Presentation on theme: "NICB Questionable Claim (QC) Reason for Submission Format Suspicion of Slip and Fall fraud. Janine Taylor, of 110 Park Avenue, New York, New York appears."— Presentation transcript:
NICB Questionable Claim (QC) Reason for Submission Format Suspicion of Slip and Fall fraud. Janine Taylor, of 110 Park Avenue, New York, New York appears to have staged a slip/fall at Original House of Pancakes located in the shopping center at Monroe and Bentley April 24, 2012. Taylor had knowledge of insurance terms and process and wanted early settlement. She immediately obtained an attorney, William Bain, and settlement demand letters were sent numerous times. The claimant is apparently in financial hardship as she was late paying her rent and subject to eviction. She has one prior fall at a Chili's Restaurant under similar circumstances. A video was obtained from the restaurant and her accident was closely examined. When Taylor and her attorney were notified of the video, they stopped with any further contact with claims and have not replied to phone calls or letters sent. The claim and investigation are pending waiting on their response. Claimant is demanding a settlement of $50,000 for pain and suffering and wages lost due to time off work. Assigned adjuster: John Smith, 888-555-1212 or email@example.com.