dJ
dean J

1 reviews | Active since Jun 2017

22 Jun 2020, 12:28

Pathetic Sanlam Gap Cover

My wife gave birth to our son the 31st March, we paid the initial amounts to the doctors involved as covered by the medical aid and the shortfall claims were sent Sanlam gap cover. They paid the smaller claim very quickly, however, the larger claim for the gynea has still not been paid. After a lot of useless calls to their useless call center I still have zero feedback.

Last Friday, 19th June, Simphiwe was the first call center agent to actually give me reference number, and inform me they sent some negotiation email to the doctors on the 29th April. He aslo promised he would get back to me with info by end of Friday. As usual, empty hollow lies from Sanlam.

What are the idiots at Sanlam doing? Why have they not followed up if they never received any reply from doctors? Why are they taking months to pay me ? I pay my monthly fee every month, I'm sure if I miss a payment they will terminate my cover. What can I do when these ******* don't pay? I see no other option here but to get a lawyer involved now. Pathetic.

0
Replies (4)
Sanlam
Sanlam's reply22 Jun 2020, 13:53
Official
Good day Dean 

 We are mindful that the client experience was not perhaps what you expected.  We are committed to change it.  It is for this purpose that your case was now escalated to the relevant department for urgent attention.  Note that a consultant will make direct contact with you and make sure you get the direct contact detail of the consultant.  We would encourage you that all future dealings relating to this matter should be handled directly with this consultant for a more expeditious handling of your case. 

Kind regards 

Client Relations
Sanlam
Sanlam's reply23 Jun 2020, 15:33
Official
Good day Mr Jooste
We were informed that a consultant has contacted you.  We will be closing the case on the Hello Peter platform.  Should there be any other issues relating to the matter, we once again encourage you to make direct contact with the relevant consultant.
We value you as a client.
 
 Kind regards
 
 Client Relations
dJ
dean J's update23 Jun 2020, 15:43
Reviewer Update
Good day, no one has contacted me, at least not according to your reply:

"Note that a consultant will make direct contact with you and make sure you get the direct contact detail of the consultant. We would encourage you that all future dealings relating to this matter should be handled directly with this consultant for a more expeditious handling of your case. "

I have a generic email yes, with no direct contact to any consultant, no direct contact detail, nada. Perhaps you folks need to button up your house because no one has contacted me.

Sanlam
Sanlam's reply23 Jun 2020, 16:03
Official
Dear Dean

Thanks for your response.

We will escalate the matter to the manager for urgent response.

Kind regards

Client Relations