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<blockquote data-quote="sniffles" data-source="post: 2633973" data-attributes="member: 30035">Do you actually get away with saying stuff like that?&nbsp; I work for an insurance company too (though not health insurance) and our customer service people would get in big trouble for saying things like that to customers.&nbsp; <img src="http://www.enworld.org/forum/images/smilies/paranoid.png"&nbsp; class="smilie" loading="lazy" alt=":uhoh:" title="Paranoid&nbsp; &nbsp; :uhoh:" data-shortname=":uhoh:" /> I used to handle disability claims. I didn't run into that sort of thing as much as I think you do in medical claims, but I always recall one caller who was asking me about a particular feature of his policy. I explained to him how it worked, and he told me that his employer had given him a completely different (and much more advantageous to him) explanation. When I advised him that his employer must have been mistaken, he started shouting &quot;You're wrong! You're wrong!&quot; and hung up on me. I wish I could have asked him why he thought his employer would know better than I did, when it was my job to handle claims 40 hours a week for three years, and his employer was some kind of manufacturing business.&nbsp; :\ My SO works for a non-profit agency that does special certifications for addiction counselors. He's had people call him up and ask him, &quot;On this form, where it says name, does it mean my name?&quot;&nbsp; <img src="https://cdn.jsdelivr.net/joypixels/assets/8.0/png/unicode/64/1f615.png" class="smilie smilie--emoji" loading="lazy" width="64" height="64" alt=":confused:" title="Confused&nbsp; &nbsp; :confused:"&nbsp; data-smilie="5"data-shortname=":confused:" /> He also gets the people who think their employers (counseling and treatment centers) know more about his job than he does, even though he's worked there for 12 years.</blockquote>

[QUOTE="sniffles, post: 2633973, member: 30035"] Do you actually get away with saying stuff like that? I work for an insurance company too (though not health insurance) and our customer service people would get in big trouble for saying things like that to customers. :uhoh: I used to handle disability claims. I didn't run into that sort of thing as much as I think you do in medical claims, but I always recall one caller who was asking me about a particular feature of his policy. I explained to him how it worked, and he told me that his employer had given him a completely different (and much more advantageous to him) explanation. When I advised him that his employer must have been mistaken, he started shouting "You're wrong! You're wrong!" and hung up on me. I wish I could have asked him why he thought his employer would know better than I did, when it was my job to handle claims 40 hours a week for three years, and his employer was some kind of manufacturing business. :\ My SO works for a non-profit agency that does special certifications for addiction counselors. He's had people call him up and ask him, "On this form, where it says name, does it mean my name?" :confused: He also gets the people who think their employers (counseling and treatment centers) know more about his job than he does, even though he's worked there for 12 years. [/QUOTE]

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