Insurance company Asuransi Allianz Life Indonesia has denied claims that the company had hampered the insurance claiming process for one of its customers, Ifranius Algadri.
"With regard to the objection case for the current claim status, Allianz has requested supporting documents as part of the usual process to ensure that the claim is valid," said Adrian DW, Head of Corporate Communication of Allianz Indonesia in Jakarta, on Thursday (9/28/2017 ).
The company’s denial is related to a criminal case which that ensnared two former Allianz high-ranking officials, namely President Director of Asuransi Allianz Life Indonesia Joachim Wessling, and Claim Manager of Asuransi Allianz Life Indonesia Yuliana Firmansyah.
The two former high officials have been named as suspects by the Jakarta Metro Police for allegedly violating Article 8 paragraph 1 letter (F), Article 10 letter (C), and Article 18 juncto Article 62 paragraph 1 juncto Article 63 letter (F) Law RI Number 8 years 1999 on Consumer Protection.
The case stemmed from the report of two Allianz insurance customers, Ifranius Algadri and Indah Goena Nanda. They reported fraudulent allegations related to the denial of hospital's claims of fees by Allianz to Jakarta Metro Police on March and April, 2017.
Both of them reported that Allianz denied their claim statuses, even though the customers considered to have fulfilled the requirements in accordance with the policy book.
According to Irfan's attorney, Alvin Lim, Allianz refused to pay claims by giving a letter of clarification that customers need to provide complete medical records from the hospital. In fact, the medical records are a property of the hospital and can not be given immediately even to patients. This is in accordance with the Minister of Health Regulation No. 269/MENKES/PER/III/2008 on Medical Record. The patients only got a resume or medical summary.
The customers ended up processing the medical record to the hospital where the customers were undergoing treatment. However, the hospital still refused to provide their medical records. The company did not provide and specific details on the medical record request.
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