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
personal auto fraud
Staged auto accident by two women proven fraudulent
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
Stolen good weren’t stolen. Claim closed.
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
Purchasing a policy AFTER the accident doesn’t count
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