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看懂保险公司拒赔的“拖、赖、耗”手段,守护你的理赔权
吴晓波频道· 2025-07-25 17:03
Core Viewpoint - The article discusses the implications of the murder of the CEO of UnitedHealth Group, highlighting the company's high claim denial rate of 32% and the relevance of the book "Delay, Deny, Defend" in understanding insurance companies' strategies for denying claims [4][5]. Group 1: Insurance Claim Denial Strategies - The term "Delay" refers to insurance companies intentionally delaying claims processing, which can lead to prolonged financial strain on claimants [8][10]. - The term "Deny" signifies the practice of insurance companies refusing to acknowledge certain incidents as covered by insurance, often using confusing legal language to mislead consumers [16][22]. - The term "Defend" indicates that insurance companies may push consumers towards litigation, knowing that many will opt not to pursue legal action due to the complexities and costs involved [26][32]. Group 2: Comparison of Insurance Practices - The article emphasizes that while the U.S. insurance industry has a long history and experience, the claims handling and regulatory practices in China are often more consumer-friendly [36][41]. - It points out that U.S. insurance regulators may not provide the same level of transparency regarding claims data as seen in China, where regulatory bodies actively monitor and report on insurance company performance [43][45].