Ombudsman for Short Term Insurance
Non compliance to rules, regulations

If a claim is rejected by a insurance company it must be based on rules, regulations or prescriptions, is that true or not? Or it must be specified in there exclusions. If it is not based on one of the previous mentioned things and the lost adjuster put misleading and incorrect facts in his report that has a direct influence towards the outcome of the claim, how can the rejection of the claim be uphold by the Ombudsman? What is shocking, is that the client got a report from a engineer that states that no deviations from best practise guidelines and building regulations could be found. Still the Ombudsman uphold the rejection. This only shows that even the Ombudsman lacks service delivery

Company: Ombudsman for Short Term Insurance
Country: South Africa
City: Gauteng

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