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Brian Thompson CEO of United Health Care was murdered (shot several times) by a hit man this morning on the streets in New York.


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Posted
8 hours ago, Husker_Du said:

If you believe this Luigi guy was actually the assassin I got a bridge to sell ya. And a vax. And an insurrection claim. And a Russian dossier

Whack job

Posted
1 hour ago, Bigbrog said:

Not true at all...the company would be shut down by their states department of insurance if that is how they made their claims decisions.  Claims decisions CAN NOT be tied directly to company goals or even their policy decisions.

I don’t mean this to sound like an asshole, but that is an incredibly naive perspective of how the insurance industry operates.  

  • Bob 1
Posted
35 minutes ago, WrestlingRasta said:

I don’t mean this to sound like an asshole, but that is an incredibly naive perspective of how the insurance industry operates.  

Yup. Not true at all. The company definitely has some say in their own policies, such as which claims they can shoot down. The states regulate the insurance companies but can't regulate every last detail. 

Posted
2 hours ago, Bigbrog said:

Not true at all...the company would be shut down by their states department of insurance if that is how they made their claims decisions.  Claims decisions CAN NOT be tied directly to company goals or even their policy decisions.

Are you old enough to be posting on this forum?

Posted
18 hours ago, jross said:

"Mangione is subscribed to anti-capitalist and climate-change causes, according to law-enforcement sources, citing online activity gleaned by authorities."

I posted his twitter account, so you can see his politics for yourself.

Like most people, they're not consistent. He hates insurance companies, but also hates "wokeness" and atheism. He shows anti-capitalist tendencies at one moment, but is a big tech fan and likes Elon Musk. He supports conservative social values, but is also really into futurism. 

Trying to double down on "he was clearly a leftist/antifa" is stupid. 

Posted
10 hours ago, Husker_Du said:

If you believe this Luigi guy was actually the assassin I got a bridge to sell ya. And a vax. And an insurrection claim. And a Russian dossier

What's your theory?

Posted
1 hour ago, uncle bernard said:

I posted his twitter account, so you can see his politics for yourself.

Like most people, they're not consistent. He hates insurance companies, but also hates "wokeness" and atheism. He shows anti-capitalist tendencies at one moment, but is a big tech fan and likes Elon Musk. He supports conservative social values, but is also really into futurism. 

Trying to double down on "he was clearly a leftist/antifa" is stupid. 

Scrolled through and cant find where you posted his twitter account but I'd be surprised if it hasn't been taken down yet

I Don't Agree With What I Posted

Posted
21 minutes ago, PortaJohn said:

Scrolled through and cant find where you posted his twitter account but I'd be surprised if it hasn't been taken down yet

It was taken down at one point, but now it's back up.

  • Bob 1
Posted
2 hours ago, WrestlingRasta said:

I don’t mean this to sound like an asshole, but that is an incredibly naive perspective of how the insurance industry operates.  

 

2 hours ago, red viking said:

Yup. Not true at all. The company definitely has some say in their own policies, such as which claims they can shoot down. The states regulate the insurance companies but can't regulate every last detail. 

 

1 hour ago, uncle bernard said:

Are you old enough to be posting on this forum?

LOL...hate to burst your bubbles but I actually work in the insurance industry and know exactly how it all works.  There are very specific regulations around tying your business goals to your claims practices other than those centered around customer service.  Regulators look for this all the time!  They focus on claims practices and if you in anyway have company policies around denying claims or company policies that are other than pay claims with as close to 100% accuracy, no more no less, they will fine you and even shut you down if it is too egregious.  I'd estimate that about 95% of claims that are denied are due to policy language contained in the insurance policy a person purchased.  More than likely the person didn't know exactly what was and wasn't covered when they purchased their policy and then throw a fit when a claim is denied because it is for something that wasn't covered in their policy.  Why is that the insurance companies' fault??

What's naive and ignorant is people claiming they know how certain companies work when clearly they don't and then try and tell someone who does know how it works they are wrong...LOL  You all have NO idea how this company operates, you have NO clue what their business goals are, and definitely have NO idea what is contained in each individual policy people have purchased.

Posted
8 minutes ago, Bigbrog said:

 

 

LOL...hate to burst your bubbles but I actually work in the insurance industry and know exactly how it all works.  There are very specific regulations around tying your business goals to your claims practices other than those centered around customer service.  Regulators look for this all the time!  They focus on claims practices and if you in anyway have company policies around denying claims or company policies that are other than pay claims with as close to 100% accuracy, no more no less, they will fine you and even shut you down if it is too egregious.  I'd estimate that about 95% of claims that are denied are due to policy language contained in the insurance policy a person purchased.  More than likely the person didn't know exactly what was and wasn't covered when they purchased their policy and then throw a fit when a claim is denied because it is for something that wasn't covered in their policy.  Why is that the insurance companies' fault??

What's naive and ignorant is people claiming they know how certain companies work when clearly they don't and then try and tell someone who does know how it works they are wrong...LOL  You all have NO idea how this company operates, you have NO clue what their business goals are, and definitely have NO idea what is contained in each individual policy people have purchased.

I've also worked in the insurance industry and am very close to an actuary and attorney that have dealt significantly with that industry as a regulator and admin law judge, respectively.

To say that insurance companies are 100% controlled by regulators is plain ignorance. it's that simple. They always have significant control over what types of policies they sell, how contracts are worded and the inevitable subjectivity that arises related to unique and borderline circumstances. Of course they'll get in trouble with the state insurance commission if they deny too many claims but they have PLENTY of wiggle room below that threshold. 

