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Recognize Suspicious Claims – Bodily Injury

  • No police report or on-scene police report
  • Several claimants in same vehicle, subjective injuries, similar reports, same doctors and/or same attorneys
  • Bodily injuries appear excessive compared to the amount of physical damage to the auto
  • Accident is a rear end collision caused by a sudden, unjustified stop by claimant’s car
  • Accident occurred shortly after one or more of the vehicles was purchased, registered or insured
  • Insured feels "set up" by claimant(s)
  • Claimant’s work place phone number is connected to answering machine registers to an answering service or mail drop
  • Slight impact; subjective injuries (soft tissue); substantial treatment and excessive demands
  • Questionable dates of treatment, evidence of alteration of dates and/or charges
  • Slip and fall with no witness of the witness is unusually observant
  • A company name on a lost wage statement cannot be located, there is no record of said employee at that company and/or the company is owned claimant’s relative
  • Claimed ailments persist far beyond normal recuperative time period
  • Insured take out a new policy even though the insured vehicle was purchased long before coverage was sought
  • Doctor’s mode of treatment, duration of treatment always the same even though injuries/accidents differ
  • Designated doctors and lawyers have known history of bodily injury claim involvement
  • Location of doctor/therapist inconvenient to claimant
  • Doctor making house calls beyond convenient distance
  • Wage documentation is lots, not on letterhead or it’s handwritten or photocopied; includes questionable earning; difficult to verify
  • Presence of damaged items (props) found (claimant) as damaged
  • Insured is eager to accept blame for the accident
  • Vehicle is a "beater" – an old car with basic coverage
  • Vehicle damage, although minor, "totals" the car

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