Lincoln Financial

LFG nurses can question the decisions of my neurosurgeon. What a joke

Reviewed by Jen on June 16th 2014   Verified Policyholder
I stumbled upon a Job Opportunity notice for Lincoln. The position is Psychiatric Nurse Disability Consultant and the minimum qualifications are “Undergraduate degree OR 4 years of comparable work experience, RN required”. I have sent emails to the Director of Short Term Disability berating him for their use of nurses to question the decisions and recommendations of my neurosurgeon and in the back of my mind I wondered if they were nurse practitioners. Although not the “Physicians” required to fill out your claim, they do treat, prescribe, etc so I didn’t want to feel like an idiot. After finding this, I am more disgusted! In your policy, it details exactly what type and how much education your ‘Physician’ must have in order to fill these forms out and they let someone with less review them? What kind of sense does that make? And their claims representatives are have an ‘experience level’ of ‘entry level 0-2 years’. I have words to describe how I feel about these individuals to make an initial determination on my life!
Reply
Sent on June 16th 2014 by Attorney Gregory Dell

Jen, it is all too common that insurance companies use nurse case managers to review an initial claim for benefits. If the claim is denied and the insured appeals, then the carrier will use appropriate physician’s to review all of the medical information. It’s just another way the insurance companies try to save money in an effort to deny claims.