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False Allegations Are One More Way Insurance Companies Try To Deny Claims

Insurance companies protect their profits by collecting premiums year after year and paying as little as possible in benefits to their policyholders. They will go to great lengths to avoid paying valid insurance claims. Insurance companies occasionally accuse the policyholder of insurance fraud:

  • After a fire claim, they may accuse you of arson.
  • After a disability claim, they may accuse you of faking or exaggerating your career-ending condition.
  • After a health care claim, they may review your application, looking for the chance to turn an innocent oversight into a case of misrepresentation or fraud.

At Pillsbury & Coleman, LLP, our attorneys stand up for the rights of policyholders throughout the State of California. If you have been unjustly accused of any kind of insurance fraud, from arson to disability fraud, we can help you find relief.

Observation Or Invasion?

Insurance investigators may lurk outside your home and follow you around, photographing and videotaping you in hopes of obtaining evidence that will allow them to deny your claim. Insurance companies can and do hire private investigators to perform secret surveillance of insureds who make insurance claims.

Insurance investigators are allowed to photograph or film people in public places and people who are visible from a public place. They may not, however, step onto private property or use a zoom lens or other equipment to record sounds or images that could not otherwise be obtained from a public place. Such actions may amount to an invasion of privacy.

Experienced Trial Attorneys Turning The Tables On Fraud

Insurance companies and those they hire occasionally are known to make unfounded allegations of fraud in order to dissuade insureds from pursuing a claim or to manufacture a plausible-sounding basis to deny claims.

Our law firm used an insurance company's own videotape against them. The insurer insisted that our client visit one of its handpicked doctors for an examination. The doctor noted on the patient's file that he spent 60 minutes face-to-face with our client. However, the insurance investigator's time-and-date stamped surveillance videotape documents the client arrival at the doctor's office and his departure just 15 minutes later.

For legal help fighting unjust accusations of insurance fraud or violation of privacy claims for abusive tactics, call our San Francisco office at 415-655-1549 or toll free at 866-460-7279 or contact Pillsbury & Coleman, LLP by email.