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Fingerless

VN:R_U [1.9.1_1087]
-1 (9 votes)

I had an accepted claim for a finger amputation claim. Several months later, just after Halloween we received an amendment to her claim which added a psychological component to her injury. It turns out as part of the employer’s Halloween decorations in the office they cut a finger off all of the skeletons to match the amputation of the injured worker. Nice.

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Marijuana Madness

VN:R_U [1.9.1_1087]
+3 (9 votes)

I handle workers’ compensation claims. I have an accepted claim for an individual that truly had a bad back injury. Suddenly we started getting hand written receipts with the notation “Weed” on them. I asked the applicant about these requests for reimbursement and she stated that her physician had recommended she utilize medical marijuana to help her sleep. We denied the request for reimbursement. We took the matter to Trial and ultimately the Workers’ Compensation Appeal Board Judge found for the applicant indicating that since our state allowed “medical marijuana” the request was reasonable!

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She Said She Said

VN:R_U [1.9.1_1087]
0 (8 votes)

I was attempting to take a deposition of a woman who claimed that she had a slip and fall injury while shopping in a major department store. During the course of questioning she became very agitated, then developed a blank stare and started to speak again. This time with a heavy southern accent that she hadn’t had before. She immediately started to explain that the other person we had talked to (her) was a vicious liar and that no injury had every happen. It turns out that she suffered multiple personality disorder and one personality had a habit of filing fraudulent insurance claims and the other personality would then surface and tell the truth.

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Flasher

VN:R_U [1.9.1_1087]
+2 (10 votes)

I was investigating an auto claim. The policy holder indicated that a car swerved into her causing the damage to the passenger side of her new Mustang convertible. In questioning a witness I was told that the woman was exposing her breasts to a passing trucker and swerved hitting the car next to her!

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Burning Man

VN:R_U [1.9.1_1087]
+2 (8 votes)

Crazy but legit. I had a claim from a welder who had suffered severe burns to his private parts…. Turns out that while he was welding he dropped equipment and it burnt his crotch. Ouch!

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She Got Nailed…

VN:R_U [1.9.1_1087]
+2 (8 votes)

I have a claim from a woman who claims she was shot by a nail gun at the hardware store that we insure. Apparently an employee was demonstrating a nail gun to her when he accidently fired several nails in her direction! We later found out that the customer unknowingly was being helped by the wife of the guy she was having an affair with. It turned out not to really be an accident, but a crime of opportunity.

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Stripper Pumps

VN:R_U [1.9.1_1087]
-3 (7 votes)

I work for an insurance company that insures a number of gay bars here in NYC. I recently received a claim from a patron who alleged that he was attacked by one of the employee’s of the bar. It turns out the employee was a drag queen who got into a fight with the customer and smacked the customer across the face with a stripper heels. Photos of the injured customer showed the clear outline of a high heel shoe across his cheek. The claim was resolved for $3500.00.

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Broken Biker Babe

VN:R_U [1.9.1_1087]
-2 (6 votes)

I received a claim for a slip and fall with numerous lacerations from a woman that worked in a rather rough biker bar. She apparently slipped and fell due to a broken bottle of beer on the floor. During the course of questioning her about the injury she indicated that she throw the bottle at her boss after he made a wise crack about her t-shirt. Right afterwards she walked over to serve a customer and slipped in her own broken beer… She said she was crying in her own beer after the accident!

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