The GirlAlive Blog

Originally published on diaryland 1:31 p.m. - 2005-02-11

Hi.

I'm a medical claims adjuster. I pay and deny medical claims. So most people kind of hate me. But I'd just like to say that if you're going to hate anyone, hate your employer. They're the ones who sign you up for crappy coverage.

At work, I only process mental health claims. It's nice cause I don't really have to know much. But some companies give their employees really crappy coverage. I have seen claims for people who have $2000 deductibles, and then there's a limit of 30 visits per year. So they had to pay towards the deductible for about 28 claims, 2 claims got paid at 80% and then they had to pay everything after that because they had maxed their benefits. The company HR guy who picked that health plan for his employees should be beaten badly.

But my job isn't all bad. I have seen funny things. Did you know that there is a doctor named Leif Leaf? Today I got a claim for a psychiatrist named Dr. Love. I would not go to a psychiatrist named Dr. Love.

I have a doctor's appointment later today. I hope that my doctor does not hold it against me that I am a claims adjuster.