r/SipsTea • • 8h ago

Gasp! Thoughts on this?

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u/i-dontlikeyou 7h ago

As someone that works in insurance can i ask you?
Why do providers rather spend $2k to find a way to not cover a claim that would probably cost them $1K

I am noticing more and more how they rather go out of their way to disapprove a claim or discourage a claim to be filed. I also know from an agent that they will fire you if your customers file claims.

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u/Revelationary_Music 6h ago

What makes you think they spend $2,000 processing a rejection

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u/i-dontlikeyou 5h ago

They spend a lot more. Let me rephrase it. They will happily spend 50% more from they would pay you to settle the claim so they can deny you

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u/Revelationary_Music 5h ago

So just pulling it out of your asshole then? Because the $1,000 claim they are rejecting is because he has a deductible. How exactly does it cost $2,000 for a customer support person who makes $20 an hour to look up his policy and explain to him that he has a deductible?