Posted (edited)
14 minutes ago, Bigbrog said:

 

 

LOL...hate to burst your bubbles but I actually work in the insurance industry and know exactly how it all works.  There are very specific regulations around tying your business goals to your claims practices other than those centered around customer service.  Regulators look for this all the time!  They focus on claims practices and if you in anyway have company policies around denying claims or company policies that are other than pay claims with as close to 100% accuracy, no more no less, they will fine you and even shut you down if it is too egregious.  I'd estimate that about 95% of claims that are denied are due to policy language contained in the insurance policy a person purchased.  More than likely the person didn't know exactly what was and wasn't covered when they purchased their policy and then throw a fit when a claim is denied because it is for something that wasn't covered in their policy.  Why is that the insurance companies' fault??

What's naive and ignorant is people claiming they know how certain companies work when clearly they don't and then try and tell someone who does know how it works they are wrong...LOL  You all have NO idea how this company operates, you have NO clue what their business goals are, and definitely have NO idea what is contained in each individual policy people have purchased.

Also, your credibility was shot as  you admitted that you work in the insurance industry. Busted. You obviously have a vested interest here. 

Edited by red viking
Posted
13 minutes ago, red viking said:

Also, your credibility was shot as  you admitted that you work in the insurance industry. Busted. You obviously have a vested interest here. 

Telling it like is is is a vested interest?   Interesting.

mspart

Posted
14 minutes ago, red viking said:

You obviously have a vested interest here. 

How so?  You surely have a valid explanation. 

.

Posted

My wife called me at work, in a state is distress.

Our daughter had fallen off stairs landed face first on concrete. 

She looked like Warf from Star Trek.

The ER was 1 mile from my house.

The doctor ordered a cat scan to check for brain swelling.

No bones were broke.  No brains were swelled.  Time healed all wounds.

My insurance sent had me describe the 5Ws and How the accident occurred.

The health care bill was only covered 20%.

My insurance explained that the average cost of a cat scan in my community was 80% lower than I was charged.

I provided a dictionary definition of community, and google mapped how this ER was the only hospital in my community.

The insurance group paid my bill.

15 years later, I am still angry.

  • Bob 1
Posted
13 minutes ago, red viking said:

I've also worked in the insurance industry and am very close to an actuary and attorney that have dealt significantly with that industry as a regulator and admin law judge, respectively.

To say that insurance companies are 100% controlled by regulators is plain ignorance. it's that simple. They always have significant control over what types of policies they sell, how contracts are worded and the inevitable subjectivity that arises related to unique and borderline circumstances. Of course they'll get in trouble with the state insurance commission if they deny too many claims but they have PLENTY of wiggle room below that threshold. 

LOL...who said they are controlled 100% by the regulators??  If you truly know about how it all works you would know that policies are reviewed and need to be approved by state regulators before they can be sold in that state.  Not to mention you are totally changing the argument now, as you mention nothing about the claims you and other have made saying that insurance companies' policies and goals center around denying claims...which is unequivocally FALSE!

As far as YOU claiming my credibility is shot because I work in insurance, that is laughable...so you telling people what it's like to be a cop holds more credibility than an actual cop??  That is some bass ackward thinking right there.  By the way, I could give to snits how successful UnitedHealth care is or was, I am just calling out people who are in fact ignorant and post like they know things that they clearly don't and yet call my ignorant and naive...LOL

Posted (edited)
2 hours ago, uncle bernard said:

Trying to double down on "he was clearly a leftist/antifa" is stupid. 

Who's the idiot doubling down on something that I never even said?

Edited by jross
Posted
39 minutes ago, red viking said:

Also, your credibility was shot as  you admitted that you work in the insurance industry. Busted. You obviously have a vested interest here. 

But you’ve also worked in the insurance industry?   Are you busted too?

  • Haha 1
Posted (edited)
1 hour ago, Bigbrog said:

LOL...who said they are controlled 100% by the regulators??  If you truly know about how it all works you would know that policies are reviewed and need to be approved by state regulators before they can be sold in that state.  Not to mention you are totally changing the argument now, as you mention nothing about the claims you and other have made saying that insurance companies' policies and goals center around denying claims...which is unequivocally FALSE!

As far as YOU claiming my credibility is shot because I work in insurance, that is laughable...so you telling people what it's like to be a cop holds more credibility than an actual cop??  That is some bass ackward thinking right there.  By the way, I could give to snits how successful UnitedHealth care is or was, I am just calling out people who are in fact ignorant and post like they know things that they clearly don't and yet call my ignorant and naive...LOL

You're obviously pretty low down in the your company or simply trying to make your own industry look good. To say that insurance companies are completely innocent and blame any problems on the regulators is laughable. They have tons of control in what they cover and how they communicate to their clients and other stakeholders. 

Insurance is a complete racket. Probably the 4th biggest racket out there, after our military industrial complex, the banking industry and health care industry. 

I always tell people to just get the minimum insurance that you can,, don't EVER purchase life insurance, and just save money instead. 

These insurance companies make money hand over foot and they push laws that create significant barriers of entry to competition.

Edited by red viking
Posted

It is only a racket until you need it.   Not sure how the murder of a CEO got to this point a trying to one up each other with who understands the insurance industry better than the other.    

mspart

Posted
4 hours ago, Bigbrog said:

What's naive and ignorant is people claiming they know how certain companies work when clearly they don't and then try and tell someone who does know how it works they are wrong...LOL 

With that, we can completely agree. 

(Bonus Hint, you may not be the only person to have worked in insurance industry, and very specifically in the business of insurance claims. )

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