Monday, May 21, 2007

Anyone work for METLIFE?

My Big C is out on disability from work with a legitimate back injury that was caused at work years ago but has been irritated again due to work. I say legitimate as I know there are so many people out there who lie about an injury and that’s why companies like MetLife have to scrutinize each claim but this isn’t the case.

His company uses MetLife for the disability process and he initiated the entire process with MetLife and his company as a workman’s comp case.

From the very beginning MetLife has given him the run around, the kind of run around that I am sure many people are familiar with. I have never experienced such a feeling but I can empathize with what he is going through and it feels like a version of Eric Brokavich to me honest!

Anyway to make it real short and simple;

  • MetLife would ask for paper work from the doctor. The doctor would send it and MetLife would say they didn’t receive it because their fax machine was broken.

  • Big C would have the doctor send it again, they would say they didn’t receive it because so many faxes come in one day and if you don’t get it quickly off the fax machine it vanishes.

  • Big C would fax it again and they would say they need more information, Big C would ask the doctor to send more information.

  • Big C would call and be told that they are reviewing the information. Big C would wait a few days, call them again only to find out his case manager doesn’t work there any more and they have to start the entire process over again and he has to fax in the paper work again.

  • Big C would fax it in again only this time to be told that MetLife needs to speak to a doctor.

Well Big C caught the MetLife case manager off guard the last time when he said he needed to speak to a doctor as he was standing right next to the doctor when he called and he handed the phone right to the doctor and of course the doctor went OFF on MetLife as he was quite aware of the games they were playing.

Anyway so you get the idea of what Big C has been going through for over a month now.

So my questions for you all are:

  1. Does ANYONE work for MetLife? And I am not asking this so I can be rude and complain about your company I am sincerely asking this for any kind of help or insight you might be able to give.

  2. Does ANYONE work for another insurance company and have any advice on how we can resolve this or even escalate this?

  3. Has ANYONE gone through something similar and how did you get through it.

Thanks so much for any advice, help or suggestions that anyone can give. I know at the end of the day they game revolves around MetLife being paid by my Bic C's company to investigate the entire situation and give their findings/results on the situation. But at the end of the day I do not see how MetLife can be unbiased during the entire process if they are being paid by Big C's company. The games that they are playing merely signal to me that MetLife is more so paid to get my dh back to work by making him so mad and annoyed by the entire ordeal that he WANTS to go back to work whether his back is better or NOT. But that’s just my two cents…your two cents are more than welcome! LOL

6 comments:

  1. Wow, I'm sorry about all you're going through. And I'm even more sorry that I have no help to offer. I hate to see good people go through mess like this. I pray that you all get through this and quickly.

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  2. Yikes! I have no help for you either ... hope it all works out soon! Kim
    PS. It sounds like your Husband has an amazing DR.!

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  3. Oh.My.Gosh. Can I just say that I know EXACTLY what you guys are going through?! This sounds exactly like me last year. My company used MetLife too...I was going out on maternity leave. My Dr. put me on bed rest for the last 4 weeks (which is legal in CA)and do you know, they denied my claim?! And didn't tell me they denied it until I'd been off work already for 2 weeks! It was the same run around, "we didn't get the fax, we need more info, we need to talk to the Dr." Do you know, they actually asked me "well, what exactly is wrong with you?" I about died! BEM, Girl, I am so sorry you guys are having to deal with this crap. I wish I had advice for you! But just keep doing what you guys are doing. Thank goodness for his awesome doctor! I hope everything gets worked out. I give you and Big C my deepest sympathy!

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  4. Corey I can't believe they ran the same lines on you too...do you think they have a script they follow? Like first tell the client the fax machine is broken, then tell them you didn't get the info, then that they need more info!!! LOL

    Can you imagine what MetLife training classes are like!!! LOL

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  5. Hello, sorry to hear about Big C's back troubles. I don't have an exactly parallel experience, but I did injure my back and neck in a car crash about 6 years ago. My insurance settlement came through last year. So I had five years of solicitor's letters, medical examinations, stress, frustration and worry. I got there in the end, but have to say I was woefully uninformed about the whole legal process. I guess my only advice to you is to get hold of as much information as possible and be persistent. I managed to get my case seen by a specialist other than an orthopaedic surgeon, as I didn't have structural problems, just pain, but that took some time to set up, as all cases go by precedent of course, and this wasn't a usual thing. The pain specialist said he was prepared to stand up in court and vouch for my case (basically my settlement fell short of several thousands in loss of earnings), but at the last minute the judge decided to disallow his testimony, so I had to settle out of court. It was a whole learning process for me, I'm glad it's over now (even if the health problem isn't) and I feel for anyone who is in the same position. Wishing you all the best with that. AX

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  6. I do work at MetLife, in their corporate office, but I am not a disability case manager. My advice is to send everything that they request by fax, and follow it up by certified U.S. mail. If they still claim they don't receive it, then send a threatening letter stating you will be forced to take them to court if they do not make a decision. It usually isn't like this, however a lot of claims managers work from home, so it is possible their faxes don't work. Ask them for an email address, too, that is the best way. Good luck!

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