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  • Don’t Just Be Married To Work
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  • Category: Coworkers

    Will Never Claim Ignorance

    | San Antonio, TX, USA | Coworkers, Employees, Health & Body

    (My daughter has had an insurance claim denied due to pre-existing conditions. She had an allergic reaction to a routine vaccination she had the previous day. I work as a claims processor for the company we have our insurance through. I even process employee claims on occasion, and I know all the rules and regulations for pre-existing conditions as they apply to our insurance plan. I call the company to find out why they denied this claim.)

    Me: “Hi. I’m calling to find out why you denied my daughter’s claim.”

    Customer Service Rep: “Okay. It looks like it was denied for being a pre-existing condition.”

    Me: “Yes, I know it was denied as a pre-existing condition. I’m trying to figure out why it’s a pre-existing condition. You see, I also work for this company and process claims like this on a daily basis. I know that there are certain CPT codes that are supposed to be looked at for pre-existing conditions. I also know that before a claim is denied for being pre-existing, the processor is supposed to research through the member’s history to see if there are any related claims that have been denied or paid or have documentation attached to prevent denial. I also know that if the processor had done their job correctly, that they would have seen a routine doctor’s visit the day before and would have made the connection between the vaccination and the allergic reaction. Plus, I also know that allergic reactions are not considered pre-existing when there are no other claims in the member’s history for a similar reaction. And now, the most important point: according to California law, pre-existing conditions can only apply for the first six months a member has a plan with a health insurance company. I have been employed by this company, with full benefits, for over a year and a half. There is absolutely no reason that this claim should have been denied.”

    (There is extended silence.)

    Customer Service Rep: “Oh. Okay, we’ll get that fixed and paid as soon as possible!”

    (The claim was paid and I never had a problem with the company denying any claims for pre-existing conditions again!)

    A Misunderstanding Of Under-aging

    | SK, Canada | Bosses & Owners, Coworkers, Rude & Risque, Themed Giveaway

    (I am training a new guy in the kitchen who is in his mid-30s, almost twice my age. The boss’ daughter is employed as a waitress up front, and occasionally comes into the kitchen to bring in dirty dishes. Every time she does, the new guy stops paying attention to what I’m telling him and stares at her.)

    New Guy: “Wow, I would love to get me some of that.”

    (This goes on for a while. He looks, stares, and often has some kind of comment about her physical attributes.)

    Me: “You know that’s the boss’ daughter, right?”

    New Guy: “That doesn’t bother me.”

    Me: “How old do you think she is?”

    New Guy: *pauses and thinks for a moment* “The way I see it, as long as a girl is old enough to get into the bar it doesn’t matter.”

    Me: “Come on, guess.”

    New Guy: “22?”

    Me: “She just turned 14 last week.”

    (He never said anything about her ever again.)

    Sure Beats Going Spinning

    | Bremerton, WA, USA | Bosses & Owners, Coworkers, Health & Body, Rude & Risque, Themed Giveaway

    (One of my male coworkers has recently found out that his wife is pregnant. A female coworker and I [also female] are discussing it with him.)

    Me: “Oh, yeah, and make sure she does her kegels.”

    Coworker #1: “What’s a kegel?”

    Coworker #2: “It’s exercises for her hoo-hah.”

    Coworker #1: “What?! That exists?”

    Me: “If she wants any kind of real bladder control after the baby, she’ll wanna do them.”

    Coworker #2: “The hospital will show her how.”

    Coworker #1: *looking more and more distressed* “They’ll SHOW her?!”

    Coworker #2: “Uh, they’ll explain it to her.”

    Me: *snorts* “Yeah, they’ll demonstrate for her. ‘Just do it like this, ma’am!’” *I paste on a creepy grin, stare Coworker #1 dead in the eye, and don’t move* “See? I just did, like, 18 in a row.”

    Coworker #2: “Basically.”

    Me: “Basically.”

    Coworker #1: “Oh, my god. I need brain bleach.”

    Boss: *from outside* “WHO BROKE [COWORKER #1]?!”

