ZD
Zah D

1 reviews | Active since Nov 2019

05 Nov 2024, 18:25

Standard Bank insurance ************ and abuse of power asAs O

This Standard Bank Insurance is continuing to waste my time and undermine my rights to claim. On 21 October 2024, I lodged a claim. On 22 October, an assessor was appointed to come to my house to assess the damages. Then on 23 October, the assessor called me wanting to postpone the appointment—I refused. We made an arrangement for him to come between 3 pm and 4 pm, which he did, and he assessed the damages. I was promised that by Friday, 25 October 2024, the report would be sent to Standard Bank Insurance. However, only on Tuesday, 29 October 2024, was the report submitted to Standard Bank Insurance.

On 30 October 2024, I was told by Patrick that my claim would be finalized by Friday, 1 November 2024. I was also told by Sfiso that my claim handler was no longer Ayanda Mpili but Joyce Bucibo, and then a second internal assessor was appointed which is Siyanda Sibiya. The reason I was given by the second assessor is that the first assessor had exceeded a certain threshold and charged too much , so clearly Siyanda’s job was to reduce or reject the claim .Neither of these people ever called me to update me on my claim. I requested to speak to the team leader, and Maggie, the team leader, promised me that the assessor would call me to make an appointment to visit my house for a second assessment. I waited for Siyanda, the internal assessor, to call me—but he never did.

At around 4 pm, I called again and spoke to Refilwe, who contacted Mr. Sibiya. Once again, I was told that the internal assessor would contact me. I was also informed that the assessor doesn’t work weekends, meaning he could only come to my house on Monday for an assessment. After that, no one called me about my claim or the appointment for the following Monday. These people do not respect their clients, and it’s as if they are doing us a favor by doing their job. Our government needs to intervene and take action against these insurance companies who are not responsible for their actions and treat us as though they’re doing us a favor by processing our claims.

There are more damages that were not registered when the first assessor came to my house, and I cannot get the claim handler or the internal assessor to add these damages to my property. This means there will be more delays after I add these damages. I trusted the team leader, Maggie, as she promised she would follow up with the assessor and the claim handler, but she did nothing as well. We must expose these companies so that people are aware of their actions.

On Friday, November 1, I posted on HelloPeter about Maggie and the internal assessor. I also called my insurance, where I spoke to a lady named Refilwe. She said she would email the internal assessor and request that he call me to set up an appointment to come to my house for an assessment. She put me on hold to contact the internal assessor, Mr. Sibiya. When she came back on the line, she told me that Mr. Sibiya said to tell me he would come on Monday at 9:30 am to assess the damages at my house. To me, that was completely *********** and unprofessional. The assessor should have picked up the phone to call me directly and make an appointment to come and assess the damage, which I should have received a call about from the internal assessor Mr. Sibiya on 25 October 2024. That same day, Friday, 1 November 2024, I emailed team leader Maggie and carbon-copied the internal assessor, Siyanda Sibiya.

On Saturday, 2 November, I received a call from the internal assessor. He apologized for not calling me and for delaying my claim, stating that he was calling to confirm the appointment for Monday. On Monday, it was raining, but he came. I knew that there would be serious consequences for complaining to team leader Maggie and posting on HelloPeter about Mr. Sibiya’s failure to contact me and his delays with my claim. I knew I would be in trouble, and while he was assessing the damages, he was preparing me to understand that sometimes claims are denied or rejected. At one point, he even asked me to climb a ladder to look at the roof, claiming it was not straight and looked like it was sinking. I refused to do that, but he insisted I stand in a position where I could see the roof. He showed me something I didn’t even see. I denied that there was a problem with the roof of my house. He kept saying that he might be the last Standard Bank assessor to assess my house, as I might cancel my insurance with Standard Bank. In a nutshell, he kept saying that while my roof was maintained and strong, claims sometimes get rejected because of damage that falls outside the insurance policy.

He then told me that he appointed an electronics company, Audnet Electrical, to validate the damaged electronics ,I refused as there’s a matter currently in court involving Audnet as there is a claim dispute about my bedroom air conditioner in 2021 . Mr. Sibiya then called another assessor to come and assess my electronics, who arrived a few hours later. However, I suspected that Mr. Sibiya was preparing to reject my claim based on his conversation about reasons for rejecting claims. I even asked him directly if there was anything wrong with my roof that might lead to a claim rejection. He said no, my roof was in perfect condition, although he saw a torn plastic sheet inside the roof on the opposite side of where the water entered. He kept saying he would be transparent as an assessor. After he left, I knew he was preparing me to understand that my claim might be rejected. I even sent him a report on the maintenance done to my roof in 2022.

Today, 5 November 2024, I called Standard Bank Insurance and spoke to Mbali, who informed me that my building claim was rejected, although the electronics claim was approved—despite both being damaged in the same storm on the same day. I will never allow ************ from Standard Bank Insurance. This is my account, and I am paying this account. If they don’t do their job, I will expose them as I am doing now. If they abuse their powers and use them to reject my claims, I will expose them and report them. I am open to anyone who knows where else I can expose this behavior, besides the courts and the ombudsman, as there is an active court case against Standard Bank Insurance. I have also posted on Facebook and TikTok. Please let me know of any other platforms where I can expose Standard Bank Insurance assessors’ behavior. I do have all telephone recordings and will be provided upon request.

