
Neglecting maintenance? Your insurance claim could be denied
Neglecting routine home or vehicle maintenance could cost thousands in rejected insurance claims – as policyholders found out in 2024, according to the NFO.
Neglecting routine home or vehicle maintenance could cost thousands in rejected insurance claims – as policyholders found out in 2024, according to the NFO.
Lead Ombud Edite Teixeira-Mckinon warns against drawing hasty conclusions about complaints stats without factoring in claims volumes and policy counts.
Most complaints to the NFO went to the Non-life Division, whose interventions yielded R107m in quantifiable benefits for policyholders.
Mobile banking fraud, phishing, and vishing drove 30% of all complaints, highlighting fraud as the leading issue in the Banking Division’s first year under the NFO.
Only 21% of formal complaints to the Banking Division were resolved in favour of consumers.
Complaints about life-benefit payouts climbed to 36% of the Division’s cases, from 34% in 2023.
The NFO decided that Dotsure must indemnify the insured and waive the transfer-and-repurchase requirement, overturning strict adherence to the SAIA Code.
Even when an employer’s doctor declares an employee unfit, group policy definitions such as ‘Own Occupation’ vs ‘Any Occupation’ can lead to claim denials.
Some insurers send SMS or email reminders, but it is the policyholder’s responsibility to ensure that an overdue premium is paid.
The Council will use complaints data to spot systemic risks and harmonise complaint-handling across all financial ombuds, its five-year strategic plan shows.
The information will help the Authority to monitor the extent to which insurers are delivering fair outcomes for consumers.
The insurer argued the hijacked vehicle should not have been on the road because the driver’s PrDP had expired.
The Banking Ombud urges consumers to be proactive in protecting their funds, especially as complaints rise about unauthorised tap-and-go activity with lost or stolen cards.
Scammers are using fear, urgency, and authority to exploit unsuspecting shoppers. Discover how to keep your finances safe amid the surge in holiday fraud.
The NFO decided that failing to follow customary mourning rituals did not prevent the recognition of a customary marriage, awarding the claim based on fairness.
Key achievements include the creation of the National Financial Ombud Scheme and the new FAIS Ombud Rules.
When a customer compromises their confidential banking details, they are usually held liable, but once the breach is reported, the bank becomes responsible for mitigating any further losses.
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