If they had to hire independent adjusters to to scene inspects etc.

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PostPosted: Wed Apr 23, 2008 12:00 pm   Post subject:   

Quote:
She said she needs that to give me a settlement offer.
If these are the EXACT words she used then they have accepted liability........
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It dont take 3month to determine liability
I'll disagree with that some times it does...we don't know how uncooperative her insured was...but would expect him to be wouldn't you? If they had to hire independent adjusters to to scene inspects etc...then it could certainly take three months...granted most of the time should've been able to do it in 30-60 days, honestly 90 days isn't that long on a slip and fall, especially if she didn't get all the signed forms from you...one of which will allow her to 'index' you and make sure you aren't a cronic 'slip and faller'....no way will they make any offer before knowing that...then getting all the info from the doc can easily take two months...all doc's don't respond quickly...and she can't even request them without the properly attached authorization...
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it has been almost a year
Not since the carrier has had the claim though right? you can't keep saying a year when it hasn't been to them! They have only known about the claim for three months correct?
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That is enough and just like a statement just not signed
no, it's not....
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Should i give them a deadline to settle?
why would you do that? you just said that she told you that...
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She said she needs that to give me a settlement offer




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Because an atty needs time to get info and file.
If you have an attorney you shouldn't be talking to her PERIOD...what are you doing all of this for if you have an attorney?
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I even lower my demand i havent told them what my new demand is?
Why are you making any demands if you have an attorney? You are really confusing me here....or is this attorney talk, ''if''? What demand did you make?



Look, I'm gonna be very frank with you (again) if you don't sign the necessary documents that they need, (like the auths, hippa and your statement)...re-read the statement before you sign it...and why didn't they just take a recorded statement rather than notes? did you refuse a recorded statement? Then you really have (IMO) zero complaint about the length of time it is taking to get to the settlement discussion of this claim...seriously......It just seems like you are (to them) being uncooperative....


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PostPosted: Wed Apr 23, 2008 2:21 pm   Post subject:   

No, that is what they wrote to the doi. they stated that in order for them to offer me a settlement they would need hipaa forms and a signed statement but if she accepted liability why doesnt she just tell me. She got hipaa forms already but they had expired and she said i might have to sign more if the providers recieve them after the date. I understand she needs them to know the injury. but why doesnt she just wrote me saying she accept liability. Than she states that she needs a signed statement. i didnt say the her adjuster cant take a statement. All i said was that i wasnt willing to sign one at that time. The independent adjuster took 4 pages of what she called notes. I believe they are maybe trying to get me in a trip to answer some unfair question that would give them a reason to deny liability. I dont have an atty yet, but if i see they are going to take there sweet time, i rather just have an atty deal with them. I dont have time on my hands to spare. I mailed her a letter stating i wasnt going to give her any more hipaa forms until she determine liability. you think she would write and let me know no she doesnt. but i stated an atty needs time to file because some people wait until a month or so when statute of limitations are about to run out and than try to find an attorney.


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PostPosted: Wed Apr 23, 2008 11:26 pm   Post subject:   

If people wait that long to get an atty. (right before statutes run out) they will risk not having alot of evidence that could have helped in their claim.

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PostPosted: Thu Apr 24, 2008 10:03 am   Post subject:   

Quote:
Than she states that she needs a signed statement. i didnt say the her adjuster cant take a statement. All i said was that i wasnt willing to sign one at that time.
I don't understand that AT ALL???????? ConfusedConfused Why would you feel ok giving the statement but not signing it that 'this is what I said'? If it's a written statement (which I haven't done in about 20 years! ) then of course it must be signed...without your signature it's the same as if you hadn't given them one at all......
Quote:
The independent adjuster took 4 pages of what she called notes. I believe they are maybe trying to get me in a trip to answer some unfair question that would give them a reason to deny liability
could be but I doubt it they have to have a formal statement from your re: the facts of loss...it's that simple....either sign the dag gum thing after through review or tell them sorry about that, can I just give you a new one? Maybe a recorded one rather than hand written.????

