Tricks Insurance Companies Use to Deny Your Claim

Brian talks about how contractors can get steamrolled by insurance companies when they try to go it alone on their cases.

In this video, Defense Base Act attorney Brian E. Wiklendt tells you all the tricks that insurance companies use to deny your claim and your financial compensation.

Remember, they'll help you and smile at you and all the while are just waiting to cut your benefits. Don't believe what they tell you.

WHEN YOU HEAR THESE WORDS it's time to Get an Attorney:
"I'm Your Nurse Case Manager": works for insurance company
"We need a Recorded Statement:" ready to deny your claim
"Independent Medical Exam:" Not on you or your doctor's side
"Vocational Assessment:" They find out what you can do physically
"Peer Review:" review of your paperwork, not a doctor, denies claim
"Labor Market Survey:" They find a job you CAN do, now
"Functional Capacity Evaluation:" are you faking or exaggerating?
They ARE Surveilling You: Surveillance is common and they're fast
"Initial Written or Oral Statement:" they grill you about statements

Brian says from the start that he knows from experience what insurers are doing. Brian was an in-house attorney at one point in his 20-year career as an attorney.

But Brian explains that he doesn't like what he saw and he left the business to work on the other side.

It might seem like they're trying to help you when they call you and say they need to talk to you. They have NO intention on helping you, not ever.

Insurance companies will never be profitable if they're paying you or giving you health. Their ONLY goal is to eventually deny, deny, deny.

You don't have to call us, but you really have to get a defense base law attorney. It doesn't matter where they are because they will come to your hometown.

So read, watch videos and talk to lawyers. Get your answers. Any DBA lawyer or Longshore lawyer you call is never going to charge you a penny.

Lawyers fees are 100% NOT your responsibility. The Department of Labor pays for it and bills the insurers or the employer for legal fees.
It's so important to get help from someone who has the experience in this very rare and unusual practice area. Defense Base Act Law and Longshore Act Law specific and not many attorneys practice this. So find a good one.

It doesn't matter where you live because Brian flies to you, no matter what state or country you live in.

When you call to talk with attorney Brian Wiklendt we have a 24 hours a day 1-800-393-2999 phone line. That line is answered from 9-5 weekdays by Doreen Cabral, our paralegal. She will get you in touch with Brian ASAP. We ALWAYS call our clients back. Day or night, when we hear from you, you will get a return phone call.

[mycoffeemyday]

Gonna hire an attorney. Seems insurance makes a nasty habit of rejecting legitimate claims.

[prestonmcleod]

The insurance company is not your friend!!

[szqsk]

I work in an ortho practice that treats a lot of WC patients and I've always wondered about the insurance side of these cases. They flood our office with requests for medical records, functional capacity questionnaires etc and it's maddening. Some of our patients have been severely injured yet somehow the insurance company can convince a judge that patient can be up roofing homes even though our patient is nearly bedridden from pain. There has to be a better way to treat injured workers.

[martinsilvaleber]

I practiced as a personal injury attorney, in Argentina. He is totally right!. I work with insurance claims related to hurricane victims.

[FreshRides]

A lot of the things he is saying insurance companies don’t need they do to prevent and deter injury fraud which attorneys gladly help embellish because it obviously effects their pay day at the end so they have an incentive. It goes both ways though there is bad people in insurance and a lot of attorneys in the same boat.

[yagvaaj]

I've been researching WC Laws/Administrative for the past year and this is the first Real Lawyer who's telling the truth. Most of these WC Lawyers actually really works for the everyone other than the actual injured worker. "a medical examiner agreed to by them?" something is wrong with that picture. I'm on a case now and I wish you were in CA

[lesliewilliams]

Thank you for sharing Brian! Peace & blessings 😊🌈💜

[billthompson]

You are truly a gift from God, I am thankful just watching your video.
I wish I would have known about you earlier, I would not be suffering like I am now.

[dannyawesome]

Omg you are right .. they did that to me . I got everything denied. Than the doctor they had me see told them that my injury was no work related.

[diontaedaughtry]

Thank you this was very helpful and informative 👍👍

[manictiger]

Gotta love how the math is ALREADY in their favor, but being a glorified casino isn't good enough, so they want to CHEAT even more. Even casinos aren't allowed to refuse to pay out.

[capt.imanuddinyunusshmh.]

Thanks a lot... Very useful info .. Appreciated

[MMAGUY]

Got to an accident truck slammed into me while I was at work I need 2 surgeries then they sent me to a IME they said I’m good to go back to work so here I am not getting paid while I’m waiting for surgery Workmen’s Compensation insurance is a evil organization

[tvviewer]

Thanks, very brave of you fighting these companies.

[TheZuk]

I was hurt, torn rotator cuff and bicep, in Iraq working a bomb dog as a civilian contractor for SOC LLC. SOC and their insurance company, Broadspire fought and denied my claim for 7 months. SOC LLC fired me on December 8, 2020 and my DBA claim was approved on December 9, 2020. Broadspire's attorney even threatened my attorney after the claim was approved by saying, "if we do not drop the LS-18, we will cut off Kurt's disability benefits" which was the weekly monetary benefit.

[girishj]

Hey Brian, thanks for sharing your experience on worker's compensation claims. I work for a doctor here in NY and we are concerned about the MG2 that the payers deny often when we request for more therapy visits. However, there are many providers here in the same area who have been treating the patients for an injury which is older than 10 to 15 years.

Could you help me understand what are causing them deny MG2 more frequently when patients really need continuation of therapy?

How can we win against them in such scenarios?

[MajinMist]

A system that's flaws are becoming increasingly evident.

[dontliekeepitreal]

That's exactly what is happening to me, I have a ruptured tendon and need surgery, senior resolution manager stopped my payments and said she needed an updated Dr's note and she got two. And I had to take myself to the Dr. I told my assistant manager and he said, just go home. I said no I need medical attention and he said tell the manager on Monday, but after I got off of work and told Human Resources and the owner was there, I told them about it and they just looked at me like we're have a conversation. They didn't ask about if I was taken to seek medical treatment and now Gallagher Bassett and my so called employer are playing kid games.... I'm beyond pissed

[fernandosantacruz]

State board in Georgia pleasse respond to this case with. No jurisdiction to a member's decisions first count
Was no coverage and no panel was said in courts no evidence of compliance

[aicofrena]

Thank you the advise helps im going into deposition I never been paid a cent for 6 months and been out. They threatened me and their lawyers left the deposition paper in my mail box instead of serving me. They had their own medical guy who did say something is wrong with my leg. They would send me stuff and not my lawyer. The companies tried to give me a deposition without my attorney's knowledge