1 reviews | Active since Member
I had lodged two complaints against the Insurance company with the office of the ombudsman long term insurance company which has been lodged in 2023. It appears often my experience with the case administrator and adjudicator since 2023 has not been investigated.
I had then started to email and call the office of the ombudsman for feedback on my complaint. After several telephone calls and emails the adjudicator who was investigating my case when I asked for any progress or feedback became rude to me on email. Her provisional ruling lacked thorough investigation failing to read the terms and conditions, exclusions, and looking into case law studies to assist with my claim. Sonya Marais was very biased . She failed to apply the long term policy holder protection rules . Her provisional ruling or investigation was not in keeping of a learned knowledgeable ombudsman. People like her to are rude and take almost years to provide feedback is unacceptable . We need ombudsman who know insurance law , one who can investigate and case and look into critical information where necessary.