GL
Gerard L

1 reviews | Active since Feb 2021

06 May 2021, 08:12

Ombudsman beckoning

I've had policy with company for over 10 years,on the 12/03/2021 was admitted to hospital in pmb with broken femur,spent 7days in hospital,after being discharged submitted a claim(hospital cash back plan),the documents they asked for were ridiculous but nevertheless I submitted all,I then started receiving different excuses of why they haven't paid me out, nobody bothers to keep u updated,they have a false record of the times "we tried to contact you" Now nearly 2months later and about R1000 later (airtime,petrol and hospital file)after I used my own money to get my hospital file,I've been told I need to submit a hospital account. As a customer I find it very selfish that a company of this nature is so far behind with effeciency and honesty. Doesn't this company have a forensic team who investigates and looks for evidence of ********** claims?if so u should start with your staff.

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Replies (5)
The Unlimited
The Unlimited's reply06 May 2021, 16:28
Official
 Hi Gerard,





We’re so sorry to learn that you’ve been through such an immense physical ordeal. We’re sending you lots of love and we hope that you’ll make a full recovery from your injury. We understand that it can be quite tedious to deal with paperwork, however, all the documents we've requested from you are mandatory and without them, we can't assess and ultimately finalise your claim. Kindly note that we attempted to get in touch with you at 1:22PM so that we could discuss your claim and unfortunately, we were unable to reach you. Please have a look at the SMS we sent to your 073 number and get back to us. 

GL
Gerard L's update06 May 2021, 16:52
Reviewer Update
There was no call made to me,the SMS you're now talking about was asking for details which were already entailed in previous documents submitted,I therefore see this as a buying time tactic.You should just liase with your clients as if they owing you money,constant phone calls!
The Unlimited
The Unlimited's reply06 May 2021, 19:04
Official
 Hi Gerard,





Thank you for reverting back to us. We are certainly not buying time as you’ve suggested. A member from our team did attempt to get in touch with you at 1:22PM and unfortunately, we reached your voicemail. We’ll contact you again tomorrow morning to discuss your claim. 

The Unlimited
The Unlimited's reply07 May 2021, 10:44
Official
 Hi Gerard,







Thank you for giving us a few minutes of your time this morning. As soon as you submit the outstanding Dr’s letter, we’ll assess and finalise your claim. 

The Unlimited
The Unlimited's reply11 May 2021, 11:54
Official
 Hi Gerard,





Thank you so much for giving us a few moments of your time earlier this morning. As we informed you, your claim has been approved, and it will be paid out to you today. The funds will take 24-48 hours to reflect in your bank account. We hope that this outcome will restore your faith in us as a business.