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personal auto fraud

$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 Tags: auto 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 Tags: auto fraud

Stolen good weren’t stolen. Claim closed.

October 20, 2021

An ACM adjuster was assigned a GL claim for a claimant who said her car and personal property were stolen when she dropped her BMW off at our insured dealership. Her investigation verified that someone stole the vehicle, which was recovered the next day. Another customer was arrested for the theft. The claimant was paid… Read More

Categories: personal auto fraud Tags: auto fraud

Purchasing a policy AFTER the accident doesn’t count

October 10, 2021

auto claim denial

The insured called to report that she was in a car accident. The claims adjuster couldn’t reach the insured by phone. Noting that the date of loss was the same as the date of policy inception, the adjuster referred the case to IS. When the investigator interviewed the insured, she said she thought she hit… Read More

Categories: personal auto fraud Tags: auto fraud

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