In the event whereby a claim has been repudiated, and should you wish to dispute the repudiation of the claim, you are entitled to make further representation to the Insurer (CFAO Insurance Limited), within 90 days of receiving a letter of repudiation. In the event that you do make representation to the insurer, the Insurer must within 30 days, in writing, notify you of its reviewed decision. If this confirms the decision to repudiate or dispute the quantum of your claim, that notice will also provide you with the reasons for that final decision.
CFAO Insurance Limited
Tel: 011 288-8200
If you are still unhappy with the decision taken, you are welcome to contact either the Short-Term Insurance Ombudsman or the FAIS Ombudsman. The Short-Term Insurance Ombudsman looks at the insurance contract itself to determine whether the policy terms and conditions were administered correctly. The FAIS Ombudsman studies the procedure and content of the advice that was provided to you at the time you purchased the policy.
Please note: The Ombudsman only considers a complaint made to him if he is satisfied that the Complainant has hied unsuccessfully to resolve the matter through approaches to the Insurers Management or Internal Complaints handling department.
Ombudsman for Short-Term Insurance
1 Sturdee Avenue Block A.
PO Box 32334
Tel: 011 726-8900
Fax: 011 726-5501
Kasteel Park Office Park
Orange Building, 2nd Floor
546 Jochemus Street
P_O Box 74571
Lynnwood Ridge 0040
Tel: 012 470 9080 / 012 762 5000
Fax: 012 348 3447 / 086 764 1422