Customer satisfaction is our top priority. LPH Insurance Brokers LLC is fully committed to address any concerns our clients may have, and we strive to bring the best possible resolution to our clients’ concerns and ensure compliance with the applicable laws and regulations
Objective of this Policy is to;
Our Complaint Handling Procedure is published on our Website, http://letsplanhere.com, for our Client’s reference. A copy can also be obtained from our Company.
Any expression of dissatisfaction by a customer, potential customer or other business partner or any regulatory body made to the Company directly or indirectly which is related to the product or services provided by the Company or which is related to an employee of the Company or provided by another business partner of the Company.
What is not a Complaint – Any expression of dissatisfaction concerning denial of coverage which is clearly not covered under the policy or where the cost of claim exceeds the monetary limit under the terms of the policy are not complaints. However, where the complaint relates wholly or in part to vague wording or unclear definitions in the policy wording, terms and conditions or table of benefits, it will be considered as a complaint.
A Complaints Log will be maintained by the Company with all complaints clearly logged, with the following
Following employees have the overall responsibility for the Complaint:
The owners report to the Managing Director (MD). Any escalation if required shall sent to Ms. Leena Parwani,
who can be reached at Telephone no: +971 4 886 7707 and Email ID: email@example.com Complaints cannot be handled by the person about whom the complaint is made nor by a department which is the subject of the complaint.
Clients can file complaint on our website or as set out in our Complaint Procedure. We encourage the Client
to raise the Complaint by filling in and submitting the Complaint Form published on our website. We also accept complaint received by phone, email or in person. We do have the capability to communicate with our clients in English, Arabic, Hindi, Tagalog and few other Indian languages. Our Complaint policy and procedure is publicized for clients on our Company’s website: http://letsplanhere.com, in Health Insurance Proposal documents and in our Office.
All complaints must be categorized in the Complaints log as relating to one of the following:
A monthly report of the complaints received and their status of ongoing Complaints is to be submitted to the Managing Director. An annual report should be submitted each year to Dubai Health Authority, Health Funding Department, no later than 7th January each year. This report should meet the following key performance indicators (KPIs).
Company has a Training and Competence Scheme to ensure that;
Complaints Process Flowchart is published on our website. Clients may lodge complaint on our website, by email, phone or in person. A written acknowledgement of the Complaint shall be sent within three working days of its receipt and will include a copy of our Complaints handling Procedure, telephone numbers and email ID of contact persons and expected TAT for complaint resolution. The assigned staff will make all required actions to resolve the complaint. Minor Complaints, which are mainly related to procedural, administrative or operational process will be resolved in 3 working days. Complaints like incorrect schedule of benefit, terms and conditions different from what has been sought for etc. which are of minor nature and requires less involvement from Insurer will resolved with 7 to 10 working days and we will keep the Complainant updated. Complaints relating to claims-approval delays/ denials, rejections, inappropriate claim settlement, delays in settlement etc. will be resolved in 21 to 30 days. Upon resolution, Complainant shall be notified and in the event Complainant is satisfied with the resolution, it will be recorded in the Complaint Log book and Complaint will be closed. During the resolution period, interim updates will be given explaining the status, why the issue is not solved and an indication of when a further contact or final response can be expected.
Matters which cannot be resolved by Complaint Owners will be escalated to MD of the Company, who will
use the best efforts to find the best resolution, escalating, if required, to relevant senior officials of the
Insurer. For Complaints not resolved after escalation to Client’s satisfaction, Client may lodge complaint with
Dubai Health Authority (DHA) or Health Authority – Abu Dhabi (HAAD) as applicable.
All complaints will be dealt with promptly and due consideration will be given to the accurate interpretation
of policy terms, the need to be fair and reasonable and the protection of Company’s reputation. Consideration should be given to what action (including compensation) will satisfy the customer and maintain goodwill.
Complaint Log Book shall be reviewed by MD monthly, with specific attention to the unresolved complaints and
reasons for the same. MD will also look at the categories of the Complaints received and reasons of Complaints and how they were dealt with. Corrective action shall be suggested for implementation for Company’s process and procedures, where Complaint is related to such procedural, administrational and operational matters within the Company, to avoid repetition of similar complaints in the future.