JH
Jean-Pierre Hoorzyk

1 reviews | Active since Aug 2023

30 Jan 2024, 08:40

Issue not solved

they are very unprovisional and negligent with no clear communication structure I should have never joined this company because they made my life so difficult.

Dear Insurance Ombudsman,

I am writing to lodge a complaint against PMD Insurance regarding a claim I made for my vehicle accident that occurred on 9 December 2023.

On that date, I was involved in a collision with another vehicle, which was at fault for the accident. The other driver also lodged a claim against my insurance third party. PMD Insurance put me on a customized comprehensive insurance, which had terms and conditions that required me to pay the shortfall on my claim.

When the claim was approved, I was told to pay the excess of R15 000.00. I agreed to that and requested PMD Insurance to send my car to a panel beater. However, when the quotation came back, they told me that I should pay a shortfall of R29 000. I was not informed of this possibility beforehand and I did not agree to pay such a high amount.

I then told PMD Insurance to withdraw my claim and the consultant that I spoke with on 25 January 2024 agreed to do so. However, she also cancelled the third party claim without my consent or knowledge. I specifically told her to cancel only my claim and not the third party claim.she assured me that there would be no problem.

I feel that PMD Insurance lacks in communication and emotional intelligence. They did not explain the terms and conditions of my insurance clearly, they did not inform me of the potential shortfall, and they did not respect my wishes regarding the third party claim. They have caused me a lot of stress and inconvenience.

They have mentioned that they will investigate this matter.

I request that you investigate this matter and help me resolve it. I would like PMD Insurance to reinstate the third party claim, reimburse me for any expenses I incurred due to their negligence, and apologize for their poor service.

I have attached copies of all relevant correspondence and supporting documents to this letter. Please contact me if you need any further information or clarification.

Thank you for your attention and assistance.

0
Replies (2)
Prime South Africa
Prime South Africa's reply30 Jan 2024, 10:28
Official
Dear  Jean-Pierre Hoorzyk 

Thank you for taking the time to raise this matter with us. 
We have located your policy and commit to providing preliminary feedback within two business days. 
Assuring you of our continued best endeavours. 

Kind regards, 
 The PMD Team 
Prime South Africa
Prime South Africa's reply05 Feb 2024, 10:55
Official
 Dear Jean-Pierre Hoorzyk,

Thank you for taking the time to share your experience.

We take pride in quickly approving all valid claims and take pride in the integrity of our claim
validation process. 

We have received your complaint from the office of the Ombudsman of Short-Term Insurance (OSTI)
regarding this very same matter. In these instances, we are required to direct all communication
through the OSTI’s office and are obliged to await the findings of the OSTI which we shall of course
respect

You will be pleased to hear that PMD has a skilled Market Conduct Team that specializes in ensuring
that our client's voices are heard.

Assuring you of our continued best endeavours.
Kind regards,