Unfair Insurance Investigations
They're supposed to investigate your claim. Instead, they're investigating you—looking for reasons to deny, not reasons to pay. When investigation is designed to find ammunition rather than truth, that's bad faith.
Key Takeaways
- Investigation must be fair: One-sided investigations designed to deny are bad faith
- "Independent" exams often aren't: IME doctors may be biased toward defense
- Surveillance can be misrepresented: Edited video may not tell the full story
- We expose the bias: Claim files reveal investigation tactics
Common Unfair Investigation Tactics
These tactics are designed to build a case against you, not evaluate your claim fairly:
Biased IME Doctors
'Independent' medical examiners who make their living from defense work. They examine you for minutes but write lengthy reports contradicting your treating doctors.
Surveillance Abuse
Following you, filming you, then editing footage to show only moments of activity while cutting evidence of pain, limitation, or rest periods.
Social Media Mining
Scouring your accounts for photos or posts to use out of context. A smile in a family photo becomes 'proof' you're not really hurt.
Recorded Statement Traps
Getting you on record before you know the full extent of your injuries, then using your words against you when your condition worsens.
When Investigation Becomes Bad Faith
These patterns show investigation was designed to deny, not evaluate:
Cherry-Picking Evidence
Focusing only on evidence supporting denial while ignoring or minimizing evidence supporting your claim. A fair investigation considers all facts.
Using 'Hired Gun' Experts
Employing doctors or experts known for always favoring insurance companies. We discover their history of defense-favorable opinions.
Misrepresenting Surveillance
Presenting edited video as complete, or describing surveillance in ways that mischaracterize what it really shows.
Inadequate Investigation
Denying without proper investigation—not reviewing all records, not consulting appropriate experts, not considering all evidence before making a decision.
Investigation as Harassment
Using investigation to pressure or intimidate rather than gather facts. Excessive surveillance, repeated IME demands, or intrusive questioning.
Predetermined Conclusions
Internal claim notes or communications showing the decision to deny was made before investigation was complete.
Protecting Yourself During Investigation
You can't stop investigation, but you can protect your rights:
Be Honest and Consistent
The best defense against investigation is truth. Don't exaggerate your injuries, but don't minimize them either. Inconsistencies—even innocent ones—get used against you.
Know Your IME Rights
Your attorney can accompany you. You may be able to record the exam. The examination should be thorough, not a quick walkthrough. Request a copy of the report.
Limit Social Media
Don't post about your injuries, activities, or case. Even innocent posts get taken out of context. Consider making accounts private or limiting use during your claim.
Document Your Reality
Keep a journal of your pain levels, limitations, and daily struggles. Medical records capture some of this, but your personal documentation shows the full picture.
Get Legal Representation
We know investigation tactics. We can prepare you for IMEs, advise on surveillance, and obtain the insurer's full investigation file to expose bias.
Other Types of Bad Faith Claims
Frequently Asked Questions
Expose Their Bias. Prove Bad Faith.
If the insurance company is investigating you instead of fairly evaluating your claim, we can help. We subpoena their files and expose investigation tactics designed to deny.
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