State doi - What do they actually do?

by gb298888 » Thu Mar 27, 2008 10:47 pm

The insurance company is giving me a hard time. This is a ho claim third party. They have all medical records and bills and photos. Liability is pretty much clear. I even gave them prior medical records going 6years back just so they can see a prior injury never occurred. i spoke with the adjuster and supervisor and they both stated they cant process or evaluate my claim. The supervisor even started laughing during parts of the conversation. Its not the first time they said this its around the 5th time. Good thing i record the last time. I file a complaint with ny state doi. What do you think will happen? Do the state doi contact them?

Total Comments: 81

Posted: Thu Apr 03, 2008 09:12 pm Post Subject:

Me above. Stupid log on.

Posted: Fri Apr 04, 2008 12:06 pm Post Subject:

Well if he didnt know he should of. He should of took reasonable steps and also do periodically checks to ensure the safety of tenants. It was also a code violation. A few duties he had and breach all.

Posted: Fri Apr 04, 2008 12:29 pm Post Subject:

All Dasfuk is trying to get across to you GB is that how quickly AFTER your fall doesn't affect your claim...now if another person would've fallen....then well, another claim..or if it had been brought to his attention PRIOR to your fall, and he still didn't fix it then you fell after he KNEW there was a hazard...then 'maybe' you'd have some 'gross' negligence to boost your claim..Dasfuk isn't disagreeing the guy is a lazy landlord...just trying to get across to you that it really is of no (or little) affect on your claims value...and he 'should've' known...well maybe, but maybe not as well...clearly you didn't see it or your wouldn't have fallen and you walk by it a few times a day right?

Posted: Fri Apr 04, 2008 07:39 pm Post Subject:

Gb:

That's the question, should he have known. Personally I believe and have seen a lot of landlords and property management companies that let things go and really don't care about their property or their tenants (except when rent is due). So yes I believe that your landlord does not take care of property. Does he owe his tenants a safe place to live... sure, but you are getting hung up on code violations. A code violation by itself (even for the porch) does not make him negligent. If the porch broke the night before your incident then no, I don't think he should have known or would have known about the damage unless someone told him. On the same hand, he should have flagged it or fix it in my opinion if he had known any more then a day before your fall.

By not fixing it or at least flagging it after your fall was just stupid on his part and he was begging for another claim.

Posted: Fri Apr 04, 2008 07:51 pm Post Subject:

Gb:

That's the question, should he have known. Personally I believe and have seen a lot of landlords and property management companies that let things go and really don't care about their property or their tenants (except when rent is due). So yes I believe that your landlord does not take care of property. Does he owe his tenants a safe place to live... sure, but you are getting hung up on code violations. A code violation by itself (even for the porch) does not make him negligent. If the porch broke the night before your incident then no, I don't think he should have known or would have known about the damage unless someone told him. On the same hand, he should have flagged it or fix it in my opinion if he had known any more then a day before your fall.

By not fixing it or at least flagging it after your fall was just stupid on his part and he was begging for another claim.

Posted: Sat Apr 05, 2008 09:03 pm Post Subject:

Also why did they want all these bills and medical records if they havent even accept liability. Medical records cant help you accept liability.

Posted: Sun Apr 06, 2008 11:04 am Post Subject:

No but they can lock down the date of loss, prior conditions etc...Many times adjusters will ask for these to get a 'jump' on it, in case liability is assumed.

Posted: Wed Apr 09, 2008 08:12 pm Post Subject:

How long should it take the adjuster to make an offer if they accept liability?

Posted: Thu Apr 10, 2008 09:38 am Post Subject:

After they accept liability, and have received all the medical info they need then shouldn't be more than 30 days, generally within a week to ten days.

Posted: Sat Apr 12, 2008 01:26 pm Post Subject:

Is it alright for me to have my medical provider fax over all my medical records to the adjuster? The adjuster said the statement i gave to the independent adjuster needed to be signed. I dont see why a statement is good enough. She said that if i dont give a signed statement and sign a hipaa authorization by may she will closed the file.

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