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Insurance Bad Faith

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:

1

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.

2

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.

3

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.

4

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.

5

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.

Frequently Asked Questions

Yes. Insurers have a legitimate right—even a duty—to investigate claims. But investigation must be fair, thorough, and conducted in good faith. When investigation becomes one-sided, designed to find reasons to deny rather than fairly evaluate, it crosses into bad faith.
IME stands for 'Independent Medical Examination,' though it's usually neither independent nor unbiased. Your policy may require attendance. But you have rights: your attorney can attend, you can record the exam, and you can challenge biased findings. The examiner's history of defense-favorable opinions is discoverable in litigation.
Generally, yes—in public places. They can observe your activities, take photos, and record video when you have no reasonable expectation of privacy. But they can't trespass, harass you, or misrepresent surveillance findings. How they use surveillance footage matters—editing to create misleading impressions can be bad faith.
Fair investigation seeks truth; bad faith investigation seeks denial. Fair investigation considers all evidence; bad faith investigation cherry-picks. Fair investigation uses objective experts; bad faith investigation uses 'hired guns.' The purpose isn't to evaluate—it's to build a case against you.
Research the doctor. Many IME doctors make substantial income from defense examinations and rarely find in favor of claimants. If your examiner contradicts your treating physicians without adequate explanation, has a history of defense-favorable opinions, or spends minimal time examining you, bias is likely.
Yes. Insurers routinely search social media for photos or posts they can use to question your injuries. Even innocent photos can be misrepresented—a smile at a family gathering becomes 'evidence' you're not really in pain. Limit social media activity during your claim and avoid posting anything that could be taken out of context.
This is common bad faith evidence. Insurers may show only moments that appear normal while editing out evidence of pain or limitation. We subpoena full, unedited surveillance footage. Selectively edited video presented as the 'truth' is evidence of bad faith.
To the other driver's insurer, yes—you have no obligation. To your own insurer, your policy may require 'cooperation,' but you have rights. You can have an attorney present, request questions in writing, and decline to speculate. Don't give statements without understanding how they'll be used against you.
Don't confront investigators—just note what you observe. Document dates, times, vehicle descriptions, and any unusual activity. Tell your attorney. We can use discovery to obtain all surveillance materials and ensure footage isn't selectively edited to misrepresent your condition.
When we can show the investigation was designed to deny rather than evaluate—cherry-picked evidence, hired-gun experts, misleading surveillance—that proves the insurer wasn't acting in good faith. Their investigation file, obtainable in litigation, often reveals the bias they tried to hide.

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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