The rejection of insurance claim case entering the realm of criminal has started to go public as the former Director of Head of Claim, Yuliana and former President Director of Asuransi Allianz Life Indonesia, Joachim Wesling identified as suspects of consumer protection case.
The insurance claim rejection by Asuransi Allianz Life was brought into the criminal realm, since the whistle blower, Ifranius Algadri as the customer and his legal counsel Alvin Lim questioned the way where the Allianz seems to be trying to outwit its customers, refusing their claims in a subtle but unlawful manner.
After the case rolls, not long later comes another issue of claim rejection with the Asuransi Allianz Utama is policed for refusing to fulfill its responsibility to customers.
However, the claim was made complicated and was rejected on the grounds of a warranty clause, and the value of the second and third claims discounted up to 70 percent unilaterally by Allianz because of data’s insufficient and inaccuracy, and the insurer just wanted to bear 21 laptops in accordance with the thief's confession though laptops lost were much more numerous.
Mariana then reported Allianz Utama Indonesia’s Director Wiyono Kurniawan Sutioso, Chief Sales Officer Inkes Lukman and Head of Claims Management Maria Agnes to criminal investigation agency of national police which has been received with number of LP/1027/X/2017/Bareskrim, dated October 9, 2017.
The trio were reported on cases of alleged criminal acts of sale of products not in accordance with the information or etiquette referred to Article 8 (f), 18 (g) of Jo 62 and 63 (f) of Law No. 08 of 1999 on consumer protection.
More recently, Asuransi Jiwa Manulife Indonesia, a foreign insurance companies operating in Indonesia, was about to be brought to the realm of criminal law, for considered not responsible in carrying out its obligations to customers.
Husendro and Co. law firm at IDX Tower of Jakarta has also sent a letter of summons to the Canadian insurance company for refusing to grant the rights of their clients named Johan, for almost a year.
Johan (65) residing in Tambora, West Jakarta, is a 100 percent beneficiary from Manulife Indonesia's Life Insurance Policy No. 4263400089 on behalf of S K Johny, his biological sibling.
The Manulife Life Insurance policy on behalf of S K Johny put into effect on October 27, 2014 and issued on October 30, 2014 with terms of annual premium payment of USD27,664 and a sum assured of USD500,000.
Johny passed away on October 11, 2016 ago. Then, on October 17, 2016, his brother Johan went to Asuransi Jiwa Manulife Indonesia's office in Sampoerna Strategic Square, Jakarta, for the insurance policy interest claim No. 4263400089.
However, though Johan has fulfilled all the requirements of the documents as referred to in the General Provisions of Policy Article 10, paragraph 10.2, letter a juncto Law 40/2014 on Insurance juncto Regulation of the Financial Services Authority No. 69/POJK.05/2016 concerning the Implementation of Insurance Companies, Sharia Reinsurance Companies and Reinsurance Companies, still, the Asuransi Jiwa Manulife Indonesia rejected his claim.
Rejection was made by letter No. 2332M/MI/CLM/VIII/2017 dated August 21, 2017 regarding ProLife Plus Policy Claim No. 4263400089 on behalf of S K Johny.
"It has been almost a year that our client is in charge of the claim process to get what he deserves, and he gets rejected. The Asuransi Jiwa Manulife Indonesia is not in good intention and makes it difficult for him to get his rights," said one of Johan's legal counsel Husendro.
Therefore, Johan through the Husendro and Co. law firm, will send a letter of summons addressed to the President Director of Asuransi Jiwa Manulife Indonesia.
He asserted if Asuransi Jiwa Manulife Indonesia is not responsible and provides clarification since the summons received, then his party will take the necessary legal path according to the applicable law, including and not limited to criminal law in following up such claims.
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