HG
Harry G
1 reviews | Active since Dec 2010
08 Feb 2023, 09:51
*********** insurance company @ SA Underwriters
I've submitted a claim in 5 September 2022 and this company has not finalized my claim. They keep on sending the report of the loss adjuster back and this is the second time they doing this. It just tells me that they are looking for reasons to decline the claim as it seems they contracted loss adjusters who can't do what is expected of them. Both sides are really *********** in their business. This is my last experience with such bad service insurance company.
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SA Underwriting Agencies (Pty) Ltd's replyOfficial
08 Feb 2023, 16:56Good afternoon Harry B
With regards to your message we would like to refer to your policy contract.
G. IMPORTANT: YOUR RESPONSIBILITIES
In order to have ongoing cover and a valid claim, you agree to always:
- 2. give us and the authorities true and complete information
- 2.1 we rely on the information you give, so we may not pay your claim if it is misleading or false;
EXAMPLE If you give us or the authorities incorrect details, we cannot check the facts of a claim.
- 6. comply with all of our reasonable requests;
EXAMPLE When we or our agents (for example attorneys, assessors or claims adjusters) ask you to give us permission to get your cell phone billing or location information or hospital records to check a claim, you must do this within the reasonable time we give you.
Kindly note the following:
- You have failed to co-operate with the loss adjusters on numerous occasions
- Your version of events has changed on numerous occasions making it difficult to determine what exactly transpired.
- The Insurer endeavours to settle all valid claims. However, before settling any claim, the Insurer must first validate a claim to determine if the Insured can be indemnified for the loss.
- At this point the claim is neither approved nor rejected, and the Insurer requires your co-operation to complete the validations.
- Should you fail to co-operate or if you give incomplete information you are in danger to breaching your policy contract.
Kindly inform us or the loss adjuster how you would like to proceed in order to settle the matter as swiftly as possible.
Kind Regards
The SAU Team
We Dare to Deliver!
SA Underwriting Agencies (Pty) Ltd's reply08 Feb 2023, 16:56
Official
Good afternoon Harry B
With regards to your message we would like to refer to your policy contract.
G. IMPORTANT: YOUR RESPONSIBILITIES
In order to have ongoing cover and a valid claim, you agree to always:
- 2. give us and the authorities true and complete information
- 2.1 we rely on the information you give, so we may not pay your claim if it is misleading or false;
EXAMPLE If you give us or the authorities incorrect details, we cannot check the facts of a claim.
- 6. comply with all of our reasonable requests;
EXAMPLE When we or our agents (for example attorneys, assessors or claims adjusters) ask you to give us permission to get your cell phone billing or location information or hospital records to check a claim, you must do this within the reasonable time we give you.
Kindly note the following:
- You have failed to co-operate with the loss adjusters on numerous occasions
- Your version of events has changed on numerous occasions making it difficult to determine what exactly transpired.
- The Insurer endeavours to settle all valid claims. However, before settling any claim, the Insurer must first validate a claim to determine if the Insured can be indemnified for the loss.
- At this point the claim is neither approved nor rejected, and the Insurer requires your co-operation to complete the validations.
- Should you fail to co-operate or if you give incomplete information you are in danger to breaching your policy contract.
Kindly inform us or the loss adjuster how you would like to proceed in order to settle the matter as swiftly as possible.
Kind Regards
The SAU Team
We Dare to Deliver!