    How To Win The War Against Telemarketers, Part 5

    | Madison, WI, USA | Coworkers, Employees, Liars/Scammers, New Hires

    (I’m the general manager at a gas station. We’ve always had problems with scammers trying to activate gift cards over the phone, but lately they’ve gotten a lot more annoying. I’m working with a new hire when I answer the phone. We’re both fluent in sign language.)

    Me: “Hello, this is [Store]. How can I help you today?”

    Caller: “Hi, I’m from [Company] customer support. We’ve received an automatic error report from your location, and I’m calling to confirm. Did you recently have trouble activating a gift card?”

    Me: *signs* “It’s a scammer.” *out loud* “No, not that I’ve been aware of.”

    Caller: “Hmm, that’s odd. Can you please ring up a gift card and check the activation code?”

    New Hire: *signs* “Can I mess with him? Pretty please?”

    Me: *signs* “Sure.” *out loud* “Here, let me get my manager.” *passes the phone*

    New Hire: “‘Dirty Dan’s House of Hookers,’ you got the dough and we got the blow! How can I help you today?

    Caller: *hangs up*

    (He’s a keeper!)

    Related:
    How To Win The War Against Telemarketers, Part 4
    How To Win The War Against Telemarketers, Part 3
    How To Win The War Against Telemarketers, Part 2
    From Not Always Related:
    How To Win The War Against Telemarketers

    Don’t Just Be Married To Work

    | Greely, ON, Canada | Awesome Workers, Bosses & Owners, Coworkers

    (I work housekeeping for a retirement home. I’ve just worked an entire weekend and a holiday all by myself and I’m exhausted. Typically, when you work a weekend and a holiday, you get the next day off. I wasn’t given it this time and I’m even more tired and cranky by Tuesday. On Wednesday, I have serious doubts about going in, but I decide to grin and bear it. Also worth noting is I’m getting married on Thursday and have arranged to take the day off. My boss has called me into her office just before lunch break.)

    Boss: “I was going over the weekend schedule and wondering why it takes so long to finish up. I know I normally say you can leave some things set aside for during the week, but what is it, really?”

    Me: “I think it’s just the sheer amount of beds to make, especially when some need to be changed. It takes a lot of time and energy. I know after I finish the beds, I start slowing down because I’ve used a lot of energy up. Everything else is pretty easy. It’s just the beds that really kill the weekends.”

    Boss: “What else?”

    Me: “I think that’s pretty much it… Weekends wouldn’t be so bad if it weren’t for beds. It gets pretty hard and doesn’t leave much time for anything else, especially if we get called around. And also [Dietary Director] called me and asked me to help in the dining room. I only gave them half an hour, but it still dug into my schedule.”

    Boss: “You didn’t have to do that. That’s not our responsibility.”

    Me: “I know, but I like to help out. If we’re in a bind on a weekend, the other departments always give us a hand, even though it’s not their job.”

    Boss: “You have a point there… For things like that, you do need to tell me so I can make sure you get paid.”

    (The conversation carries on in a similar manner, with us just discussing the schedule. I feel myself begin to relax, knowing I’m not in trouble for not leaving at the right time on weekends. Then my boss has one last thing to say.)

    Boss: “I need to show you something downstairs.”

    Me: *getting nervous* “Is it the avalanche of boxes in the office? I was going to get it cleaned up after lunch.”

    Boss: “Just come with me.”

    (We stop in front of the residents’ craft room. Through the window, I can see the lights are off and the room is pitch-dark.)

    Boss: “Hmm, I don’t have my key.”

    Me: “Here, I’ve got it.” *moves to open the door* “Huh, it’s already open…”

    (Suddenly, the lights flashed on and all my coworkers and people from other departments screamed out, ‘SURPRISE!’ I nearly fell over in shock! Turned out my boss just wanted to distract me while my coworkers set up a bridal shower for me, complete with presents, pizza, cake, balloons, soda, and so much more! It was the best lunch break ever! My husband-to-be and I almost teared up when we read all the cards and looked through all the presents when I got home. Things like that make my job so worthwhile and make me love the people I work with.)


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