Synergy Coverage Solutions’ recent settlement of a claim involving a back injury was reduced by $70,000 due to information gained during our aggressive claims investigation. Upon injuring her lower back while picking up a patient, the claimant underwent back surgery and was determined to have permanent work restrictions. Her employer was able to accommodate her work restrictions; however she chose to resign from her position due to unrelated medical complications.
Initially, her attorney demanded a settlement of $90,000, taking the stance that the claimant was permanently and totally disabled. However, upon deeper investigation of the claim, our Adjuster discovered the claimant had just returned from a trip involving high physical activity, rendering the permanent and total disability claim false. Synergy was able to provide evidence that the claimant was not actually disabled, which lead to a $70,000 reduction in settlement.
Synergy Coverage Solutions prides itself on diligent and aggressive claims investigation. Our Claims Adjusters take control of the situation, researching and obtaining details through a variety of resources; in this situation, finding evidence that the claimant was able to participate in high levels of physical activity while on vacation helped us construct a strong legal argument in the case.