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The Water Cooler
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Home Owner's Insurance & Ammo Storage
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<blockquote data-quote="gregorius" data-source="post: 1784735" data-attributes="member: 24565"><p>That kind of thing depends a lot on the type of insurance and the company you are dealing with. I know very little about health insurance or work comp, but I do know that many health/work comp companies deny claims the first time as a matter of policy (which is shady). I am not an apologist for the industry, I am just a lowly claims representative offering the simplest advice I can. Knowing what was in the contract you signed gives you the best chance of dealing successfully with any type of insurer. </p><p></p><p>The company I work for pays claims we don't owe all the time to keep customers happy, but you never hear about that. I have paid claims that I could have technically denied because I felt like it was the right thing to do (as long as my boss agreed). Happy people don't tell their neighbors what a great job their insurer did, but they sure complain if something is denied. I can't get mad about it, it is just how word of mouth works.</p></blockquote><p></p>
[QUOTE="gregorius, post: 1784735, member: 24565"] That kind of thing depends a lot on the type of insurance and the company you are dealing with. I know very little about health insurance or work comp, but I do know that many health/work comp companies deny claims the first time as a matter of policy (which is shady). I am not an apologist for the industry, I am just a lowly claims representative offering the simplest advice I can. Knowing what was in the contract you signed gives you the best chance of dealing successfully with any type of insurer. The company I work for pays claims we don't owe all the time to keep customers happy, but you never hear about that. I have paid claims that I could have technically denied because I felt like it was the right thing to do (as long as my boss agreed). Happy people don't tell their neighbors what a great job their insurer did, but they sure complain if something is denied. I can't get mad about it, it is just how word of mouth works. [/QUOTE]
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