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I was with a friend who got in a very minor accident (everyone was fine). No police report was filed, but the other driver made a claim to her insurance company that she had serious medical problems as result of the accident (she had a handicap sticker in her car so we knew she had existing medical issues).

My friend's insurance company denied the claim since a third car was at fault (and they knew from the damage that her "injuries" weren't from the accident). What's the likelihood the insurance company will do anything to that lady for making a false claim? Or can people just claim whatever they want to try to get away with it?

2006-11-05 09:04:32 · 7 answers · asked by Pook 4 in Cars & Transportation Insurance & Registration

We were all stopped waiting at a light and the car behind us bumped us (which caused us to bump her). Not even 5 mph, and her car didn't even move six inches. I'm 100% sure she was not injured in any way.

It just surprises me that if someone obviously makes a claim with the intent to commit fraud that the insurance company would let it go. The ins company wasted a lot of money on a mechanic and a claims person to investigate this (only to find out it is was a false claim).

Why wouldn't you raise someone's premium for costing you so much money?

2006-11-05 13:34:46 · update #1

7 answers

There is no proof, in the eyes of the insurance company, that this is a false claim. The other party would have to provide proof that she was injured and that the injury was a result of the accident. If she does that, then it's not a false claim. I understand that when you're in an accident and you see people there at the scene and emotions are running high and then you find out she claimed injuries that the first thing you go to is that it's being made up. That's up to the insurance company to determine.

She could send in her medical records and they could support that she was injured, but a determination could be made that the injury is not a result of the accident. In that case, they don't call the cops and have the person arrested. They just tell her that she didn't prove her case and that's sometimes the end of it.

Fraud is something totally different, and those cases, if proven, are prosecuted.

2006-11-05 10:01:34 · answer #1 · answered by Chris 5 · 2 0

This happens thousands of times every day. An insurance company is not the local police force so nothing will be done. If someone made a false claim and collected money and THEN was discovered it becomes a criminal offense and the DA gets involved, many times bringing charges against the person(s).

2006-11-05 10:14:18 · answer #2 · answered by Anonymous · 1 0

Since the claim was denied, nothing will happen to her.

If they had paid the claim, and then found out later that she was faking, they would sue her to get the money back, plus probably file charges against her for insurance fraud.

2006-11-05 09:12:47 · answer #3 · answered by Anonymous · 1 0

My understanding that it is a crime to make a false statement to an insurance co to get money from them This is fraud and has penalties for it that could mean jail time.

2006-11-05 09:27:10 · answer #4 · answered by Lolo 3 · 0 1

Depends on the insurance company to persue that issue. Naybe they will to teach her a lesson for trying to play with someones lives like that.

2006-11-05 09:06:22 · answer #5 · answered by Silverstang 7 · 0 1

sure, you could. Its referred to as coverage fraud. i'd think of youre interior the sparkling in the event that they havent come once you yet yet thats in basic terms no longer so. coverage companies paintings sluggish and the statute of obstacles is once you're particularly sparkling.

2016-10-03 07:44:03 · answer #6 · answered by armiso 4 · 0 0

in this instance her claim would be denied that's all

2006-11-05 20:49:41 · answer #7 · answered by Anonymous · 0 0

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