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Crispy Counselor

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

I received a workers’ compensation claim from a law firm. The injured worker was an attorney who alleged that he burnt his face and fingers when he attempted to burn some “important documents.” He stated that he felt the documents were really not necessary to have and he did not want them in his possession. He indicated that he had taken these into the men’s room to burn. When our investigator was taking statements at the firm a co-worker pulled the investigator aside and said that he had been in the men’s room at the time of the fire. He stated that no documents were burnt, but that when the fire started in the adjacent stall a crack pipe dropped to the ground as the attorney was going up in flames. Claim denied!

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Brain Bugs

VN:R_U [1.9.1_1087]
+1 (7 votes)

We received a claim for a head injury. The injured worker stated that she hit her head on a bag of hanging wet clothing at the laundry facility that she worked for. It was an unwitnessed injury and we had no reason to dispute the claim. In the course of her treatment, the MRI of the brain revealed no sign of any trauma, but did show that she had small bugs/larvae within her brain. Upon further questioning the applicant indicated that she had eaten pork in Mexico shortly before the “alleged” injury. She was diagnosed with Trichinella Spirals Infection, she had eaten undercooked pork which caused her supposed injury, and it was not work related!

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Stealthy Stair Sex

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

I have a claim for an auto adjuster who stated that he was working late at night and tripped leaving the building, injuring his back. We obtained the building surveillance tapes and found the adjuster leaving the building without falling down, but limping. In further reviewing the film, we found stairwell video showing he and a coworker having sex on the stairs and it showed him falling and clearly hurting his back.

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Drunk Ditch Denial

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

My claimant came to work early and was still drunk from a night of partying and fell in a ditch and could not get out. It took two hours before he was found by a coworker. He broke his leg and his ankle. His claim was denied for intoxication and he was subsequently terminated.

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Busted Bugar Boy

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

A driver in an auto claim was having his recorded statement taken at the claims adjuster’s office. He explained how he had rear ended the Nissan that had slowed down to a stop when the light turned red at the intersection in front of him. He was clearly inattentive to his driving. The adjuster asked him if he was talking on his cell phone. He replied, “No”. The adjuster then asked if he was eating or smoking and he again replied, “No”. The adjuster then asked him what he was doing that caused him to take his attention away from the road. He admitted reluctantly that he had been picking his nose and he looked down at the bugar on his finger.

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Pillow Case Pretty

VN:R_U [1.9.1_1087]
+5 (7 votes)

An eighteen year old female short order cook got splashed with hot grease on her right cheek. She filed a workers’ compensation claim. The employer refused to send her for medical attention and gave her some salve to apply to the burn and sent her home early. She reported at 7:00 a.m. the next morning with her pillow case stuck to her face. Ouch!!!!!!

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Wasted Wiener

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

We handle pet insurance. Today we received a claim for a Dachsund that had been hospitalized after eating a marijuana brownie. The owner indicated on the claim form that the injury was plant poisoning. He was right on two counts. Coco and cannabis leaf poisoning. We paid the claim.

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Card Crazy

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

I have an auto claim where a woman had just passed the California Bar and was excited to start her job as a Plaintiff’s attorney at a small law firm in Los Angeles. As she was driving to work on the freeway, she heard a loud screeching sound from cars in front of her. She saw what appeared to be a rear end accident. The cars in front of her stopped and she did as well. In order to be helpful, she got out of her car and ran up to the people in the two cars and handed each of them her card and told them that she saw everything. They looked at her strangely, got in their cars and drove away. It was only then that she realized that no accident had occurred—there was no damage to either vehicle. She was embarrassed, but was mortified when a vehicle suddenly crashed into her vehicle while she was standing there with her business card case in her hand.

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