Fraudulent claim

A life insurer ceased paying partial disability benefits to a doctor on the basis of a medical opinion which suggested that the doctor was capable of returning to full-time work. This issue was strongly contested. After the doctor issued proceedings, we undertook extensive investigations (involving subpoenas, surveillance, etc) which revealed that the doctor had commenced running a home practice on a full-time basis. This enabled the life insurer to settle the claim for a nominal sum.


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