Insurance fraud costs insurance companies and, subsequently, their customers, a huge amount of money every year. We believe that insurance companies do want to pay the legitimate claims as much as they want to ferret out the cases where claims are fraudulent. But it is often difficult to tell the difference.
Soft tissue injuries are difficult to prove or disprove. Sometimes these are part of slip and fall injury claims, sometimes the underpinning of a personal injury investigation or an auto bodily injury investigation. In this case, it was a both a workers compensation fraud investigation and a long term disability fraud investigation.
This memorable case was that of a young man who said he was hurt at work. No one witnessed the accident, but he [...]