Unfortunately, there are insureds out there who are under the mistaken impression that they can make deals with claims handlers and managers about their claims. These people actually think insurance companies will keep their word, when in fact, they generally do not.
Allow me to cue you in on the fact, that NO ONE WORKING ON THE FLOOR IN CLAIMS HAS THE AUTHORITY TO MAKE DEALS WITH INSUREDS.If you you think you just made a deal with a claims handler think again. Claims handlers are the lowest rung on the claims review latter; they are little more than glorified admins, and they cannot make deals.
Let’s say you just made a deal with your claims handler, or his/her manager, to not offset your pension, but only agreed to payback an overpayment.You think you got one heck of a deal, but guess what? Any manager can reverse that, start taking a retirement offset and charge you with yet another overpayment. YOU CAN’T MAKE DEALS LIKE THIS. No one has that authority within an insurance company.
The only time an insurance company makes a credible deal if if the deal goes through the legal department and is in writing and signed and sealed. Even legal may not have the authority to makes deals on certain claims or policy issues.
I can’t believe that claimants and insureds are so naive as to think they can make deals and rely on them.Please listen up here! Anytime an insurance company is looking to meet financial objectives, it can take advantage of policy or Plan provisions to ENFORCE them, regardless of any so-called deal make on the floor by a claims manager or handler.
Outside of court there is no deal making. Please do not rely on anything a claims handler says to you. It’s not smart business.
