Rise in complaints about medical schemes clawing back losses allegedly linked to fraud and waste
Schemes and healthcare professionals are at odds over whether these recoveries are justified, says the Council for Medical Schemes.
Schemes and healthcare professionals are at odds over whether these recoveries are justified, says the Council for Medical Schemes.
Tarina Vlok, MD of Elite Risk Acceptances, explains the importance of educating policyholders about their insurance coverage and exclusions.
The OBS’s 2023 annual report unveils chargeback disputes, hidden fees, and administrative failures.
The Ombudsman for Banking Services was kept busy with complaints about current accounts, loans, savings accounts, credit cards, and home loans.
The cases dealt with by the banking ombudsman last year included a home auctioned for far below its value and fraud linked to a stolen phone.
There was a further decline in cases that were resolved wholly or partially in favour of the complainants.
There were fewer complaints about funeral benefits in 2023, while complaints about life benefits continued to rise.
‘Lack of maintenance or wear and tear’ gave rise to most of the disputes in several categories of insurance.
The important statistic is the proportion of personal lines complaints relative to an insurer’s share of the total personal lines claims.
The role of the NFO is to aid financial customers to obtain redress for alleged unfair treatment by financial product or service providers.
The Pension Funds Adjudicator also says the conduct of retirement fund administrators during a transfer of administration should be regulated.
Annual report notes a steady increase in disputes related to power surge claims.
The important statistic is the proportion of personal lines complaints relative to an insurer’s share of the total personal lines claims.
Decline in the number of complaints and in the number of cases resolved in favour of policyholders.
Cases that were resolved wholly or partially in favour of the complainants fell to 29%.
Complaints about current accounts and digital banking were the two largest categories of cases opened with the ombudsman.
In one case, the OBS’s intervention resulted in the bank cutting its executor’s fees by 50%.