May 18, 2024
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Risky Business

Risky Business

Performance fraud

A man, who claimed he couldn’t gain employment because of back pain following a supposed accident in 2014, apparently was found dancing on a regular basis. Now not only will the claimant not get the insurance payout he wanted, but he has to pay legal costs to his insurer. The...

Bad Judgment

An insurance agent was arrested on a bad judgment call when he used old photos of a policyholder’s roof and filed an inspection report while forging the signature of an inspector who had never seen the roof. The agent allegedly altered the dates of the photos and copied the electronic...

Fungal floor

A woman submitted a claim for water damage in her home that had affected her upstairs bedroom, bathroom, stairway and hallway. The leak was revealed only after she found mushrooms growing through her carpeting. She took the relevant pictures and sent them to the insurer. However the insurer denied the...

Tipsy fall

A claimant slipped in a casino and filed a claim alleging that the establishment conditions contributed to his fall. Security videotapes were checked and showed that the claimant was intoxicated even before he walked into the casino. The claim was promptly denied as the intoxication was the cause of the...

Flight Ordeal

A claimant made a negligence claim with her airline when she was forced to share her seat with a large passenger next to her. She claimed that she developed a blood clot from being cramped for five hours in a very small space. Due to lack of seats she could...

No house, no freedom

A fire captain was arrested for allegedly torching his home and filing a bogus insurance claim. The fire was claimed to have started when he was cooking. It spread quickly to the rear of the house. The fire department was quick to respond and was able to douse the fire. The...

The Big Fix

A woman has been charged with insurance fraud she was found to have driven her SUV into a lagoon and pretending it was stolen thereafter. The insured was arrested after a man walking nearby saw an SUV submerged in the water. Police, a dive team and a wrecker service removed...

Driving ban

A man was found guilty for driving without insurance whilst disqualified from driving. He was unaware that he was disqualified and he believed he had insurance which he had taken out via a relative of his but what he did not do was check with the relative that the policy...

Implant Scam

Claimant alleged that her dentist, was negligent in implanting a tooth. She claimed she had pain and numbness since the implant and demanded her money back. She threatened the dentist with a malpractice suit. Research discovered that with each implant claimant had received, she’d demanded her money back and used...

Pet Splurge

A former administrative assistant to a county official pleaded guilty to using public money to buy personal items – including a tuxedo for her pet pug. She pleaded guilty to fraudulent use of a credit card to the tune of USD200,000 for purchases including a diamond bracelet, car payments, tickets...

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