Quote:
I dont have an atty yet, but if i see they are going to take there sweet time,
I don't mean any disrespect but from their opinion (and I can see this) you are causing a huge part of this delay...with not signing the statement, the not returning the new hippa forms, you sending doc's records rather than them requesting them etc...and apparently the DOI agrees....re: attorney you have already done a lot of the messing around with them and spending way too much time not signing these benign forms they have asked you to (that an attorney would've promptly had you do by the way), so really the wasting of your time has already occured....if you get an attorney now, well you've done most of the work for him/her.....but totally up to you....
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I mailed her a letter stating i wasnt going to give her any more hipaa forms until she determine liability
Well I think she already did and her response to the DOI indicated same....frankly again I think you are slowing this process...yourself...by not signing these...when did you mail 'this' letter?


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PostPosted: Fri Apr 25, 2008 9:36 pm   Post subject:   

I decide to sign a statement and hipaa forms. No she has no excuse to not evaluate and give an offer. And if she accepted why not tell? Would you accept liability and not tell the person? This whole thing is getting old to me now. These claim thing are dumb. Lets see how long it takes her to come up with an offer


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PostPosted: Sat Apr 26, 2008 11:28 am   Post subject:   

I know you're rightfully frustrated....a big part of it is though, (if I'm remembering correctly) the accident happened months and months prior to the ins carrier getting notice of it right?



I personally would've told the person yes, that my investigation was completed and that I was accepting liabity....however....sounds like she is 'assuming' that you know.. Rolling Eyes or atleast that is what I'd hang my hat on based on her statement to the DOI, (don't lose that paper!)......she may after receiving the new hippa papers request additional info from the doc.....after there has been enough time that she should've received them call and ask if she has them now in her possession and if there is anything else she needs....then ask how long you should expect that it will be before she makes you a formal offer...



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PostPosted: Sat Apr 26, 2008 10:21 pm   Post subject:   

I would give her a call after a week from sending the forms. I know hippa forms are a big part of everything now. By not signing the new forms you were probaly holding yourself up. I know waiting on a settlement can be frustrating...walking down that road myself but hang in there.

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PostPosted: Mon May 05, 2008 10:18 am   Post subject:   

thank you all for the great advice. Sry for the delay reply. A good friend of mine killed himself. I faxed over the hipaa forms and sign statement to her on the 25th of April. The statement i had to do myself because her independent adjuster would never answer or return any of my calls. So finally after a week and a half of waiting i wrote one myself of when, and where it happen, the time, where i was coming from, why i was at those places and where the pipe was located. And i signed it with my dob and other information to identify it was me. When do you think i should give her a call to ask if she got it and if she needs anything else.


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PostPosted: Mon May 05, 2008 10:41 am   Post subject:   

If you mailed it the 25th then she should have received it by no later than what the 29th or 30th at the latest right? So I'd call her this Wed the 7th should have had it in her possession a week by wed...



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PostPosted: Mon May 05, 2008 11:41 am   Post subject:   

I faxed it to her the 25th.


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PostPosted: Mon May 05, 2008 11:42 am   Post subject:   

I faxed it to her the 25th. But i will still give her until wed the 7th.


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PostPosted: Tue May 06, 2008 10:11 am   Post subject:   

You FAXED it? Did she say that would be OK? She more than likely needs the orginals....(signatures)...most of the time you must maintain in your possession (adjuster) the original in the file...Did you follow up the fax by mailing them? If not you'd better call her...today



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PostPosted: Thu May 08, 2008 10:54 pm   Post subject:   

I am pretty sure they will be needing the originals too. I am very sorry to hear of your loss.

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PostPosted: Mon Aug 04, 2008 1:18 pm   Post subject:   

Hi Lori!



Quote:
then ask how long you should expect that it will be before she makes you a formal offer...


Can we ask such questions directly!

I mean...would she be able to comment on that at that instant?

It would be good if you'd illustrate a bit..

Regards,

ArindamSenIndies
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PostPosted: Mon Aug 04, 2008 10:07 pm   Post subject:   

Quote:
Can we ask such questions directly!
Well of course you can !
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I mean...would she be able to comment on that at that instant?
Certainly! She will know what additional information she needs if any, and then will know once she has all the information what she has to do (and how long it will take) to get a range figured out and present an offer... Hi to you too ArindamSenIndies !


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