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Business Profile

Insurance Claims Processing

Professional Benefit Administrators, Inc.

This business is NOT BBB Accredited.

Find BBB Accredited Businesses in Insurance Claims Processing.

Complaints

Customer Complaints Summary

  • 1 complaint in the last 3 years.
  • 1 complaint closed in the last 12 months.

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The complaint text that is displayed might not represent all complaints filed with BBB. Some consumers may elect to not publish the details of their complaints, some complaints may not meet BBB's standards for publication, or BBB may display a portion of complaints when a high volume is received for a particular business.

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Complaint type

  • Initial Complaint

    Date:03/17/2025

    Type:Product Issues
    Status:
    ResolvedMore info

    Complaint statuses

    Resolved:
    The complainant verified the issue was resolved to their satisfaction.
    Unresolved:
    The business responded to the dispute but failed to make a good faith effort to resolve it.
    Answered:
    The business addressed the issues within the complaint, but the consumer either a) did not accept the response, OR b) did not notify BBB as to their satisfaction.
    Unanswered:
    The business failed to respond to the dispute.
    Unpursuable:
    BBB is unable to locate the business.
    * I filed an eyeglasses reimbursement on 9/26/24 for $250.00 under MEMBER ID: *********, GROUP ID # ***** *********/Milcut.* A check #**** for $250.00 was supposedly mailed to my address.* On 10/16/24, I contacted ***/Claims to let them know that I did not receive the check. They said it had to be confirmed that no cash was processed, and I had to wait at least two more weeks. They will call me with an update.* After no call was received, I contacted them again on 1/21/25 and I was told a new check was in process.* On 2/18/25 I was told that a new check #**** for the amount of $250 was mailed to my address on 2/5/25.* On 3/14/25 I contacted again to inform them that I still had not received the check, confirming that I do receive other mail but the one from them. I was told that I have to wait another two weeks to clarify if check #**** has not been cashed and after that, they will proceed, to create a new check.This is unacceptable since it has been almost SIX months since when I submitted my claim.I asked them if it could be deposited into my bank account to avoid another month's wait on my payment, but they said no; also due to the previous scenarios they can send the check via ***** to avoid lost and more delays.I would appreciate it if something could be done in my situation.Thank you,***** ****** ******** ******

    Business Response

    Date: 04/03/2025

    Dear ********,

    I sincerely apologize for the delay in receiving your vision reimbursement. Upon investigation, I found that two checks were issued to the correct address that you previously confirmed. To resolve this, we have overnighted the check via *** and you will receive it tomorrow. Please note that a signature will be required upon delivery.

    Should you not receive the check, please do not hesitate to contact me directly at **********************.

    Thank you for your understanding, and I appreciate your patience.

    Sincerely,

    ******

    Customer Answer

    Date: 04/04/2025

     
    Complaint: 23066618

    I am rejecting this response because:


    I submitted my claim in September 2024, and it is almost six months that I have been waiting for my reimbursement of $250.00.

    I was contacted by *** on 4/4/25 and I was told that a check #**** was mailed today to the address *******************************************************. I told them that the reimbursement must be sent via ***** or *** Ground since rarely that is the only mail I dont receive but everything else.

    This will be the 3rd check created, (1st check #****, 2nd check #****), and every check process takes two or three months if it is not received.

    I need the check be sent via ***** or *** Ground to my new address ************************************************************** and I do not want to wait another three months for that. I have been contacting *** constantly and I have not received the response I should.

    *** needs to make an exception in their deliver system, and sent my reimbursement other via than ****. IT MUST BE SENT VIA ***** OR *** Ground, and I am in my right to ask for this method considering all of the intents of the other checks sent via USPS.

    I also mentioned to *** of my new address and I do not want to wait another three months.

    That been said, I do not accept the *** response.

    I do appreciate what BBB does for me. Sincerely,

    ***** ****** ******** ******

    Business Response

    Date: 04/25/2025

    Hi *****,
    As mentioned in our previous communication, the original check was overnighted to you via *** on April 3, 2025. On April 4, 2025, you informed us of your new address.Since we were not made aware of the address change prior to mailing, the check was sent to the address we last confirmed with you in March.
    We have since voided the last check and are issuing a replacement, which will be overnighted to your updated address.
    As discussed,please feel free to reach out to me directly with any questions or concerns moving forward. I did call and leave you a voicemail early today as well.
    Best regards,
    ******

    Customer Answer

    Date: 05/01/2025

     
    Better Business Bureau:

    I have reviewed the response made by the business in reference to complaint ID ********, and find that this resolution is satisfactory to me.

    I received the check in question, and I glad to know BBB is here for us.

    Thank you,

    ***** ****** ******** ******

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