TK
Takatso K

1 reviews | Active since Mar 2021

19 Aug 2025, 16:05

Unfair claim rejection and misleading turnaround times

I had an accident on 19 July 2025 and submitted my claim on 21 July 2025. They wrote off my car..The insurer’s advertised turnaround time when I joined was 10–15 working days, but they only responded almost a month later. In their repudiation reply, they suddenly claim their turnaround time is 21 days — which feels like they are shifting the goalposts to cover their delays.

On 15 August 2025, I was informed that my claim was rejected for “misrepresentation of material facts,” and when I asked what misrepresentation? They can my give me answers..also the rejection letter itself was dated 12 August 2025. This delay in communication is unfair and has cost me financially, as my vehicle is incurring daily storage fees of R300, now totaling R5 100.

I have always supported this insurer and even referred almost 10 of my colleagues to them. Sadly, after seeing how my claim was handled, most of them are now cancelling their policies — and I believe this is a wise decision. An insurer that advertises as “the best” should not treat clients with such poor communication, moving timelines, and unfair claim handling. I am escalating this matter to the Ombudsman for Short-Term Insurance, but I am also warning others to be cautious before trusting the promises made by this insurer.

Don’t believe the best reviews about PMD, I used to think they are the best..but honestly they are good with answering their phone quicky...hence I referred my friends and colleagues to them, and they are affordable.. but what’s the use of paying an affordable insurance that won’t help you during a major accident? At this point I wish I could have remained with King price.😭

0
Replies (4)
Prime South Africa
Prime South Africa's reply19 Aug 2025, 17:23
Official
Dear Takatso, we regret to hear about your dissatisfaction and appreciate you letting us know. We will acknowledge your complaint in writing within 48 hours. Thank you for your patience. Kind regards, the Prime SA team. 
TK
Takatso K's update19 Aug 2025, 18:09
Reviewer Update
Thank you for your prompt response.
I hope to receive a detailed explanation of what Misrepresentation you are talking about, and details of all the proof you re**** upon.
And my claim file.

Please note, I expect a clear and detailed explanation and not a generic response.
TK
Takatso K's update22 Aug 2025, 13:37
Reviewer Update
I posted here previously about my claim with PMD being unfairly rejected. Since then, the situation has only gotten worse.

PMD first told me that disputes take 5 days to resolve, but now they have suddenly changed it to 10 working days, saying the matter is with their “legal team.” Why legal team for a straightforward claim? I am not a ******** — I am simply a client asking for fairness.

They also refuse to give me the investigation file or the documents they used to decide against me. I have now had to make a formal POPIA request for my own information.

Because of PMD’s delays, the storage costs for my written-off car have already gone up to R5,100 — an expense I would not be facing if they had stuck to their own turnaround times.

I feel emotionally and financially drained by this process. As someone who referred many colleagues to PMD in the past, I now regret it and have warned them about my experience. Some are already cancelling.

This is not how a professional insurer should treat clients. PMD, please stop dragging this matter and provide transparency and fairness.
Prime South Africa
Prime South Africa's reply27 Aug 2025, 16:06
Official
Hello Takatso K,

Thank you for getting in touch with us. We understand your concern regarding the rejection of your claim and appreciate the opportunity to address it.

The decision on your claim was based on evidence gathered during the validation process, which we will be sharing with you shortly. Please rest assured that we are committed to resolving this matter fairly and transparently.

Under our comprehensive cover, the excess payable on claims reduces to zero in a remarkably short period, offering even greater value to our clients.

Kind regards,
The Prime SA Team