Personal injury insurance claim/fraud.
Personal injury insurance claim/fraud.
Author
Discussion

Rollin

Original Poster:

6,338 posts

276 months

Thursday 12th June 2014
quotequote all
My girlfriend was involved in an accident in a supermarket car park about 3 years ago. A car reversing out of a car parking space hit her wheel arch whilst she was waiting for traffic in front of her to move (despite gf sounding horn). The shunt did no visible damage to the other party's rear bumper but put a 1 inch by 6 inch shallow dent my gf's rear wheel arch. The other party said it was their fault (which it obviously was) but soon changed their mind. My gf had 2 witnesses in the car but apparently they don't count and for some reason the insurance companies came to the conclusion that it was 50/50. I was pretty cross at the time but it didn't seem like our insurance company were bothered enough to take it further.

Today my gf received a voicemail requesting that she contact our, now previous, insurance company with regards to a personal injury claim made against them by the other party following the accident. Now this has made me fuming. There is no way that any injuries were caused by a shunt at less than 5mph. As this is the sort of thing that increases all our insurance premiums, is there anything I can do to prevent this claim being successful?

Retroman

975 posts

164 months

Thursday 12th June 2014
quotequote all
If it went 50/50 then probably not no.
But it shouldn't affect your partner anymore than it has already

Rollin

Original Poster:

6,338 posts

276 months

Thursday 12th June 2014
quotequote all
Thanks. It's the effect on my blood pressure that's bothering me smile.

zzzzzzzzzzzzzzz

32,880 posts

248 months

Thursday 12th June 2014
quotequote all
When you say 'about' 3 years, do you mean more, or less? There is normally a 3 year limit on bringing injury claims. It smells as if someone's had their ambulance successfully chased.

Cliftonite

8,753 posts

169 months

Thursday 12th June 2014
quotequote all
Rollin said:
Thanks. It's the effect on my blood pressure that's bothering me smile.
.
Can you not put in a claim for that?

Jujuuk68

364 posts

188 months

Thursday 12th June 2014
quotequote all
Lets just dispell that it's your insurer thats "not interested".

The witness'es whilst "assisting the court", are known to you and little weight will be added to their evidence - it's a simple low value civil matter, not a criminal trial requiring testimony to your character.

So it is in lieu of any other evidence - one persons word against the other and in a civil matter, unless one of you comes over really badly, a court is not going to favour one over the other - usual outcome = split liability.

Your insurer doesn't want to dispute it, as a fast track non moj matter going to court, where it will probably end up 50/50, is upwards of £15k in legal costs for both sides, (and they end up paying all costs in full, regardless of the split. IF they can make a cheeky pre medical offer to settle for say £1k, and £600 costs, the claim costs 1/10 of what it would, if it allowed you to "have your say" just because you were grumpy that you wouldnt just be "believed" by the court.

Besides, in these troubled times, Courts dont get fully funded by local government - their income depends on solicitors using them, ie litigating. The third party solicitors, almost certainly based in the NW, will be gagging to go to court - probably in Birkenhead or Liverpool where 90% personal injury disputed claims are generally heard from. And the judges are, er, lets just say VERY heavilly claimant biased (ie their local solicitors who send them tens of thousands of pounds a month, keeping the court staff in work) - they HATE insurers at Liverpool and Birkenhead. As a hint, other courts, less helpful to claimants,have closed up there due to budget cuts. If you ask anyone in personal injury (defendant) about them, they'll all tell you the insurers actively fear those courts as they are so corrup..woops, er, pro claimant.

Its always NW England solicitors indulging in all sort of court rule abuses, but they get away with it time and time again. And besides, the third party has probably been pestered something rotten with cold calling by these firms, who buy data from hire car companies and other sources, pass them to their own "referral" firm to avoid "referral fee" legislation, who then arrange a medical examination by a medical reporting agency they also "own". Wonder how inependent those expert witnesses are?

Basically personal injury solicitors are the worst,bottom feeding scum, prepared to instruct experts on what to put in a report, how to coach a claimant to lie, knowing that the court is so deeply in their pocket that effectively it doesnt matter.

I am seeing such an upturn in work like your claim, its disheartening. I am actually sending out claims investigators to ask claimants if they were genuinely injured and know a claim is being made, as often, they are "negotiating" a claim - obtaining an offer, and then writing to people to say "we have £1k for you, just send back the paperwork we send you". Its odd how many of our low non medical exam settlements go nowhere, because the solicitors never even had proper instructions to act. I've had 2 the last fortnight where claimants told my insurer two years ago they wern't injured, on a recording, on the phone to us, but now magically are. One old dear told our investigator this week that she had no idea who this firm from Macclesfield were, or how they got her details but she had about 9 cold calls about an RTA 2 years previously and just agreed to make the claim to make the calls stop.

Sorry, but basically, the law is broken, PI firms are generally dishonest and you all lose out by accepting their cold calls offering you cold hard cash.

Rollin

Original Poster:

6,338 posts

276 months

Thursday 12th June 2014
quotequote all
Thanks for that.

If someone were to initiate a personal injury claim with such firms, at what point does the firm actually get paid for their services?

aw51 121565

4,773 posts

264 months

Thursday 12th June 2014
quotequote all
So the OP's gf tried doing a Russ Swift in the car park, got it wrong and hit the rear bumper of the car containing those poor whiplash victims? Brings a tear to a glass eye, that sob story cry !

I am being facetious wink !

Insurer will settle and pay out as it is cheaper than litigation... Unless 'something' as alluded to in earlier posts twitches their spidey senses and they have the stomach for fighting it frown .

nipsips

1,167 posts

166 months

Thursday 12th June 2014
quotequote all
No insurer in there right mind would settle 50/50 with someone reversing out of a parking space. She is reversing she is at fault. I suggest you find a new insurer smile

Pit Pony

11,490 posts

152 months

Thursday 12th June 2014
quotequote all
Rollin said:
an accident in a supermarket car park about 3 years ago.

