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Stories

Bogus workers’ comp claim blocked

July 26, 2022

An adjuster was assigned a late report specific arm injury claim by a new employee, who was believed to also be self-employed. She referred the claim to Investigation Solutions. We found social media posts of the claimant’s martial arts. Others showed construction work done just before and after his date of injury. The claimant had… Read More

Categories: work comp fraud Tags: workers' compensation fraud

“Badly injured” construction worker found on the job

July 1, 2022

Yet another construction worker with a back and knee injury was not getting better as expected. He said he couldn’t walk, lift, climb, etc. Rest and treatment did not help. (This is statistically improbable.) Surveillance found the man driving 60 miles from his home to work at a construction site, an activity clearly inconsistent with… Read More

Categories: work comp fraud Tags: workers' compensation fraud

Overloaded truck blocked view, resulting in accident

June 23, 2022

An adjuster had a disputed auto accident claim. The claimant said she and her daughter were injured when the insured pulled into her lane on a busy Los Angeles Street. The insured confirmed that she changed lanes from the far right to the far left lane to make a turn but blamed the claimant for… Read More

Categories: auto insurance fraud Tags: auto fraud

Vandalism claimed to get new appliances for free

June 13, 2022

Our client’s adjuster was assigned a $15,000 homeowner’s claim for vandalism, reportedly by a homeless person. The insured reported that someone broke into his home while he was out of the country on vacation, changing the lock on the front door so he could stay there. Because this was a new policy loss of just… Read More

Categories: homeowners insurance fraud Tags: homeowners insurance 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

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 Tags: workers' compensation fraud
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