The Challenge
In an accident claim where the policyholder was clearly liable, our GB Group LLC adjuster received a substantial six-figure demand for injuries alleged to have significantly reduced the claimant’s mobility of back and neck. On the surface, the claim appeared to be straightforward. However, the seasoned adjuster knew the importance of thoroughness in examining every piece of evidence.
Our Approach
Our adjuster meticulously reviewed the extensive medical records associated with the claim. The careful examination was driven by the adjuster’s relentless commitment to ensure that the claim was legitimate and that the demand was grounded in verifiable facts.
The Breakthrough
In the sea of medical documents, the adjuster found the needle in the haystack – a note from the claimant’s doctor indicating that the claimant was actively attending boxing practice 2-3 times a week. This was inconsistent with the claimant’s allegations of partial disability due to reduced mobility of the back and neck. This critical piece of information cast doubt on the validity of the claimant’s demand.
Armed with this information, our adjuster approached the negotiations with a focus on this inconsistency.
The Result
Leveraging the information discovered in the medical records, our adjuster was able to negotiate a settlement for a nominal value as opposed to the original six-figure demand. This substantial reduction in settlement was a direct result of the adjuster’s scrupulous attention to detail and commitment to integrity in claims handling.
This case is a testament to GB Group LLC’s thorough and diligent approach in ensuring that claims are evaluated accurately and that settlements are fair and based on factual evidence.
At GB Group LLC, our detailed scrutiny and unwavering commitment to integrity are our guiding principles, ensuring fair and just outcomes for all parties involved.