How to Answer: At Company ABC, sometimes we have to make difficult decisions on whether or not a medical service is covered. In the past, how have you been able to put aside your personal feelings for the good of the business?
Advice and answer examples written specifically for a Health Insurance job interview.
25. At Company ABC, sometimes we have to make difficult decisions on whether or not a medical service is covered. In the past, how have you been able to put aside your personal feelings for the good of the business?
How to Answer
You have to make very difficult decisions in the health insurance industry and some of them don't feel great when you have a patient who is impacted. Ensure the interviewer knows you can handle a difficult situation and do your job effectively.
1st Answer Example
"I was working with a patient going through a very difficult time and had a procedure that just wasn't covered. There was an alternative that was, but she had decided that wasn't the best route for her to take. I felt really awful giving her this news, but I knew I couldn't approve it. I did mention the scenario to my leader to double check I had done the right thing and she verified that I made a good call."
2nd Answer Example
For example: "I have a lot of empathy for others, so these situations are hard. I worked with a gentleman who had a denied claim and tried to point him in the direction of community resources that could possibly help him pay for some of his expenses. I also referred him to a social worker at the hospital where he had his surgery to see what resources and payment plans they could come up with for him. I tried to give him the best service and look into as many alternatives as possible."