AAA Ignores Damage to Deny Home Insurance Claim

Our client recently filed a lawsuit against Auto Club Indemnity Company (AAA) and its adjuster. The man’s home was seriously damaged in a hailstorm that bombarded Fort Bend County, Texas in June 2016. AAA and its adjuster conducted a substandard and improper inspection of our client’s property, grossly undervaluing the cost of repairs and deliberately yielding an unrealistic amount to underpay coverage.

June 4, 2016 Storm

On June 4, 2016, a severe storm tore through Missouri City, pelting our client’s home with hail and heavy rain. His roof and exterior, as well as several rooms inside the home, suffered serious damage. After the storm, our client quickly submitted a claim to AAA, hoping his insurance company would help him get his life back in order.

AAA Home Insurance Claim

AAA assigned one of its adjusters to inspect the property and adjust the claim. The adjuster knowingly conducted a subpar investigation, refusing full coverage and estimating damages to total about $3,200. After applying the deductible, this left our client without any recovery to make repairs to his home.

The third-party expert hired after the insurance company’s fraudulent inspection found a litany of damages that were either conveniently absent or undervalued in AAA’s estimate.

The damage to our client’s property is currently estimated at $36,100.

AAA’s adjuster intentionally undervalued our client’s claims in order to maintain his job. He misrepresented the amount of damage, hoping our client would simply rely on his expertise and fraudulent estimate as a true representation of the property’s damages.

Because of AAA’s fraud, our client could not complete any meaningful repairs to his home, resulting in even more damage. AAA’s inadequacies forced him to retain an attorney to pursue his claim for insurance benefits. On December 13, 2016, the Chad T. Wilson Law Firm filed suit, on behalf of our client, against Auto Club Indemnity Company for fraud, breach of contract, negligence, gross negligence, negligent hiring and violations of the Texas Insurance Code and the Texas DTPA.

Texas Property Insurance Lawyers

If your homeowner insurance carrier has denied your insurance claim, then we can help. The experienced attorneys at Chad T. Wilson Law Firm have represented more than 1,000 clients in cases against insurance companies. Our property insurance lawyers aggressively protect the rights of insurance policyholders. Our consultations are free, and you owe us nothing until your case is won. Contact us today to see how we can help.

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Our client, a liquor store in Colorado, was recently forced to file a lawsuit against Auto-Owners Insurance Company and its adjusters. The store suffered extensive damages when a severe storm passed through Highlands Ranch, Colorado in September 2014. After the hail had passed, our client found themselves in a storm of Auto-Owner’s fraud and deceit.

September 29, 2014 Storm

On September 29, 2014, a severe wind and hailstorm bombarded Douglas County, Colorado, tearing through neighborhoods and destroying homes and businesses as it went. Our client became one of the storm’s many victims when the torrential hail damaged the property. After the storm, the store submitted a claim to Auto-Owners, hoping it would help it get back in business.

Auto-Owners Insurance Company Property Insurance Claim

Auto-Owners hired Monaco Adjusters, which then assigned an agent to adjust the claim. The adjusters estimated the damages to be around $31,000.

But, after applying depreciation and the policy deductible, the store received $13,300. Damages to the liquor store are currently estimated at more than $577,000. They received less than 3 percent of what they were owed based on their policy.

Due to Auto-Owners’s breach of contract, our client was unable to complete any meaningful repairs to the building. They were forced to retain an attorney to pursue their claim for insurance benefits. On September 29, 2016, the Chad T. Wilson Law Firm filed suit, on behalf of our client, against Auto-Owners Insurance Company for breach of contract, bad faith breach of insurance contract, and statuary bad faith.

Colorado Property Insurance Lawyers

If your homeowner insurance carrier has denied your insurance claim, we can help. The experienced property insurance attorneys at Chad T. Wilson Law Firm have represented more than 1,000 clients in cases against insurance companies and aggressively protect the rights of insurance policyholders. Our consultations are free, and you owe us nothing until your case is won. Contact us today to see how we can help.

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State Farm Commits Fraud Against the Federal Government

 

The Supreme Court has spoken: State Farm committed fraud.

On Tuesday, the highest court in the land unanimously affirmed a jury verdict that State Farm Fire and Casualty Co. committed fraud against the federal government after Hurricane Katrina.

The case against State Farm began when sisters Cori and Kerry Rigsby witnessed the insurance giant shifting private wind insurance claims in Mississippi to federal flood insurance.

