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Kiki M

1 reviews | Active since Mar 2021

14 Apr 2025, 15:05

Claims denied unorocefurslly by Diana Kanni and Shalom.

Claim number ***. I put a claim and was assessed last week Wednesday the 9th April 2025. The Assessor wrote a report about the faulty gate motor. The report was send to Santam Claims department and the claims lady by the name Shalom, changed the report to what will suite Santam to decline my claim. The Assessor report as follows: *Yes, power availabe but motherboard not receiving or turning on. Battery all good. Motor wheel has also seized . Better to replace than try repair*

This was altered in the Claims department to Power surge which gave Santam the right to deny my claim because I am not covered for Power Surge.

This isn't the first time it gapped to me. Another claim number *** - Claims under lady called Diana Kanni. Diana rejected my claim because of the following statement.

When I forwarded my claim for a faulty solar geyser, Santam did not have an Assessor nearby. I offered to try around to get an Assessor. I did find the gentlemen, but then he never worked with Santam. Diana Kanni requested the pictures of the inside of the geyser, the names of the broken parts to be replaced. Since the repairer never worked with Santam, he only send the picture of the geyser but not the faulted parts. Diana then rejected my claim. I asked her the reason for rejection, as I made her aware the Plumber did not follow the principle to assess the geyser. He only send the geyser pictures and on the invoice, he wrote material and the amount. Diana then asked me to look for another Assessor, she will then reopen my claim. I felt helpless, I then repaired my geyser.

SO, why do Assessors take us clients for grated? Shalom altered the Assessors note to write what suites Santam to reject my claim. Diana was not willing to search and appoint an Assessor for my geyser.

Up until now after I was told verbally my claim was rejected by Shalom, she does not want to send me the rejectiob letter. Why? The Assessor send me a note of what he wrote on my claim. Who should I believe.

Clsrky Shalom altered the Assesndy report.

One thing in my mind is, am I been taken advantage of?

0
Replies (3)
Santam
Santam's reply14 Apr 2025, 15:11
Official
Good day Thank you for your post. We will be in contact with you shortly. Regards Client Care
KM
Kiki M's update14 Apr 2025, 19:27
Reviewer Update
I got a reply from Santam Claims Department

I acknowledge receipt of your correspondence relating to Claim Number *** / Policy Number ***.


A case (reference number: CAS-***2-B0K7T2), has been assigned to the above-mentioned matter and is being investigated by Teboho Shale. We undertake to provide feedback within 3 (three) working days. You are important to us, and we aim to resolve your issue in the best and most efficient way possible.


Kindly contact us at *** with any further queries. Please quote your reference number in all further communications.

KM
Kiki M's update15 Apr 2025, 10:40
Reviewer Update
My claim number *** was denied due to contradictory statements from both the Assessor and the Digical data capturer. The Assessor noted, "Power is available, but the motherboard is not receiving power or turning on. The battery is functioning well, and the motor wheel is also seized. It is advisable to replace it rather than attempt a repair." In contrast, the Digicom or DigiCal data capturer attributed the issue to a "power surge" affecting the gate motor. I would like to clarify that I have never experienced a power failure, as I am equipped with solar panels and three backup batteries with a total capacity of 5 kWh. Living alone, I utilize a solar geyser and a gas stove, making it impossible for me to consume all the energy generated for my household needs. Additionally, Satam Insurance has not yet provided me with the rejection letter.