Unum’s Kind Of Insanity

  • Author: Linda Nee
  • Date: July 2, 2017
  • Comments: no comment
Every disability claim has an assigned claim financial reserve, or future value cash flow set aside to pay claims. Financial reserves are recorded as liabilities on insurance company Balance Sheets, and eliminating claims produces immediate contribution to profit. Of late, Unum has been aggressively managing claims with very low financial reserves, often spending more in risk management activities than claims are worth. Recently, Unum began harassing a female claimant with a monthly benefit of $370/month with repeated medical requests, surveillance, phone calls and field interview requests. The total cost of the risk activities far exceeds the value of a claim […]   Read More

Unum Update – “Same Sleaze, Different Day”

  • Author: Linda Nee
  • Date: July 1, 2017
  • Comments: no comment
What happens when a really awful disability insurer such as Unum Group engages in new strategies to deny more and more claims? Recent information received from inside sources indicates Unum recently fired older workers and is training new, younger Specialists to assume all insureds and claimants who submit claims are doing so for secondary gain. Vilifying insureds and claimants always was a Unum specialty so it does not surprise me that the company is once again (or still) focusing on new claim propaganda training. Years ago I described the training as “brainwashing” and clearly new Unum claims reps will be […]   Read More

Nix To Social Media While On Claim

  • Author: Linda Nee
  • Date: June 30, 2017
  • Comments: no comment
Disability insureds who want to keep their benefits long-term need to remove their presence from all social media including Facebook, You Tube, Twitter, chat rooms  etc. New reports confirmed today that insurers have accelerated new claim investigations on the Internet to deny claims quickly. Perhaps most of you have not heard of the “Rule of 9s” that basically refers to Facebook’s profit sources of keeping data not only about you, but about your friends, and their friends, and their friends etc. Insurance companies are now not only hacking into insureds Facebook accounts, but also friends and family looking for information […]   Read More

Claims Handlers Likely On Summer Vacation

  • Author: Linda Nee
  • Date: June 27, 2017
  • Comments: no comment
Insurance claims handlers are taking their good ol’ PTO time leaving insureds and claimants with unanswered issues and resolutions during the summer months. It’s not as though companies like Unum, The Hartford, and MassMutual can’t figure out how to replace vacationing claims specialists, but it sure looks like claimants are at the bottom of the priority list during the summer months. Out of the office claims specialists are directed to turn their claim blocks over to a “buddy”, or someone else in their respective units. However, getting through for help is still a chore for insureds who contact insurers by […]   Read More

What Is An “Any Occupation Investigation?”

  • Author: Linda Nee
  • Date: June 26, 2017
  • Comments: no comment
As most ERISA claimants should know employer-provided Plans do not insure actual jobs, but only occupations. Benefits are payable for the first 24 (12, 36, 60) months when claimants are unable to perform the material and substantial duties of their OWN occupations. Thereafter, claimants must prove they are unable to perform ANY occupation in the national economy. Between 9 and 18 months of paid benefits most insurers will perform what is called “an any occupation investigation” by performing a TSA (Transferable Skills Analysis). Unfortunately, the process is subject to the GIGO principle – Garbage-In, Garbage-Out. In reality, the TSA process […]   Read More
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