I used to have a job where I dealt with insurance claims adjusters. I battled the adjusters, who are the ones who determine what the payout will be on a claim.
They ALWAYS lie and cheat.
ALWAYS.
Not sometimes, not most times, not 99% of times.
ALWAYS.
They always try to pay out less than they are legally obligated to pay.
I met an attorney who became a billionaire from the cases he won against insurance companies who tried to manipulate their claims payouts.
If you have a claim against an insurance company, it is you vs. them.
On your side is usually just you.
On their side is: a team of adjuters and adjuster managers who all review the approved payout, a team of actuaries, a team of attorneys, and a team of executives who make company policies to manipulate how much to payout, regardless of reasonableness of claim.
All vs. you. This is their profession. It is not yours.
These days, they often use third-party companies to interact with the customer, and they get paid for lowering the payouts, as well.
Plus, in many states, the insurance industry lobbies the State legislatures so that the law is that "insurance fraud" is defined as ONLY when a claimant or other party commits fraud against the insurance company, but there is NO provision for when the insurance company commits fraud against the claimant.
And they always do.
They use software programs, in which they manipulate the variables, so that they use different sets of criteria on one program to determine policy premium rates to charge, and a different set of criteria to determine claims payouts.
The insurance industry is one, big, fraudulent racket.
In theory, it's a good and needed product. But it has become so corrupted that it is no longer what it appears to be.
And don't ask your local insurance agent about any of this. They are kept in the dark. They only know how to quote prices and have a general working knowledge of insurance coverage.
They have no idea how the claims process REALLY works on the other end. The insurance companies make sure of it.
I used to have a job where I dealt with insurance claims adjusters. I battled the adjusters, who are the ones who determine what the payout will be on a claim.
They ALWAYS lie and cheat.
ALWAYS.
Not sometimes, not most times, not 99% of times.
ALWAYS.
They always try to pay out less than they are legally obligated to pay.
I met an attorney who became a billionaire from the cases he won against insurance companies who tried to manipulate their claims payouts.
If you have a claim against an insurance company, it is you vs. them.
On your side is usually just you.
On their side is: a team of adjuters and adjuster managers who all review the approved payout, a team of actuaries, a team of attorneys, and a team of executives who make company policies to manipulate how much to payout, regardless of reasonableness of claim.
All vs. you. This is their profession. It is not yours.
These days, they often use third-party companies to interact with the customer, and they get paid for lowering the payouts, as well.
Plus, in many states, the insurance industry lobbies the State legislatures so that the law is that "insurance fraud" is defined as ONLY when a claimant or other party commits fraud against the insurance company, but there is NO provision for when the insurance company commits fraud against the claimant.
And they always do.
They use software programs, in which they manipulate the variables, so that they use different sets of criteria on one program to determine policy premium rates to charge, and a different set of criteria to determine claims payouts.
The insurance industry is one, big, fraudulent racket.
In theory, it's a good and needed product. But it has become so corrupted that it is no longer what it appears to be.