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Irving: I love reading your posts about insurance claims, you are aways spot on! And by the way I am a insurance adjuster. I can only speak for my company but we NEVER pay more if a person has an attorney, we paid for the fair amount for the damages. Whether its property damage or injurys
First, you are correct that the law changed (from PIP to Medpay) and they do not bill directly. The patient pays, then submits the receipt to insurance and is reimbursed.Quote:
Originally Posted by xring
Second, I love massages, and feel the same way about those who enjoy their work as you do. However, being a claims adjuster, I get to see how those scam artists operate in the same field as the good guys; just like in any industry.
I don't want to steer Ridge away from getting whatever treatment will work the best for him, be it chiro, massage, or even acupuncture, but when you direct a person toward someone who advertises that they specialize in car wreck treatment, more often than not, you are pointing them right to a scam artist. I have no doubt that your friend is of the utmost moral character, but watch the way in which you recommend people to her because it sounded like you were encouraging fraud in your first post.
This is a well crafted response, and no one can deny that insurance companies make an effort to mitigate costs, however, in this case, Ridge is not dealing with his own insurance company, so he has paid for nothing. I realize that only bolsters your argument.Quote:
Originally Posted by xring
Insurance companies are easy to hate because people do not care to understand what their policy actually covers, people tend to think they are owed all kinds of things they don't deserve, and on the occasions when an insurance company does screw up, the court cases are highly publicized (as they should be). Insurance companies DO try to mitigate costs, just like every other company in the world. Sometimes you will see an overzealous claims manager who thinks he/she is going to be Hero of the Day by shorting someone out of some money. Similar to how an overzealous District Attorney sours people on all lawyers and the entire justice system.
Take this news story I recently posted as an example of why insurance companies are concerned with mitigating costs.
http://www.myfoxphilly.com/story/197...-trolley-crash
Here is an instance where not everyone on this trolley even realized that they were in an accident, yet 9 people lawyered up and claimed they were seriously injured. How many times do you think you could receive claims like this before you'd start to look at every injury with some amount of skepticism?
Ridge: If you don't feel comfortable dealing with the insurance company, hire an attorney, but do it for the right reasons. Also, don't threaten with an attorney, just get one. Society is so litigious that everyone thinks that they can sue for anything and everything. Even in the jobs I've had that have not been in the insurance industry, I've never taken the threat of an attorney seriously. Ridge, you should fully expect your injury to be looked at very skeptically since it hasn't bothered you enough to treat for it. However, a few months from the accident is not all that big of a deal, especially for a minor injury, and if you are hurt, then you are owed compensation. PM me with any questions you might have and I will help you as best as I can.
i'll actually agree w/ Irving on the seeking treatment part.. If you're hurt go see a damn doctor and FOLLOW WHAT THEY FUCKING SAY.. not what your attorney says.. a FUCKING DR.
That being said.. Insurance companies are there for one reason and that is to make money. They'll fuck you any way they can. I know this from personal experience in a wreck I was involved in (not at fault).
Funny thing, I was getting fucked by MY OWN insurance company, as much as the other person involved's ins co.
An attorney is something you have to decide. If you attempt to do this on your own then you can only blame yourself if things go unresolved. Adjusters have attorneys they can bounce things off of. Each adjuster (depending on the ins company) has a certain $$$ they can go to till they 'kick it up' to the next 'guy'.
If you start to think it's hinky.. get an attorney. They might take $$ from you, but they can also make sure you don't sign your life away to an insurance adjuster who is 'just trying to help you out here'. Know that the legal process is NOT a 7/11 where you walk in hot and walk out w/ a cold drink. It takes time.. you have to be better before any money gets moved around if you are actually hurt.
Irving you're no longer an adjuster. Quit sounding like one. [NoEvil]
You certainly can get dicked around by an adjuster. They will try and settle with you the first time they talk to you. If you haven't treated yet, or haven't received a test result, or have not been seeing positive results from treatment, then decline the early settlement.
