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 ...
Insurance Journal is not responsible for the content of the message below.
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: RE: Denial of Disability Claims
I look forward with a great deal of interest in the Court's ruling.