MetLife

Is this fair?? I'm owed for each time Metlife denied my claims, as well as wrongful termination.

Reviewed by Vanessa on March 8th 2016   Verified Policyholder
I suffer from Arnold Chiari Malformation, and I was an employee of Verizon when I had a posterior fossa decompression. ACM has more than 50 symptoms associated with it, as well as an occipital and spinal headache due to the disabled csf to the brain. Metlife covered me ONCE! And that was after and appeal for the time I missed work to have the back of my neck, spine, and skull operated on. I received payment in3 different checks 6 months AFTER the claim. Due to the condition, the surgery only SLOWS the progression of symptoms, and now they are finding that the operation may make the condition worse, adding the complications of a searyngomyelia (a cyst of spinal fluid that collects in the spinal column, getting larger until CRACK), as well as increased pain. I have missed work due to injuries on the job, an example would be 1 month after surgery, when I stand up and bash the base of my skull on the corner of an open cabinet that someone obviously didn’t know how to close, but the last on the job injury was the worst. Verizon built a concept store, and this store was like a techies dream, it also came equipped with the hooked metal rods that are used to pull down the steel mesh curtains over the windows at closing and raise when they open for business. I had problems with the task, due to ACM, and a male coworker decided to show me how to make it easier, while observing him, a customer pulled up, and we were not yet closed. My job is to take care of customers first. My peripheral vision caught a flash, and then nothing but pain throughout my head, before I hit the ground, the same coworker caught me, but I couldn’t focus, I had bad coordination, and the spinal headache was the icing on the cake, it goes well with the tinnitus. We both reported the incident to the manager on duty and he did NOTHING! Needless to say, I didn’t go to the hospital because my manager didn’t KNOW what to do. When I was driven (because I couldn’t drive, walking was becoming a problem as well) the different manager on duty recorded an “incident report” from both sides, and I went directly to the emergency room before the paperwork was finished, because I was in agony. I had to stay in the hospital for a “30 hour observation” which was longer, but I was deemed a fall risk, and had some neurological drug pumped into my system by my neurosurgeon. After I was released the continued problems with the repercussions of the “incident” made me file with Metlife for the hundredth time! And I was denied! My appeals denied! Verizon’s human resources started requesting weekly reports, referred to as “Work Place Arrangements” that cost $25 per report. I was told that my doctor office had up to 2 weeks to fill out and submit any documentation BY LAW! I was released due to what they call “job abandonment” although I spoke with hr the prior week. Is this fair? I’m owed for each time Metlife denied my claims, as well as wrongful termination.
Reply
Sent on March 8th 2016 by Attorney Stephen Jessup

Vanessa, please feel free to contact our office to discuss your MetLife claims to determine what we may be able to do to assist you.