- July 22, 2011
- In insurance
Here are some of the factors that may arise in a Orange County bus accident case that could lead the insurance company to suspect claimant fraud.
The claimant is unable to present correct identification or refuses to present identification.
The claimant does not have a fixed address. He or she uses a post office box or the address of a friend or family member. The claimant moves frequently and has no permanent address.
The claimant avoids sending documents through the U.S. mail. Knowledge of mail fraud laws may lead the claimant to deliver documents in person, wishing to avoid additional penalties if the fraud is uncovered.
The claimant was having financial difficulties before submitting the claim. In the mind of an adjuster, this presents a motive to exaggerate an injury sustained in an Orange County bus accident, or to fabricate a claim entirely.
Inconsistencies between the claimant’s lifestyle and the claimant’s reported income may lead adjusters to wonder whether the claimant has unreported sources of income, such as through illicit activities or insurance fraud. This might jeopardize a claimant’s allegation that he or she has a physical disability as a result of the Orange County bus accident.
A claimant’s attitude can also arouse adjuster suspicion. A claimant who is too pushy in demanding a quick settlement, commitment, or decision can suggest insurance fraud to a skeptical adjuster, as can a claimant who seems unusually familiar with claims-handling procedures (suggesting that he or she has settled with an insurance company many times before).
Obviously, some insurance claimants in Orange County bus accident cases will display some of the preceding traits, even if their claims are legitimate. Each raises a red flag, however, and too many red flags may cause an insurance company to refer a claim to their Special Investigation Unit.
If you have been injured in a bus accident and you want to be represented by an experienced Orange County bus accident lawyer, contact the Law Offices of Samer Habbas at (888) 848-5084 for a free case evaluation.
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