Today my gf received a voicemail

Personally, if they can't be arsed to write a letter, don't even respond.

When they do write a letter, respond by letter. Do not email, or take phone calls about it.

In every letter, state, In my opinion there is someone trying to commit fraud, and if they continue to make fraudulent claims I will contact the police myself.

Rollin

Original Poster:

6,338 posts

276 months

Thursday 12th June 2014
quotequote all
nipsips said:
No insurer in there right mind would settle 50/50 with someone reversing out of a parking space. She is reversing she is at fault. I suggest you find a new insurer smile
We did smile

pork911

7,365 posts

214 months

Friday 13th June 2014
quotequote all
Rollin said:
I was pretty cross at the time but it didn't seem like our insurance company were bothered enough to take it further.

As this is the sort of thing that increases all our insurance premiums, is there anything I can do to prevent this claim being successful?
A time machine?

Doesn't seem you/your gf were too bothered about taking matters further at the time. Now you are annoyed at the consequences.

TwigtheWonderkid

49,236 posts

181 months

Friday 13th June 2014
quotequote all
Pit Pony said:
When they do write a letter, respond by letter. Do not email, or take phone calls about it.

In every letter, state, In my opinion there is someone trying to commit fraud, and if they continue to make fraudulent claims I will contact the police myself.
Dreadful advice. Do not respond yourself to any correspondence, but pass it on to your insurer.

Rollin

Original Poster:

6,338 posts

276 months

Friday 13th June 2014
quotequote all
pork911 said:
Rollin said:
I was pretty cross at the time but it didn't seem like our insurance company were bothered enough to take it further.

As this is the sort of thing that increases all our insurance premiums, is there anything I can do to prevent this claim being successful?
A time machine?

Doesn't seem you/your gf were too bothered about taking matters further at the time. Now you are annoyed at the consequences.
Thanks for that. When all my many arguments with the insurance company led to them saying there is nothing I can do about it, you sort of hit a brick wall. As a consequence, we do not use their services anymore. So yes, I was bothered enough at the time.

pork911

7,365 posts

214 months

Friday 13th June 2014
quotequote all
Rollin said:
pork911 said:
Rollin said:
I was pretty cross at the time but it didn't seem like our insurance company were bothered enough to take it further.

As this is the sort of thing that increases all our insurance premiums, is there anything I can do to prevent this claim being successful?
A time machine?

Doesn't seem you/your gf were too bothered about taking matters further at the time. Now you are annoyed at the consequences.
Thanks for that. When all my many arguments with the insurance company led to them saying there is nothing I can do about it, you sort of hit a brick wall. As a consequence, we do not use their services anymore. So yes, I was bothered enough at the time.
so you were bothered and i'm sure infuriated but didn't then do anything about it other than arguing with your insurer - i can well understand not wanting to go to the additional personal cost but it would have been cheaper than a time machine

you can try to get them to rescind the 50/50 agreement and anyway deny any injury but if they refuse you'll probably be faced with the same decision - personal cost

if you aren't willing to do that then i'm afraid its a (blood boiling no doubt) grumble

CYMR0

3,940 posts

231 months

Friday 13th June 2014
quotequote all
What personal cost could the OP have incurred that didn't breach the insurer's right of subrogation?

Bear in mind that the insurer would have been liable for any unsatisfied judgement, which could have been substantial and, in the insurer's opinion (even if mistaken) sufficiently likely to justify a payout.

pork911

7,365 posts

214 months

Friday 13th June 2014
quotequote all
CYMR0 said:
What personal cost could the OP have incurred that didn't breach the insurer's right of subrogation?

Bear in mind that the insurer would have been liable for any unsatisfied judgement, which could have been substantial and, in the insurer's opinion (even if mistaken) sufficiently likely to justify a payout.
you've answered your own question really

CYMR0

3,940 posts

231 months

Friday 13th June 2014
quotequote all
pork911 said:
you've answered your own question really
So how would you have had the OP override the insurer's right of subrogation and take over conduct of the claim?

How would he have been entitled to do that, even if he had had limitless time and funds to fight it?

Shnozz

30,683 posts

302 months

Friday 13th June 2014
quotequote all
Jujuuk68 said:
Basically personal injury solicitors are the worst,bottom feeding scum, prepared to instruct experts on what to put in a report, how to coach a claimant to lie, knowing that the court is so deeply in their pocket that effectively it doesnt matter.
Every successful personal injury claim requires a medical report. Aiming the vitriol solely at P.I. solicitors is, in my mind, the wrong direction.

No favourable medical report, no claim. No matter how many leaching P.I. Solicitors, CMC's or dodgy shopping centre outlets coerce people.

julian64

14,325 posts

285 months

Friday 13th June 2014
quotequote all
Shnozz said:
Jujuuk68 said:
Basically personal injury solicitors are the worst,bottom feeding scum, prepared to instruct experts on what to put in a report, how to coach a claimant to lie, knowing that the court is so deeply in their pocket that effectively it doesnt matter.
Every successful personal injury claim requires a medical report. Aiming the vitriol solely at P.I. solicitors is, in my mind, the wrong direction.

No favourable medical report, no claim. No matter how many leaching P.I. Solicitors, CMC's or dodgy shopping centre outlets coerce people.
So whos to blame then Shnozz. Solicitors initiate, organise medical consultations and coach the patients on what to say.

Also you have the slight problme that the whiplash diagnosis is subjective, not objective. The diagnosis is based mainly on a history given to the doctor, and not on an examination. Can you see a slightly re-entrant problem developing?