NM
Nqobani M

1 reviews | Active since Oct 2022

04 Oct 2022, 14:10

Claim Rejected.

On the 9th of August on my way to where I stay, I was involved in a car accident where I was badly wounded on the head. There was a suspicious car that was following me, and the natural instincts of driving faster kicked in, and so I did. Just when I was approaching a curve, an animal of which I cannot recall came my way and at that time, I lost control of the car and crashed. I woke up in the hospital with an afflictive head pains. I am still struggling to remember some of the things that occurred because of the head injury. On the 15th of September, my dad as well as my policy holder called the insurance, PMD, to inform then of what had happened. They requested to speak with the driver and some to time later contacted me. Under the influence of medication at hospital, I struggled to to remember what had happened. This is what they asked me and I quote "what disturbed you?" and responded that an animal came my way while driving, trying to avoid it, I went off-road and crashed. The following days another interviewer asked me the same questions in a different approach and i asked if I could answer the question in my preferred and home language and the investigator claimed that my English was just fine. I provided all the information they needed however still rejected my claim stating my statement was contradictory. I truly believe that if I was another race, all aspects of my claim would be considered and evaluated.

0
Replies (4)
Prime South Africa
Prime South Africa's reply04 Oct 2022, 15:34
Official
 
Dear Nqobani M,

Thank you for taking the time to raise this matter with us.

We have located your policy and commit to providing preliminary feedback within 2 business days.

Assuring you of our continued best endeavours.

Kind regards, 
The PMD Team 
NM
Nqobani M's update06 Oct 2022, 13:53
Reviewer Update
It has been many weeks and i really need the car. It is hard for me to get to work. This is very wrong what you to people though.
Prime South Africa
Prime South Africa's reply07 Oct 2022, 08:24
Official
 
Dear Nqobani M, 

Thank you for taking the time to share your experience. 

At PMD, we take immense pride in paying all valid claims and in ensuring that all claims are validated in line with transparency and fairness. However, the submission of accurate information is important to ensure a fair outcome. It if is for this reason that we take great care to verify the accuracy of independent evidence we rely on. 

Our Market Conduct Team has confirmed that they have already provided you with a detailed response to your concern.
 
 You no doubt remember that unlike many other insurers, with PMD comprehensive cover your basic excess reduces to zero - and it does so within a surprisingly short period of time. 

Assuring you of our continued best endeavours. 

Kind regards, 

The PMD Team

NM
Nqobani M's update07 Oct 2022, 13:30
Reviewer Update
Dr PMD Team

Thank you for your time to read through my concern.

I was really happy with pmd premiums and with your service. But i believe your judgement is based on your opinions and you did not care much about your client. I believe that i was still suffering amnesia when i conducted the interview. "Amnesia" inability to speak or understand language, mental confusion, difficulty concentrating, difficulty thinking and understanding, inability to create new memories, or inability to recognise common things. I believe that there are medical records for that in the hospital. Everything that i provided was accurate.

I am hoping you will make the right decision and not make judgements based on opinions

Yoursfaithfully
Nqobani Mkhize