As this will be going to the news papers this weekend if not resolved!!!!!!!!