I knew by posting on Hellopeter and reporting Siyanda to the team leader Maggie that he would come with an attitude to assess.And I was told he doesn’t work on Saturdays ,but he did call me on Saturday and made an appointment for Monday. Upon arrival he then told me that he was at a family funeral on Saturday.

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Replies (2)
ZD
Zah D's update06 Nov 2024, 09:05
Reviewer Update
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This raises the question: why was the first assessor even appointed if his report would be questioned and a second person would have to re-assess the damages? This seems inefficient and unprofessional, as it undermines the purpose of the first assessment and causes unnecessary delays in my claim processing.
To ensure full transparency, I formally request access to all reports and quotes related to my claim. Specifically, I would like a copy of the report and quote done by the first assessor, Studio Pty Ltd, as well as the report and quote by DSS, and finally, the report and quote prepared by the internal assessor, Mr. Sibiya. Having these documents will greatly assist in my review of how my claim was handled.
As it stands, I am deeply dissatisfied with how this process has been managed, and I expect a prompt and transparent resolution to my complaint. I have already raised awareness about this issue on public platforms.
Since this rejection will inevitably lead to further delays, I urgently request that Standard Bank Insurance provide a security guard to safeguard my property. Due to the storm damage, my CCTV system, security beams, and both front and back lights are non-operational, leaving my home vulnerable. It is critical that this request is addressed immediately to ensure my family’s safety.
Furthermore, I respectfully request that whoever is responsible for managing my complaint contact me directly and immediately to expedite the resolution process
ZD
Zah D's update06 Nov 2024, 16:12
Reviewer Update
I know I will face another consequences for posting this on Hellopeter On 6 November 2024, I received a call from my Standard Bank insurance claim handler, Joyce Bucibo, regarding my recent storm damage claim. While my claim for electronics was approved, my building claim was rejected, despite both being damaged by the same storm.
When I requested, under the PAIA Act, copies of the reports and quotes from the various assessors (first, second, and third assessments), Joyce refused to provide them. She did promise to send me a rejection letter, but I never received it.
During our 1 pm call, I requested to speak with her team leader, Penelope Moodley, who also refused to share the information and said she would escalate to her seniors. However, I did not receive any further communication, as promised. It is now 4:10 pm, and I’m left with no answers.
I am left with no choice but to continue requesting this information via email to both Joyce and Penelope, and to post my experience here and on other platforms, including TikTok and Facebook, if necessary

Below is the email sent to the claim handler Joyce and her team leader Penelope Moodley.

Dear Joyce Bucibo and Penelope,


I am writing to formally request copies of all assessment reports related to my claim (Claim Number: 24/081535) lodged on 21 October 2024, which was declined on 5 November 2024. These assessments were conducted on my property at 23 Louis Walter Road, New Germany, 3610, under your appointment. Some of these reports were not honored by Standard Bank Insurance, and I am requesting access to all related documents as I am preparing to conduct my own independent investigation and file an appeal.

In my case, since the assessments were conducted on my property and pertain directly to my claims with Standard Bank Insurance, I have a reasonable basis to request copies of all related reports. Given that the assessors were appointed by Standard Bank Insurance to evaluate damages to my home, these documents are directly relevant to my claim and it is my right to dispute the insurer’s decisions


In accordance with South African constitutional and statutory rights, I am requesting these documents based on:


1. Section 32 of the Constitution: This section provides every person with the right of access to information held by private entities, like Standard Bank Insurance, if that information is required to exercise or protect any rights. The assessment reports are necessary for me to exercise my right to appeal against the rejection of my claim.

2. Section 33 of the Constitution: This section ensures the right to administrative action that is lawful, reasonable, and procedurally fair. As part of this right, I am entitled to transparency in the assessment process of my claim. Having access to these reports will allow me to assess whether the decisions affecting my claim were fair and reasonable.

3. Promotion of Access to Information Act (PAIA): PAIA was enacted to enforce Section 32 of the Constitution, allowing individuals to request information from private entities when it is needed to protect their rights. I am formally requesting these records under PAIA, as they are directly relevant to my right to dispute the decision on my claim.

4. Promotion of Administrative Justice Act (PAJA): PAJA supports the right to just administrative action under Section 33 of the Constitution. Access to the requested reports is essential for me to ensure that Standard Bank Insurance’s decision-making process was fair and transparent.


I kindly request a response within the prescribed period to facilitate my appeal process. If I do not receive the requested information, I may have to pursue further avenues, including approaching the Ombudsman for Short-Term Insurance, or legal action.


Thank you for your attention to this request. Please confirm receipt of this email and let me know if any additional details are needed to fulfill this request.


Sincerely,