November 21, 2024
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Risky Business

Risky Business

Cancelled

An insured found his insurer had cancelled his policy a night before a weather-related event. The insurance company expected high costs that would change his premium to sky-high figures. What would you do as an insurer in such an instance?

Brotherly love

A man applied for an insurance policy using his brother’s information. He even had a motor vehicle accident which was claimed and received a payout. This slowly came to the attention of his brother who subsequently alerted the authorities. Upon further investigation, it was found the insured had a history...

Lightning strike

A woman has been found guilty of insurance fraud after she provided false information while filing her insurance claim. She said a lightning-induced power surge destroyed her personal belongings. Upon investigation, the articles listed in the claim were not even on the property at the time of the alleged damage.

Dismissed

A judge dismissed scores of BI lawsuits against an insurance company, stating that the legal claim was not plausible. It all started with the impact of the covid-19 virus and claimants sought damages that came consequently. It’s all in the wording, right?

Water-logged

An insurance company and a casino filed a lawsuit against a construction company for water damage. The improperly fitted pipes resulted in a disconnection of a pipe joint which led to flooding within the building. The insurer in question promptly went to court for reimbursement.

Desperate measures

On a routine surveillance run, police officers checked out a car which resulted in a pursuit. This pursuit then resulted in the insured crashing. Following the incident, the insured filed a stolen vehicle claim with his insurance company stating that the vehicle was stolen on the exact same day of...

A Woman of Fiction

A woman has been charged with opening multiple insurance policies using names and information of multiple victims using fictitious accounts. She several vehicle identification numbers on the policy not owned by the policyholder and began filing vehicle claims shortly thereafter. She added the victims as joint account holders to her...

The ‘Gag’ Order

A comedian ran out of options to get her insurer to cover her treatment for her unique disorder and went viral with it. After getting denied by the insurer she recorded herself vomiting to appeal the decision, as she had a disorder that kept her stomach from emptying properly. The...

Stolen, or not?

A woman is facing charges for insurance fraud after reporting her car stolen. She filed an insurance claim stating that her vehicle was stolen. The insurance company reached out to its investigative unit with suspicion that the claim was fraudulent. Investigators determined that the vehicle was not stolen, but in...

Disbarred

A former attorney has been disbarred after she engaged in repeated acts of neglect, deception and forgery with regard to an insurance claim. In a slip-and-fall claim against a furniture company the lawyer offered to settle the claim for a huge amount, even though she was not authorized to do...

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