Two years ago, an adjuster was assigned an auto injury claim involving one of our insured’s ambulances. Nothing like large commercial policy limits to whet an attorney’s appetite. Our driver admitted fault, actually offering to pay for the damage himself. It seems our ambulance caused a little damage – $530 worth – to the Prius…. Read More
auto fraud
Surveillance prevents an auto theft claim
A senior investigator was doing what he enjoys – personally conducting surveillance on a workers’ compensation claim in Anaheim, California. Always aware of his surroundings, the investigator saw a car stop in the middle of the street. The passenger got out, and it was clear he was particularly interested in the truck behind the investigator…. 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
$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
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