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Supreme Court Weighs Insurer's Conflict of Interest in Claim Denial

National News • April 28, 2008
The Supreme Court struggled last week with how much weight to give an insurance company's potential conflict of interest when it denies an employee's health or disability benefits claim. The ...

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Subject: RE: Denial of Disability Claims

Posted On: April 28, 2008, 2:39 pm CDT
Posted By: Jon
Comment:
Reading the comments is quite interesting. The issue is difficult and polarizing. I am a claims person and thus I may be biased. I think that I am balanced. Just because a premium has been paid there is no guarantee that the insured claimant will be truthful, candid or forthcoming. And, it would be axiomatic that an irritating claimant would not get the same quality or level of concern and service as one who was cooperative. Still, the issue becomes a medical issue. I am willing to bet heavily that Met has a medical opinion from a highly respected medical practitioner. On the other hand the claimant has medical providers who are saying that she is disabled. What is the truth? Not likely to ever know. The claimant knows but it is not in her best interest to share the truth. And, isn't that the tragedy of litigation in this arena---it is not in the best interest of a party for the truth to be known.

I look forward with a great deal of interest in the Court's ruling.
Subject Posted By Posted On
RE: P&C Insurers are also conflicted AnotherReality
Jun 11, 2008, 12:14 pm
RE: By this logic don't all insurance companies have a confl Jon
May 6, 2008, 3:54 pm
P&C Insurers are also conflicted Reality Check
May 6, 2008, 11:48 am
By this logic don't all insurance companies have a conflict? Shawn
May 5, 2008, 7:26 pm
RE: Who's Exaggerating? Smitty Jon
May 2, 2008, 5:56 pm
RE: Lost Home because of MetLife Jon
May 2, 2008, 5:54 pm
RE: RE: RE: Denial of Disability Claims Fred Jon
May 2, 2008, 5:20 pm
Lost Home because of MetLife Donna Babb
Apr 30, 2008, 12:50 pm
Who's Exaggerating? Not Buying It
Apr 29, 2008, 1:47 pm
RE: RE: Contract Language by Lou Lorrie
Apr 29, 2008, 1:42 pm
RE: RE: Denial of Disability Claims Fred,
Apr 29, 2008, 10:07 am
RE: RE: Doctors should decide. Not insurance companies Fred,
Apr 29, 2008, 9:35 am
RE: Doctors should decide. Not insurance companies Smitty
Apr 28, 2008, 4:33 pm
RE: Contract Language by Lou Jon
Apr 28, 2008, 4:26 pm
RE: Contract Language wudchuck
Apr 28, 2008, 4:21 pm
Contract Language Lou
Apr 28, 2008, 4:18 pm
RE: RE: definition of disabilty Dawn
Apr 28, 2008, 3:01 pm
RE: disabled? bob
Apr 28, 2008, 2:45 pm
disabled? wudchuck
Apr 28, 2008, 2:39 pm
RE: Denial of Disability Claims Jon
Apr 28, 2008, 2:39 pm
RE: RE: Bushes should decide. Not insurance companies Bob
Apr 28, 2008, 2:33 pm
Sounds like they are learning from UNUM Larry
Apr 28, 2008, 2:27 pm
RE: Bushes should decide. Not insurance companies Chad Balaamaba
Apr 28, 2008, 2:15 pm
RE: RE: definition of disabilty Dee
Apr 28, 2008, 2:05 pm
RE: Doctors should decide. Not insurance companies Wes
Apr 28, 2008, 2:05 pm
RE: definition of disabilty Barb
Apr 28, 2008, 1:57 pm
RE: Doctors should decide. Not insurance companies tom
Apr 28, 2008, 1:44 pm
Doctors should decide. Not insurance companies Ralph Balamabama
Apr 28, 2008, 1:20 pm
RE: definition of disabilty Charlie
Apr 28, 2008, 1:03 pm
definition of disabilty Chuck Candler
Apr 28, 2008, 12:52 pm
RE: tough issue? Dee
Apr 28, 2008, 10:53 am
tough issue? matt
Apr 28, 2008, 8:21 am
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