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Azola N

1 reviews | Active since Nov 2020

17 Nov 2020, 15:44

Rejection of claim

I need your intervention here, I was involved in an accident on the 1st of November 2020, and submitted my claim on the 3rd. I was informed that my car will be assessed and they will revert back to me. Car was assed and I was told the damage was worth 25K. I got calls from them requesting the passengers details, gave them the details as requested. I was told that they still investigating the matter until Friday the 13th when I received a call from them telling me that the claim was rejected due to Misrepresentation of material facts. I don’t understand cuz I went to report the accident and obtained all the relevant information so I can submit everything in time. The information I gave the police and the insurance is accurate and correct. But I was informed that my statement contradicts with that of the passenger. I asked what the passenger said and was informed they can’t divulge that information to me. I was expected to take pictures immediately after the accident so they can identify the scene, I explained to them I couldn’t take any pictures cuz I was traumatized. Now I am accused of giving incorrect information, Acts of *****, Misrepresentation, misdescription and non disclosure. I feel I was expected to remember everything right after I was involved in an accident, I am not happy with the service I got and I feel disrespected. I had absolutely no reasons to lie about anything that happened that night. Please Assist!

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Replies (2)
Prime South Africa
Prime South Africa's reply17 Nov 2020, 16:10
Official
Dear Azola N,

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

We have located your policy and commit to providing preliminary feedback within 48 hours. 
 
 Assuring you of our continued best endeavours. 
 
 Kind regards,
 The PMD Team 


Prime South Africa
Prime South Africa's reply19 Nov 2020, 13:36
Official
Dear Azola N,
 
We appreciate the time you have taken to bring your dissatisfaction to our attention.
 
At PMD, we pride ourselves on providing world class service and in promptly paying all valid claims. Furthermore, our foremost objective is always to treat our policyholders fairly. At PMD, we maintain a strict application of our policy terms and conditions and only provide cover in the event we are provided with accurate information throughout the validation of a claim.
 
Our Market Conduct Department has confirmed that they will provide you with a further detailed explanation regarding the information used in reaching the decision on your claim.

You no doubt remember that unlike many other insurers, with PMD comprehensive cover your claims excess reduces to zero - and it does so within a surprisingly short few months.
 
Assuring you of our continued best endeavours on your behalf.
 
Kind Regards,
The PMD Team