Ask Lemmy
A Fediverse community for open-ended, thought provoking questions
Please don't post about US Politics. If you need to do this, try !politicaldiscussion@lemmy.world
Rules: (interactive)
1) Be nice and; have fun
Doxxing, trolling, sealioning, racism, and toxicity are not welcomed in AskLemmy. Remember what your mother said: if you can't say something nice, don't say anything at all. In addition, the site-wide Lemmy.world terms of service also apply here. Please familiarize yourself with them
2) All posts must end with a '?'
This is sort of like Jeopardy. Please phrase all post titles in the form of a proper question ending with ?
3) No spam
Please do not flood the community with nonsense. Actual suspected spammers will be banned on site. No astroturfing.
4) NSFW is okay, within reason
Just remember to tag posts with either a content warning or a [NSFW] tag. Overtly sexual posts are not allowed, please direct them to either !asklemmyafterdark@lemmy.world or !asklemmynsfw@lemmynsfw.com.
NSFW comments should be restricted to posts tagged [NSFW].
5) This is not a support community.
It is not a place for 'how do I?', type questions.
If you have any questions regarding the site itself or would like to report a community, please direct them to Lemmy.world Support or email info@lemmy.world. For other questions check our partnered communities list, or use the search function.
Reminder: The terms of service apply here too.
Partnered Communities:
Logo design credit goes to: tubbadu
view the rest of the comments
Insurance companies randomly deny claims just to see if you’ll fight it. If you don’t, they’ll know they can deny more if your claims in the future. This is illegal, but if it’s a “bug” in the software or “AI” than they get away with it. Actually it’s harder with AI since people are more skeptical and have already caught them doing it. However this may be due to the AI being trained on the intentionally buggy software.
They actually do use software to find deniable claims that would theoretically have to be reviewed by a doctor. The doctor pulls up a while page of to be denied claims and theoretically gives them the legally required review all at once in the 30 seconds before he hits the button. There is no reason NOT to feed propensity to accept fake denial into the equation. You could even white wash it by presuming that prior denials that stuck were indication of bad claims and assert you are measuring their proclivity for filing wasteful claims.
I believe this based off my limited interactions with insurance companies. I was in a car crash that was 100% caused by the idiot who was fucking with their phone instead of looking at what they were crashing into. Their insurance company tried to stick me with months of rental fees from when my car was being repaired. I eventually filed a complaint with my state insurance commissioner and told their insurance company what's up, they got right on it after that. Literally, that same day they had multiple people contacting me to say we're all good now and apologizing about the misunderstanding.
Employers do this with time clock theft. It's the #1 thieved thing