LM
Leonard M

1 reviews | Active since Jun 2021

22 Jun 2021, 11:25

Claims process and payout

It has been months now going back and forth with The Unlimited claims department. Going from one person to another with no solution. A claim was logged for policy APM *** and till to date they still have not responded or even made payouts. They claim they cannot get hold of the Doctor but to my surprise I called the Doctor while I was on the line with the unlimited claims person, guess what the doctor answered the phone and confirmed he has never received a call from the unlimited people. What makes it even worse is the fact that I even confirmed the doctor`s number so that they can call the doctor but still they have not even bothered to call the doctor or even call us to give feedback since we logged a claim about 6 months ago. It is very easy for them to debit one`s account but very difficult to pay at claim stage. I wonder what they think we buries the deceased with and why they take more than 6 months to access a claim. Rite now it`s like I am their assessor doing what they are hired to do, what they get paid to do. I just called to follow up and guess what, they still give feedback of old information that we had to fight to get, clearly they still have not done anything or even bothered to work on the claim, yet debiting the account is not a problem for them.

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Replies (11)
The Unlimited
The Unlimited's reply22 Jun 2021, 14:52
Official
Hi Leonard,
 
 We're truly sorry for giving you a dreadful claims process. Please note we'd never lie to any of our family members and say we've reached out to someone on their behalf, whereas, we haven't done so. We have a team that deals specifically with claims and it shows on our system that we had attempted to get a hold of the doctor but failed to reach him. Kindly accept our deepest apologies for making you this unhappy in your time of mourning. We understand that the last thing that should be worrying you is a draining claims process. A member from our claims department will contact you today and assist you as efficiently as possible.
LM
Leonard M's update22 Jun 2021, 16:28
Reviewer Update
Very amusing to find out that you guys are struggling to get hold of the doctor, but when I call the doctor does actually speak to us. The same feedback you have been given for the past 6 months you are giving again now to shut people up from complaining. I strongly believe that the doctor was not called today. Its very annoying to find big companies exploiting the black society like this, but taking money from their account does not need bank verification but claims need doctor`s verification first. We have forwarded all doctors documentation and last week when I called with one of your urgent, he confirmed that the correct document that proves and confirms what you guys need. Firstly it was the waiting period, we proved beyond reasonable doubt that you guys are trying all means to not pay out the claim. Now the excuse its the doctor, I wonder after you finally get hold of the doctor whats going to be the 3rd excuse. Wow
LM
Leonard M's update24 Jun 2021, 08:55
Reviewer Update
Please note no one called Disemelo yesterday but if they really want to call the client, she is available at all times.
LM
Leonard M's update24 Jun 2021, 14:47
Reviewer Update
We just called The Unlimited and wow being taken from one person to another after being asked to call them. Ended up speaking to Mannini Mokgele who advised of the turnaround of 7 working days. Wow from 6 months to another time being added for a claim to be paid. Mind you I called the doctor the and since The Unlimited could not get the turnaround time, here`s one for you, the doctor confirmed the turnaround time of 24 working hours and the latest it will be Monday for you guys to get what you need. Imagine your claims department cannot even confirm turnaround time for the doctor and theirs, very disappointing. We wish to inform you if no feedback has been given by end of 2nd of July 2021 by your office, this matter will be escalated further without any hesitation course clearly we are doing your job to see even thing moves quickly.
The Unlimited
The Unlimited's reply24 Jun 2021, 18:00
Official
Hi Leonard,




Thank you so much for reverting back to us. Please note that Disemelo’s claim has unfortunately been ongoing for this long due to the outstanding information. A claim can’t be assessed and ultimately finalised if we haven’t received all the required documents. Kindly note that our claims department has been trying to get in touch with Disemelo once again and unfortunately, we failed to get through to her. Please inform her that we’ll be contacting her again tomorrow morning so that we can clarify the information you've received from our team member Manini

LM
Leonard M's update25 Jun 2021, 08:59
Reviewer Update
Kindly note we do not need any clarity as I did call with Disemelo and we were taken from pillar to post, I see no reason of calling her without a positive update regarding her claim. Your call is about how you going to take more time to resolve the claim, whats the point, your feedback of taking more time to resolve this issue, will it back feed her children after suffering the lose of their father and even making them realize how the bread winner is no more, hence they go through what they through now, will it put food on the table for them, will it dress them, will take them to school and still be seen as a normal family although they lost a member but they still strong, will it do that for them? If not then please don't waste her time, the only call we waiting for is when you are confirming that you are willing to pay or not that's it and you guys have till next week Friday which is the 02nd of July 2021.
The Unlimited
The Unlimited's reply25 Jun 2021, 11:21
Official
 Hi Leonard,
 
Thank you for your post as it shows that Disemelo has a caring family member through these hard times. Kindly note that we also care about her and her family and we're doing our best to assist her. Please note that we've made contact with her this morning and assisted her. 
LM
Leonard M's update01 Jul 2021, 10:37
Reviewer Update
Iyooh I really think people`s life are taken for granted in this company, after everything we have gone through submitting all required documents including the bank statement still you guys are saying the statement is not clear and we need to resend another statement? Please explain to me the same account you are debiting on a month to month for the passed 3 to 4 years now appears to not be clear when you have to pay. I really thank your service and would not want to associate myself or any family member with you guys. Even worse neither will my career in the financial industry will have to be associated with such service.
The Unlimited
The Unlimited's reply01 Jul 2021, 14:34
Official
 Hi Leonard,
 
We're wholeheartedly sorry for all the troubles that your family has gone through with trying to obtain the necessary documents. We've just attempted to contact Disemelo to provide her with the outcome for her claim and unfortunately, we couldn't get through to her. Please note that the correct statement has been received and the claim has been approved and will be paid out today. The funds will reflect in her account in the next 24 to 48 working hours. We'd like to thank you for giving her your support as we assisted her with her claim. 
LM
Leonard M's update01 Jul 2021, 16:17
Reviewer Update
Ì have spoken to Disemelo and she is aware of your feedback. Please note Disemelo has two numbers which I did provide to your claims administrator for in-case of such.
The Unlimited
The Unlimited's reply01 Jul 2021, 18:37
Official
Hi Leonard, 

Thank you so much for making us aware. We appreciate your patience and understanding during the claims process.