It seems, clients get victimized for reviewing on PPS, by PPS. Unlike other companies who take their perceived clienteles view of their company, PPS will rather "show you who they are"? Advise to others, finalize your claim AND receive the monies due to y

Dear PPS, yet again.

Dear NEEVEN@PPS.

I believe by now you have been made aware of the fact that your claims department has concluded investigation into my claim (investigation into a claim, investigated by the claims Dept?? - not an independent person not in claim?? ).

To suit them. To cover up the mess they made regarding my claim since last year.

I am now, after the claim for this year 2022 was accepted and.... As I am told by your investigator, held back pending Nov and Dec 21... And now ALSO pending resubmission of the previously accepted claim!

Basically, as PPS, you are indicating your lack of professionalism nor care for your clients.

I now need to get the two of my treating medical team , to RESUBMIT the claim starting from Jan to, now Sept obviously, 2022, but wait, now it's jot only one claim they need to submit, but 9. Nine claims is what I was told would be needed, 9 DBD claims which had already been accepted, but held for randsom, pending me finding a doctor who could complete a DBD form for Nov and Dec 21, a period during which I waited to see the specialist I had been referred to (earliest being Jan 2022).

Now to not digress, my GP has happily obliged, PPS should have the Nov 21 and Dec 21 DBD form already.

Problem - this is the END part of the email submitted by your investigator to myself yesterday) after which I'm told to contact PPS arbitrator should I not be satisfied with the outcome) :

"Your claims for the period 03 November 2021 to 06 January 2022 *AND* the period starting 07 January 2022, are held in abeyance pending the required DBM and DBD."

Now tell me. We are in September 2022. I sigh, deeply.

I, as well as my Doctors, have to resubmit a claim that had already been accepted, BUT not processed for payout (held ransom), pending Nov and Dec 21, a period during which I was waiting for the earliest appointment I could get (Jan 22) to see the specialist, a completely different doctor to the one who treated me during this time.

I bring to your attention again to the END part of the last correspondance I received from PPS prior to my complaint on HELLO PETER.

" Further to our emails, for us to continue assessment of the claim we required the following:

Should you be claiming for the period from 03 November 2021 till 06 January 2022 – we require a fully completed declaration by doctor form Should you be claiming for the period from 11 December 2021 to ongoing – we require a fully completed declaration by member form".

Now, If I can see the stark difference between the two, so would anyone else at PPS or reading this review right now.

Please reread the last four words of the latter copied correspondance, which was the last communication I received from PPS BEFORE I complained here, on Hello Peter.

Now compare this with the former copied correspondance, AFTER I reviewed PPS on Hello Peter.

Encase you have not yet picked it up, the two endings of email are different. They are compiled by two different persons from the same claims Dept, and literally, the same floor.

Now you tell me, which one presents itself as vicitmizing of a client.

Neeven@PPS, kindly let me know what the way forward is from here. The good thing about smart phones, you can actually record any telephonic conversation, which I have been doing for quite a while now, considering how company employees are VERY quick to turn the true line of events into what seems, at the time to them, most plausible and advantages to them.

I have relistened to the phone call I received from the claims Dept investigator, about 3 times now (it is exactly 25 min 56 seconds long).

You are welcome to also listen to it, I'm sure as a FSP you also record all calls, then you let me know why there are so many discrepancies in how guys have treated me.

You wonder why you are rated so poorly. It's exactly THIS way of handing client complaints.

Please get me in touch with Mzwandile Mtshali (your Advisory Services and Enablement group executive), he sent a survey to me last week askinge to evaluate my experience with PPS. I am yet to receive ANY feedback in this regard from claims.

I do believe he would actually listen, and realize why PPS is rated so low.

He called me a valued client. Which is puzzling, considering that I have NOT been treated as such since putting in a claim with PPS for the first time ever, and up until my initial complaint on Hello Peter was "resolved" with instruction to take it up further with Advocate TJ Ferreira.

A very important side note, I asked my Financial advisor about claiming for incapacity, because from 1 Sep 2021 to the aforementioned 2 Nov 21, I was only partially back at work.

Her reply, "I am not covered for partial incapacity, I only have the severe illness cover (which would only cover me July and Aug 21). She later this year informed I actually am covered, and forwarded me the forms as from the claims Dept. I receive them some time later - they had typed out my email address incorrectly. Yes. So the email remained undelivered until towards end May when the mistake was picked up.

It's very imortant that I mention this as It has implications for the now, REQUIREMENT FOR RESUBMISSION OF ALL MY INCAPACITY CLAIMS FOR 2022 by your investigator.

How would I had known to ask for monthly reports, backdated from Jan 22, if my financial advisor told me my policy only covered me for Severe Illness, until she came this year, and told me, it actually also covers partial incapacity.

And yes, I did go through my policy document, but, as you would be aware of my impairment, I could not make clear sense of the content at the time, reverting to requesting information from my newly allocated financial advisor.

I sigh again. Why are you treating clients this way? And no it's not just me, many colleagues have mentioned previously of your poor service as PPS.

Then you inform me to email the arbitrator if I'm not satisfied with the outcome.

I requested from Claims that my case be escalated, twice already, it " seems"I can send emails to your claims team, but since my review, I can't receive any replies. Not even from my financial advisor. I tried calling the investigator, call is cuts/ is dropped before it even rings.

Anyway... Yet another sigh... I really do hope Neeven that you can give me an alternative response to what your investigator did.

Here I now stand, with a dilemma of