I used to work exclusively for insurance companies and I know that this information will help "level the playing field" by giving you the knoweldge you will need to more effectively battle the insurance company you are facing!
So let's get started...
During the first conversation you have with an insurance professional for the driver of the vehicle that hit you or the owner of the dog that hurt you, you will very likely be asked to sign a Medical Authorization or Release, which will allow that insurance company to go to your doctors, dentists, hospitals, etc., and get every piece of medical information in their files.
However, the insurance adjuster will phrase his request like this: "We need you to sign this document so that we can keep track of your medical treatment and keep enough money in reserve to make sure that we can pay your claim."
(While it is true that insurance companies are under certain requirements to keep adequate "monetary reserves" to cover existing claims, you can be sure of two things: 1) the adjuster has no intention of paying you those "reserves" voluntarily; and 2) he wants that signed "Medical Authorization" to find evidence to help him deny your claim.)
The insurance adjuster will lead you to believe that he will be gathering records related to the injuries you sustained in the accident at issue, but he will also be looking through as much of your medical history as possible to find notations of prior similar injuries or other accidents.
One of the insurance industry's favorite tactics in denying or minimizing personal injury claims is to point to other accidents or injuries you have sustained in the past as being the cause of your current medical treatment.
The insurance professionals opposing you in this process are trained investigators who know how to read medical records and they will search as far and as wide as possible to find any record of treatment you underwent in the past.
They will also go to any length in their attempts to link unrelated prior injuries to your current situation.
For example, I recall a case in which the insurance adjuster asked a nice lady if she had ever experienced back pain before the accident and the lady replied that she had not.
The insurance adjuster then refused to offer this lady a fair settlement because the adjuster had found evidence of prior complaints of back pain in the lady's medical records related to her past pregnancy!
Remember, the adjusters will use these Medical Authorizations or Releases to review every bit of your medical history, including gynecological and psychological records.
Nothing is off limits if you sign away your rights to keep your medical history private!
Medical Insurance Company In
The increasing number of people taking out medical insurance plans has resulted in a rise in the number of scam medical insurance providers. These scammers often target people who have recently retired and the elderly individuals who are unable to arrange good rates with legitimate insurers. Read on to learn about 3 ways in which your medical insurer could try to scam you.
1. Failure to settle claims
Usually fraudrulent medical insurance agents try to sign up a very large number of people quickly by making them very lucrative offers. These insurers are themselves paying small premium amounts and settle small medical claims however, if there is a substantial claim arises or regulators catch them, these illegal companies will simply vanish as if they never existed.
Be suspicious therefore if you are getting delayed payments or if your service provider is offering poor excuses for failing to pay out. If you have one of these illicit plans you may also be liable for medical bills for your employees as well if you have taken a plan as a small business employer.
2. Offering medical plans that are not licensed
If your insurance company does not hold a license from the State Insurance Commissioner then you could be in trouble. In this case your service provider is almost certainly defrauding you by offering health plans which are also not licensed.
You also need to know that agents are not allowed to provide union or ERISA plans, both of which are regulated by federal law. So, if your insurance agent tries to dupe you by selling you an union or ERISA plan you need to report this to your state insurance department.
3. Offering unusual coverage at low rates
If you are offered a high level of coverage regardless of your state of health and at a lower rate than you would expect from other insurance companies then you should be very cautious. Do not be fooled by a seemingly very attractive offer because you are more than likely to be taken for a ride. The scammers aim to collect huge amounts of money as quickly as possible and so they attempt to sell as many policies as they can as fast as possible before they disappear into the night.
Of course these are simply a few examples of the many tricks that the fraudsters use but in most cases the presence of one or more of these ploys ought to make you stop and look closely at just what you are buying.
Both James Parrish & Donald Saunders are contributors for EditorialToday. The above articles have been edited for relevancy and timeliness. All write-ups, reviews, tips and guides published by EditorialToday.com and its partners or affiliates are for informational purposes only. They should not be used for any legal or any other type of advice. We do not endorse any author, contributor, writer or article posted by our team.
James Parrish has sinced written about articles on various topics from Legal Matters, Insurance and Legal Matters. James Parrish is a former insurance defense lawyer who now represents injured persons against the insurance industry. He uses the "Inside Information" he learned while defending insurance companies to the advantage of his clients and has recovered million. James Parrish's top article generates over 40500 views. to your Favourites.
Donald Saunders has sinced written about articles on various topics from Health Insurance, Forex Training and Diabetes Treatment. Purchasing from legitimate insurers does not have to cost you an arm and a leg so get some free, no obligation affordable. Donald Saunders's top article generates over 165000 views. to your Favourites.
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