The Insurance Company Will Look Out for Plaintiff Fraud

When you file a personal injury claim with the insurance company, you may believe your claim is entirely valid and above-board, but there is still a possibility the case will be internally reviewed and sent to the Special Investigation Unit. AFirstCoastpersonal injury attorney can help you avoid this.

There are some red flags that will make an insurer look closely at your case and possibly refer the personal injury claim to fraud investigation. If your version of how the accident happened has inconsistencies, or if you alter your story of what happened after learning of misrepresentation or fabrication by another person, the adjuster may begin to wonder if your claim lacks genuineness or authenticity.

Adjusters get curious if there were no witnesses to the accident or if the witness accounts conflict with your version or with other witness accounts. They also get curious if a claimant fails to report the injury in a timely manner. If there is a long gap between the date of the accident and the date of your first medical treatment, you can expect the adjuster to be skeptical about your claim.

It also looks suspicious if you have a signed letter of representation from your lawyer dated the same day as or shortly after the accident; it looks opportunistic and as if you were looking for an opportunity to file a personal injury lawsuit.

If you have further questions about how to file a personal injury claim, contact First Coast personal injury attorney John Fagan for a free initial consultation.

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