SN
Shireen N

1 reviews | Active since Oct 2018

09 Mar 2022, 16:31

Rejection of claim without concrete evidence via engineers and geologist report no engagement with local council

Recently my daughter bought a house with a fiber glass swimming pool After having moved in it was noticed that the pool had to be topped up very often On calling in the local pool specialist it appeared the pool had a crack or more and the water was seeping through this cracks underground.Thus there was alot of water under the fiber glass pool When Outsurance sent an assessor from PoolAction he came for a mere 10mins abd sent in a report to Outsurance that the pool was damaged by the rising water table pressure and on this premise the claim was rejected We lodged a dispute and it was rejected yet again I am yet to see a report from the engineer or geologist or confirmation from the local Municipality confirming that in John Vorster Park which is deemed an A area has a problem of rising water table pressure The house foundaruon is fine rhe garden on the rest of the property is fine no signs of pressure from underground rising water table issue Only under the pool and along side of pool the risingwater problem the neighbour at the back has no issues It has become so common for insures to evade claims based on the clause Damage caused by rising water table is not within the ambit of the structural cover This is costing the home owners financial loss depreciation of value of property cost to replace and repair at own cost despite paying high insurance premiums This must stop Ombudsman are you listening to the layman or protecting the insurers Seek a just and fair outcomes

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Replies (2)
OUTsurance
OUTsurance's reply10 Mar 2022, 09:43
Official
Good day Shireen,

Thanks for your feedback.

Our claims management team as well as our dispute team have discussed the rejection in detail with you. 

We regret that we are not able to pay your claim, for the reasons we have provided you.  We firmly believe that your claim is not valid in terms of our agreement with you.  We have responded to your objections made to us and provided you with the information.  

We do apologise for the disappointing outcome of your claim.

Regards,
OUTsurance
SN
Shireen N's update10 Mar 2022, 10:43
Reviewer Update
Just like the water from the pool seeped through the cracks and accumulated beneath the pool
The disgruntled clients of Outsurance will seep through and accumulate beneath their client pool and this could cause immense damage to their reputation and bottom line steadily.

Just like the pool owner it is going to cost them a great deal of pain and money to rebuild.

Competitors are waiting to get a bigger market share and will capitalize.

May God bring them to realization on the devastating financial impact on their clients due to not moving the extra mile with impacted clients.