CE
Calista E

1 reviews | Active since May 2018

22 Sept 2025, 12:47

Extremely Slow Claims Process and Poor Payout – Not Recommended

I submitted a claim to Sanlam Gap Cover (via Wellworx / Centriq) on 02 September 2025. On 09 September, I received an email confirming the claim was being processed. It’s now weeks later and I still haven’t received any feedback or update.

Unfortunately, this isn’t the first time I’ve had this issue. I submitted a claim back in July 2025, and it took nearly a month just to be processed and paid out. When they eventually did pay, they covered less than 50% of what was claimed — with no clear explanation.

It’s extremely frustrating to go through this again. The turnaround time is far too long, and the lack of communication just adds to the stress. I expected better service and support from a company that’s supposed to help during medical emergencies.

I would not recommend Sanlam Gap Cover to anyone. The claims process is slow, unreliable, and disappointing

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Replies (5)
Sanlam
Sanlam's reply22 Sept 2025, 12:55
Official
Good day, Calista

We apologise for your poor service experience and have arranged for you to be contacted and assisted.

Regards
Sanlam Client Care
Sanlam
Sanlam's reply22 Sept 2025, 13:54
Official
Hello Calista

We have received feedback that you have been contacted and that the matter is being attended to.

Regards
Sanlam Client Care
CE
Calista E's update25 Sept 2025, 11:08
Reviewer Update
I am beyond frustrated with Sanlam GAP Cover and seriously considering cancelling my policy. I submitted a claim on the 4th of September, and to this day, nothing has been done. Meanwhile, my doctor bills are being handed over to collections – all because of Sanlam's ongoing incompetence and lack of urgency.

This is not a once-off issue. Every claim I've submitted has had the same delays, empty promises, and complete lack of follow-through. Their so-called turnaround times are just for show – they are never met.

To make things worse, I am now receiving "claim outcomes" for claims I never even submitted. Clearly, there is serious disorganisation internally. It seems the team is doing everything except processing actual claims.

Despite submitting all the required forms and supporting documents, the claim remains unresolved. When they do eventually look at a claim, they hardly pay out and instead respond with a code and some vague reason for rejection. It’s a constant uphill battle with zero results.

I urgently demand clear, actionable feedback on the claim I submitted on the 4th of September. This level of service is completely unacceptable, and I would not recommend Sanlam GAP Cover to anyone
Sanlam
Sanlam's reply25 Sept 2025, 11:23
Official
Hello Calista

Thank you for coming back to us.

We are sorry to hear this and have arranged for urgent assistance from the responsible team.

Regards
Sanlam Client Care
Sanlam
Sanlam's reply25 Sept 2025, 13:38
Official
Hello Calista

We have been informed that feedback will be provided to you by Centriq.

Regards
Sanlam Client Care