The insured purchased a homeowners policy in early December 2021 for her newly constructed home. She called the next month to say that someone broke into her home in early January, taking her stove, refrigerator, washer/dryer and a tankless water heater. She said she had not moved in yet. Her cousin noticed the front door… Read More
Stories
Bogus workers’ comp claim blocked
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
“Badly injured” construction worker found on the job
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
Overloaded truck blocked view, resulting in accident
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
Vandalism claimed to get new appliances for free
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
$50,000 personal auto claim denied
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