this post was submitted on 13 Jan 2026
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I'll go first. I did lots of policy writing, and SOP writing with a medical insurance company. I was often forced to do phone customer service as an "additional duties as needed" work task.

On this particular day, I was doing phone support for medicaid customers, during the covid pandemic. I talked to one gentleman that had an approval to get injections in his joints for pain. (Anti-inflamatory, steroid type injections.) His authorization was approved right when covid started, and all doctor's offices shut the fuck down for non emergent care. When he was able to reschedule his injections, the authorization had expired. His doctor sent in a new authorization request.

This should have been a cut and dry approval. During the pandemic 50% of the staff was laid off because we were acquired by a larger health insurance conglomerate, and the number of authorization and claim denials soared. I'm 100% convinced that most of those denials were being made because the staff that was there were overburdened to the point of just blanket denying shit to make their KPIs. The denial reason was, "Not medically necessary," which means, not enough clinical information was provided to prove it was necessary. I saw the original authorization, and the clinical information that went with it, and I saw the new authorization, which had the same charts and history attached.

I spent 4 hours on the phone with this man putting an appeal together. I put together EVERY piece of clinical information from both authorizations, along with EVERY claim we paid related to this particular condition, along with every pharmacy claim we approved for pain medication related to this man's condition, to demonstrate that there was enough evidence to prove medical necessity.

I gift wrapped this shit for the appeals team to make the review process as easy as possible. They kicked the appeal back to me, denying it after 15 minutes. There is no way it was reviewed in 15 minutes. I printed out the appeal + all the clinical information and mailed it to that customer with my personal contact information. Then I typed up my resignation letter, left my ID badge, and bounced.

24 hours later, I helped that customer submit an appeal to our state agency that does external appeals, along with a complaint to the attorney general. The state ended up overturning the denial, and the insurance company was forced to pay for his pain treatments.

It took me 9 months to find another 9-5 job, but it was worth it.

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[–] Zikeji@programming.dev 45 points 3 days ago* (last edited 3 days ago)

Early on in my career I got hired as a junior systems administrator. The job description was the usual responsibilities around sysadmin work and supporting our employees. And for the most part, it was. I was part of a team of 4 sysadmins and there were about 500 employees at this location. So not a particularly small outfit.

Anyway, they started asking stuff of my not in the description. I got asked to change a door knob, they justified it as appropriate because it was the IT closet.

Then I got asked to change out a security camera near the top of our warehouse. I refused (the ladder wasn't even rated for my weight), so my immediate boss did it.

A few lightbulbs here and there. Then, the final straw - they asked me to reinsulate the server room. Basically, lift one of the tiles and throw more insulation up there. Given no direction - I got myself a mask and nylon gloves and did it, wish I could say I didn't and I had quit right then and there, but no - I did it and gave them my 2 weeks the next day. They told me they didn't need 2 weeks from me. I was fine with that.

And I know, putting in my 2 weeks a day later isn't exactly a rage quit. But I'm a timid person and a pushover, or was at that time, so to me it certainly felt like it.


Another thing they did was write my up for clocking in while walking into the building. Pulled up the timesheet and the camera footage showing me clocking in a full 5 seconds before entering the building and said I was stealing from the company (basically they showed me the footage of me walking with my phone out and then the timestamp of when I clocked in vs when I entered the building).

The reason I did that was because it was more efficient. I had a set of daily tasks and checks to do and of I started that lost at the rear entrance I could get it done much faster without having to double back.

From that point on you can bet I got into work and took an immediate coffee break on company time before even starting that checklist. Never got written up for that either.