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Social Media Posts Gone Wrong

VN:R_U [1.9.1_1087]
+1 (1 vote)

When we first got an auto injury claim, we checked Claimant’s social media and found a dozen pictures of her mowing the lawn, carrying items, dancing and golfing. The social media sites disappeared a month or so later and Claimant said she wasn’t able to mow the lawn, dance, lift or golf. We used the photos against her at arbitration and the arbitration award was for a nominal amount.

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She Got Pregnant Due To Her Back Injury

VN:R_U [1.9.1_1087]
+1 (1 vote)

We had a claim in our office from a woman who had suffered a low back injury. Several months after her alleged injury she became pregnant. Shortly thereafter she filed a claim stating that she should would require all of her prenatal visits and the delivery charges for the baby to be paid in full, as well as a request for payment of daycare services and child support until the age of 18. She alleged that the pain killers that she was taking for her back injury neutralized her birth control medication and she unwittingly became pregnant.

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Sky Fall Claim

VN:R_U [1.9.1_1087]
+1 (1 vote)

A claim was received from a family who had been camping and they claimed that there camping equipment was ruined. The claim stated that while they were camping a man who was skydiving missed his landing zone and crashed into their tent. No one was injured. The claim was denied initially because the policy did not cover damage caused by people falling from the sky.

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Nubby Socks Claim

VN:R_U [1.9.1_1087]
+1 (1 vote)

Claimant was getting a colonoscopy and was directed to the bathroom to change into various garments, including socks with anti-slip nubs. When Claimant walked out of the bathroom, he slipped and slid into a gurney, pushing the gurney hard into another bed where a patient was getting an I.V. inserted. Claimant sprained his ankle and suffered a large gash on his forehead; the patient on the gurney had a heart attack and the patient receiving the I.V. suffered a gash injury to the wrist and had to have a blood transfusion. This was all because the Claimant put the socks on wrong. A nurse testified that she instructed the Claimant to make sure the anti-slip nubs were on the bottom. Claimant testified that he wasn’t listening to the instructions about the socks as he was focused on whether he should put the hospital gown on with the opening in the front vs. the back.

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Injury In The Trash Chute

VN:R_U [1.9.1_1087]
+1 (1 vote)

Ripped from the headlines… This makes for an interesting claim…

Police say a Salem woman broke her leg after falling three stories down the trash chute of her apartment building early Monday morning.
The incident happened just after 5 a.m. at the Loring Towers apartment complex in Salem, according to police. When officers arrived at the scene, they were met by an emotional 19-year-old, according to the police report.
“He was hysterical and he kept saying you have to help me, you have to help me,” wrote Officer Michael Dunn in the report.

The man told police the 38-year-old woman was trying to help him retrieve his keys down the chute, the report said.

The man said he had accidentally dropped his keys down the chute with his trash, the report said. The man then offered the woman, a neighbor he knew, $20 to help him get the keys back and she agreed, the report said. Police say the man lowered the woman into the chute by her feet. When that didn’t work, he tied a sheet around her and lowered her into the chute again, say police. The sheet then ripped and the woman fell three stories into the trash compactor, the report said.

Police said the compactor turned on when the woman fell in, breaking her leg.

“Her leg was badly twisted in the wrong direction,” according to the report.

She was taken to Massachusetts General Hospital for treatment.

Police said no charges have been filed.

From boston.com

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CHEATER FILES A WRONGFUL TERMINATION CLAIM FOR $1.5 MILLION AND OUR INVESTIGATION REVEALS SHE IS A SHAM

VN:R_U [1.9.1_1087]
+2 (2 votes)

We received a wrongful termination claim for a claims examiner in San Diego. She is asking for $1.5 million dollars in damages.

After investigating the case it appears she was fired for three reasons: sleeping at her desk on more than one occasion, stealing co-workers lunches and most importantly she was caught using the company postage machine for personal use to mail 175 wedding invitations.

She alleges she was discriminated against because she is white and most of the other employees are Hispanic. Her discrimination allegations are not valid and I believe we can get this case dismissed with no buyout after we share our investigation results with our attorney.

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It’s The Dog’s Fault

VN:R_U [1.9.1_1087]
+3 (3 votes)

We have a claim from a home health aide who alleges that she was injured while walking a dog of the woman that she provided home health services for. The claim states that she was asked to walk the dog and did so. The claim goes on to state that while walking the dog she was pulled forward and subsequently drug down the sidewalk when the Beagle chased a rabbit. The adjuster questioned the injury after reviewing a medical report which indicated that the home health aide weighed 250 pounds. The adjuster thought that it was odd that this size dog would be able to drag a 250 pound woman. Luckily the next door neighbors had a security camera aimed at the street. The video showed the woman out walking the Beagle which she tied to a tree, and appeared to purposely trip over a crack in the sidewalk and then pull herself forward for about 50 yards on her stomach causing the scrapes and “injuries” that she sustained. The video was shown to the allegedly injured individual who immediately dropped her claim.

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K9 Workers’ Compensation Benefits???

VN:R_U [1.9.1_1087]
+1 (3 votes)

An owner of a warehouse always brought his dog to work with him. One day while at work at the warehouse with his dog, a door accidently crashed down on one of the dog’s hind legs. Looking for reimbursement of the veterinary charges the owner submitted a workers’ compensation claim for his dog who he indicated was an employee because he served as the company’s watchdog!

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