TL/DR –
James Marable from Knightdale, North Carolina was frustrated after not receiving his insurance benefits post-surgery. The payout from his private insurance was delayed, partly due to a mathematical error on the paperwork, which stated he would be paid $1,000 instead of the correct total of $1,200. After repeated attempts to resolve the issue with the insurance company, ESIS, and a complaint filed with the NC Department of Insurance, Marable received the full amount he was owed.
A Knightdale Man Struggles with Insurance Payout
James Marable from Knightdale, N.C., is grappling with insurance payout issues. After undergoing surgery, he encountered difficulties while trying to use the benefits he had paid for in advance in case of hospitalization. The insurance payout he was due never arrived despite the third-party claims handler asserting they had sent a cheque on January 22.
Another problem Marable identified was a mathematical error on the coverage explanation paperwork. The document stated $800 for daily in-hospital benefits and $400 for daily recuperation, totaling $1200 – not the $1,000 reflected in the paperwork. Attempts to resolve these issues with the company handling his claim, ESIS, have proven unsuccessful.
“They said they did a wire transfer about a month ago, but I never received it,” Marable reported. Despite his continuous calls and pleas, he’s still waiting on his money. “This is my own private insurance that I pay every month for. My bills are piling up and all I can do is just sit and wait.”
After reaching out to ABC11 Troubleshooter Diane Wilson, Marable received a $200 check from ESIS, but the remaining $1,000 was still missing. This prompted further action, with Wilson filing a complaint with the NC Department of Insurance on Marable’s behalf.
Upon receiving the complaint, the insurance company Marable has a contract with revealed they weren’t aware of the missing $1,000 and promptly sent him a check overnight. The company also apologized to the NC Department of Insurance for any confusion and inconvenience caused.
Finally, Marable states he has received the full amount he’s owed. SEE ALSO: Social media weight loss supplement scam leaves NC woman out of pocket
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