Claims Investigations

AWAKE AT THE WHEEL

 

The insured driver stated she fell asleep and hit a center median. It was noted that loss occurred within 10 days of the inception of the policy. Ultimately, we receive an update from the California Department of Insurance District Attorney’s office that both insureds on this policy were arraigned for insurance fraud… Read More

FISHY PHOTO

 

This was a questionable claim as the policy had reinstated the same day as the loss. Further questions arose when the claimant stated she knew the insured (they went to school together) but had not seen the insured in a long time. The claimant provided cell phone photos via email. The date and time stamp… Read More

INTERNAL COMBUSTION CABIN

 

The insured owned a luxury 2014 truck with a $700 per month payment to match. Unfortunately, she was having difficulty getting the vehicle registered in California. The insured claimed that she parked the vehicle at the residence she shared with her mother before returning to a complete interior burn. Based on forensic evidence alone, the… Read More

FAUX FIRE

 

The insured submitted a claim for “stolen” and then “recovered” burned vehicle. The initial claims adjuster secured the insured’s recorded statement in which he admitted being behind on his car loan payments. The police report noted the loss was suspicious. There were inconsistencies in the insured’s timeline based upon his cell phone activity. When questioned… Read More

 

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