A claim has been filed against the Boy Scouts and The Church of Jesus Christ of Latter-day Saints as a result of two teenagers in a church-sponsored troop cutting down a tree. The two teenagers where part of a troop collecting fallen firewood from the Dixie National Forest. Apparently a motorcyclist was killed after the two boys cut down a tree.
Submitted By: Neil on October 25, 2016
A woman in Indiana filed a claim with us stating that she struck a deer and then hit a tree. Our investigation showed the damage to the vehicle appeared to have occurred a significant time before the claim, and that the driver stated he had run into a telephone pole two years prior. Had the accident occurred as claimed, it would have been covered under comprehensive coverage, with a $100 deductible. However, since the driver actually struck a pole, the claim would have been processed under collision coverage – with a $1,000 deductible.
Submitted By: betty on October 24, 2016
Claimant was injured at work when co-workers, dressed in masks for Halloween, snuck up on her in an attempt to scare her. She was startled while walking with a glass of soda. She dropped it, causing the glass to shatter and then she slipped on the liquid and fell on the broken glass. As a result of the fall, Claimant fractured her hip and sustained numerous cuts, causing scarring. We paid the work comp claim. The workers who caused the incident were reprimanded and put on probation.
Submitted By: SoftKitty on October 22, 2016
We have a claim from a Manager of a weight loss company who claims that the reason that she fell getting out of her car at home was due to one of the waterpills she was provided by her work in an effort to lose weight and be an example to clients. After some extensive research it was determined that she had not taken a water pill, but instead had taken an Ativan. We denied the claim and await a Judge’s determination as to our liability.
Submitted By: laird on October 21, 2016
Claimant sued our insured’s restaurant after being injured as a result of falling into cactus plants in the parking lot. The parking lot video showed an almost empty lot. She backed into a corner spot with her SUV. There were cactus plants in the landscaping near her car. When she stepped out, she was looking at her smart phone, stumbled and fell into the plant. We denied the claim.
Submitted By: Crazy on October 18, 2016
We received a potential wrongful death claim for a day care we insure. An 18-month-old boy died after he choked on his amber-teething necklace during nap time at a southern California daycare center.
The toddler was dropped off at the center by his mother on her way to work and when she returned to pick him up around 5:00 p.m. she found paramedics working to revive him. She was told by staff at the daycare that her son was strangled during his nap by the teething necklace that he was wearing. The toddler was rushed to the hospital in critical condition and was taken off of life support five days later.
The mother believes that there is more information that the staff at the daycare center are not telling her, including who initially performed CPR on her son. We had initially set up recorded statements for all of the employees on site and subsequently the owner called to tell us that his attorney had advised him to cancel all of the recorded statements with the staff. Upon doing my research I discovered the Day Care Center has been cited numerous times in 2015 and was placed on probation for three years, according to the California Department of Social Services. The Department of Social services is investigating the toddler’s death along with the Police Department.
Submitted By: laird on October 11, 2016
Claimant fell 12 feet while leaning on a railing and sustained serious injuries. Investigation first revealed that the hotel where the fall occurred was likely liable and the claim was going to be paid. However, our defense attorney found a video of the fall on Youtube the same day we were going to make an offer of a large amount. The video showed a dark figure pushing claimant. We referred the matter to the prosecutor’s office and denied the claim.
Submitted By: Insanity on October 11, 2016
Our insured’s car was stolen from his condo parking space. He contacted the condo manager, who wouldn’t assist with the investigation, because she claimed that by doing so would expose the association to liability. Well, the insured sued the association and subpoenaed the videos revealing enough information to catch the burglars. How’s that for liability?
Submitted By: Crazy on September 28, 2016
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