[tempaccount5050]

In the early 2000s I got a job right out of highschool working at a Blue Cross Blue Shields call center. I thought it was going to be customer service but it was insurance claims. Training was supposed to be 6 weeks but they pushed me live after just 2. I had no idea what I was doing. After floundering for a couple weeks trying to learn to basically be a fuckin doctor, I just started approving everything. "Patient needs emergency surgery for X" "Approved". The whole experience was completely insane.

[vjvjvjvjghv]

“ I just started approving everything. "Patient needs emergency surgery for X" "Approved".”

Did they ding you for bad performance after a while? Your job was to maximize denials, not approvals.

[tempaccount5050]

I didn't stay long enough to find out, but yeah, they probably would have. The pressure was definitely to default to deny it. That's what the run books (very few) were defaulted to. It was really just a bunch of expendable people to deny claims. The turnover was wild for obvious reasons.

[kjs3]

That was the correct course of action.

[evulhotdog]

Thank you for your service!