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by TheFreim 1466 days ago
Insurance is a similar one. The one who benefits from not paying is the one who chooses to accept or deny claims.
1 comments

It looks that way to the consumer, but I don’t believe that to be true. I’ve worked in the industry for a few years and most of insurance products I’ve seen are structured in a way that the company reviewing and processing the claim isn’t actually responsible for paying out the claim.
> I’ve worked in the industry for a few years and most of insurance products I’ve seen are structured in a way that the company reviewing and processing the claim isn’t actually responsible for paying out the claim.

Is this in the US context, or whereever you're from?

It sure doesn't seem that way here in Singapore.

The reviewing company is hired by the paying company. they will still do whatever it takes to please who is paying them.
The reviewing company is paid by the other company. There is the incentive to decide in its favor to ensure contract renewals.