Monky, aren't I?
The reason i suggested following the attornys advice for treatment is that the legal system aknowledges certain treatments and diagnosis as legitamate. Why do you take the attorneys advice in regards to treatment especially if you favor treatments such as massage and acupunture? Some individuals testimony in court may not be admissable on medical matters. Which ones - I dont know but the lawyer does. I really cant believe im having to explain this to people who obviously know more about this than I do. You do what the lawyer tells you to do for the same reason you do in other legal matters- to protect yourself in a area where you have no skill.Quote:
Originally Posted by Monky
As far as insurance fraud and felons they should get what they deserve just like any other fraud and felon. Personally Ive been rear ended twice. I carefully monitored myself injury the following weeks. In both cases I did not recieve treatment. I did not get a lawyer and i felt nervous about that but my best guess was i was uninjured. In neither case did i recieve compensation for injury. Come to find out if I understand what i read here i would have been totally screwed by endorsrment of the checks for my cars repair if I had turned out to be injured.
Ridge is telling us he is injured. Ridge I hope your injuries are minor. Get treatment. Protect yourself get a lawyer.
Not so, checks for physical damage are different. A check written out of collision coverage (from your company), or physical damage coverage (from the other guy's company) are separate from the coverages for injury.Quote:
Originally Posted by xring
I see what you are saying about knowing which treatments to seek that have a high likelihood of being paid. Some of this stuff stems from that change you mentioned from about 10 years ago. Colorado switched from Personal Injury Protection (PIP), to Medical Payments (Medpay) because PIP was too lenient. With PIP, people would actually submit receipts for stuff like Remote Healing. This is where the "healer" and patient never meet in person, the healer would just concentrate their energy on healing the patient, while the healer was at home and the patient was at work or something similar. Also, PIP coverage didn't have cap on treatment. Free massages or Chiro treatments for the next ten years after the accident that caused only $700 in damage to your bumper anyone? Acupuncture might be pushing it, but generally I would say that Chiro and massage therapy are pretty safe bets for holding up well in court.
Now you have to select your coverage limit for Medpay, $5,000, $10,000, $25,000, etc and once you reach that cap, that is it. People on here old enough to remember PIP, miss it because it was better coverage for the policy holder. It was better coverage, but it was too big of a liability and too easily abused. Agents told people the switch would make rates drop, and it did, but people like having free money.
Lets face it, Insurance adjusters are thieves looking out for the company at the expense of YOU.
you need an adequately experienced thief to get what is rightfully due to you.
If thhis were not true, there would be no Lawyers.
No.. I could have sworn you said 'I used to be an adjuster'.. but any proof would have been lost in the great crash..Quote:
Originally Posted by Irving
What's funny is when people instantly hear we'll give you $$$ to replace your car, oh and you're not hurt, that's great.. here's a check where can I meet you.. Oh.. and sign these.. they're standard..Quote:
Originally Posted by Byte Stryke
You most certainly can get out of signing documents from an insurance company but it is NOT an easy thing to do. Most attorneys won't even go near that.
Byte you're absolutely correct that we live in a litigious society.. it's retarded what people sue for. There are times, where it helps. But let's face it, if people weren't fucking greedy the world would be a lot better. You figure out how to take that out of human nature and you'll win a Nobel something.. just like Oblunder did! [Tooth]
Wait... clarification here- people keep talking about "the other guy's insurance." I thought I read that he gave fraudulent information, I read that as he doesn't have any and he just faked the funk so he appeared to be legal. If he doesn't have insurance you are screwed as far as that goes- Hire an attorney and go after this guy for damages. It's illegal in the state of Colorado to drive w/o insurance, so this guy can be cited for that. Do you have Uninsured Motorist coverage? That's what would cover you. Unless I'm reading this all wrong and "fraudulent" doesn't equal "non-existent" in this case.
He gave incorrect insurance company info. Sounds like Ridge received a letter from this guy's real insurance company once they found out about the accident.