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Jean LeBlanc

$50,000 personal auto claim denied

May 26, 2022

The insured submitted a PIP claim on a personal auto policy. She claimed significant injuries, though the contact between the two vehicles was limited at best. She even claimed that she needed help bathing and getting dressed. An investigator met with the insured, who admitted that her daughter’s car was in her garage, though she… Read More

Categories: personal auto fraud

Surveillance revealed “injured” worker was employed elsewhere

January 12, 2022

A contractor was hurt on the job and filed a claim for back and leg injuries. When Investigation Solutions was asked to look further into the claim, the senior investigator first tried the injured contractor at home, but he wasn’t there. Our investigator went to the claimant’s doctor’s office and found a vehicle registered to… Read More

Categories: work comp fraud

Medical clinic without a medical doctor equals fraud

December 6, 2021

medical fraud

On behalf of an insurer, American Claims Management was getting California workers’ compensation claims with treatment at a medical clinic outside their MPN (medical preferred network). ACM also received invoices for interpreters and suspected medical fraud. The “injured” workers reportedly saw multiple doctors at the clinic, but the reports were inconsistent: One patient was found… Read More

Categories: work comp fraud

“Injured” worker found guilty of fraud and ordered to pay restitution of $84,304

November 21, 2021

work comp fraud

A worker injured in 2012 committed workers’ compensation fraud when he said his arms, shoulder, back and knee were injured from driving a truck. However, he got better and forgot to tell his doctors, his adjuster or his attorney. IS caught him working while claiming to be disabled. Not only was he working – he… Read More

Categories: work comp fraud

Staged auto accident by two women proven fraudulent

November 3, 2021

staged auto accident

An ACM claim adjuster handled a bodily injury claim at the California/Mexico border, on a National Unity policy. The insured admitted fault, stating that she accidently struck a pedestrian that was standing behind her car. The claimant said she was walking in the parking lot. She was looking at her cell phone when the insured… Read More

Categories: personal auto fraud

Home “intruder” was actually a boyfriend

October 24, 2021

homeowner fraud

A homeowner reported waking in the middle of the night to an intruder. A fight ensued and the intruder fled with over $6,000 in personal property, breaking two windows. The insured acknowledged recognizing the suspect as a prior renter. The suspicious incident was referred to IS as a possible case of homeowner policy fraud. Investigators… Read More

Categories: homeowners insurance fraud
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Recent Stories

$50,000 personal auto claim denied

Surveillance revealed “injured” worker was employed elsewhere

Medical clinic without a medical doctor equals fraud

“Injured” worker found guilty of fraud and ordered to pay restitution of $84,304

Staged auto accident by two women proven fraudulent

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