Flood insurance policies are backed by the federal government, so insurance companies are reimbursed for the flood policies they paid. Wind insurance, however, comes out of the insurance company’s pocket. State Farm took advantage of the massive flooding during the hurricane by lying about wind insurance claims so that they would get reimbursed by the federal government.

The sisters, who worked as independent adjusters for State Farm, filed suit, ultimately winning the case in 2013. The Court ordered State Farm to pay $750,000 in damages. Thirty percent of the award went to the Rigsbys, and the remaining went to the federal government.

After the Rigsbys won the case, other claims that State Farm defrauded the National Flood Insurance Program surfaced. In 2015, Mississippi filed its own civil fraud lawsuit against the insurance company. The state claimed it had paid as much as $522 million to State Farm policyholders after the company exploited its adjusters’ and engineers’ reports to benefit itself.

On Tuesday, the justices rejected State Farm’s claims that this whistleblower case be dismissed because its existence was leaked while it was supposed to be secret.

Justice Anthony Kennedy wrote the opinion for the Court upholding an appellate ruling that there is no requirement in federal law that the lawsuit be dismissed. The Supreme Court’s opinion was mostly limited to the provisions of the federal False Claims Act. The rule requires that the existence of whistleblower lawsuits remain secret for a minimum of 60 days.

It says a lot that State Farm chose to argue a technicality and not whether or not it actually committed fraud.

The Rigsbys’ lawyer at the time, Dickie Scruggs, emailed information to reporters that revealed the lawsuit’s existence before the case was public, Kennedy wrote.

The Associated Press, ABC News and The New York Times each published stories about fraud allegations, without specifically mentioning the sisters’ lawsuit.

If you would like to read the Supreme Court opinion in its entirety, the citation is: State Farm Fire and Casualty Company v. United States, 15-513.

MetLife Denies Hailstorm Damage

MetLife Denies Hailstorm Damage

Our client recently filed a lawsuit against Metropolitan Lloyds Insurance Company and its adjusters. The man’s home was seriously damaged in a hailstorm that bombarded Montgomery County, Texas, in May 2016. MetLife and its adjusters conducted a substandard and improper inspection of our client’s property, grossly undervaluing the cost of repairs and deliberately yielding an unrealistic amount to underpay coverage.

May 29, 2016 Storm

On May 29, 2016, a severe hailstorm tore through Montgomery, pelting our client’s home with hail and heavy rain. His house suffered severe damage to the roof and exterior, as well as several rooms inside the home. After the hailstorm, our client quickly submitted a claim to MetLife, hoping his insurance company would help him get his life back in order.

MetLife Insurance Company Home Insurance Claim

MetLife assigned one of its adjusters to inspect the property and adjust the claim. The adjuster knowingly conducted a subpar investigation, refusing full coverage and estimating damages to total about $1,400. After the deductible, this left our client without the necessary recovery to make repairs to his home.

Unsatisfied with the denial, our client requested a re-inspection. MetLife’s second adjuster arbitrarily added a few more items to the first damage list, estimating damages to total $3,100. Again, this left our client with little recovery after the deductible.

Both adjusters’ assessments of the damages swayed heavily to favor MetLife. They found no damage to the roof, but they did find interior damages. These covered damages were determined to be the result of conveniently uncovered damages to the roof.

The third-party expert hired after the insurance company’s fraudulent inspection found a litany of damages that were either conveniently absent or undervalued in MetLife’s estimate.

The damage to our client’s property is currently estimated at $50,400.

MetLife’s adjusters intentionally undervalued our client’s claims in order to maintain their jobs. They misrepresented the amount of damage hoping our client would simply rely on their expertise and fraudulent estimate as a true representation of the property’s damages.

Because of MetLife’s fraud, our client could not complete any meaningful repairs to his home, resulting in even more damage. MetLife’s inadequacies forced him to retain an attorney to pursue his claim for insurance benefits. On December 1, 2016, the Chad T. Wilson Law Firm filed suit, on behalf of our client, against Metropolitan Lloyds Insurance Company for fraud, breach of contract, negligence, gross negligence, negligent hiring and violations of the Texas Insurance Code and the Texas DTPA.

Texas Property Insurance Lawyers

If your homeowner insurance carrier has denied your insurance claim, then we can help. The experienced attorneys at Chad T. Wilson Law Firm have represented more than 1,000 clients in cases against insurance companies. Our property insurance lawyers aggressively protect the rights of insurance policyholders. Our consultations are free, and you owe us nothing until your case is won. Contact us today to see how we can help.