On August 7, 2012, Doyle filed a bad faith insurance claim against Blue Cross & Blue Shield of Texas, on behalf of a mother who was denied payment for emergency medical care owed to her under her insurance policy. Despite the plain language of the insurance policy issued by Blue Cross & Blue Shield of Texas, as well as the opinion of the Texas Department of Insurance, Blue Cross & Blue Shield of Texas has refused to pay or reimburse doctors for necessary, emergency medical treatment provided during the delivery of her child.
WRONGFUL DENIAL OF A COMMERCIAL PROPERTY INSURANCE CLAIM.
Doyle LLP Trial Lawyers has filed a lawsuit seeking damages for the wrongful denial of a commercial property insurance claim.
The suit alleges that America First Lloyd’s Insurance Company, Liberty Mutual Insurance Company, and its adjuster, Marshall Lafon, denied a claim covered by a commercial property insurance policy. The claim arose from an October 5, 2014 hail storm that impacted the Dallas-Fort Worth area.
Doyle LLP’s client submitted to multiple inspections of the damaged properties and submitted a variety of documents to support the claim. Nonetheless, America First Lloyd’s Insurance Company, Liberty Mutual Insurance Company, and their adjusters denied the claim.
The legal filing states that America First Lloyd’s Insurance Company, Liberty Mutual Insurance Company, and their adjusters are liable for breach of contract (the insurance policy) and extra contractual claims under the common law duty of good faith and fair dealing, the Texas Insurance Code – Unfair Claim Settlement Practices Act, the Prompt Payment Act, and the Deceptive Trade Practices Act (DTPA).
Through the suit, Doyle LLP’s client is seeking compensation to allow for repair of the damaged commercial buildings. Moreover, Doyle LLP’s client is entitled to seek damages caused by the delay in payment of the claim, including interest, attorneys’ fees, and the damages that have occurred as a consequence of the delay in payment of the claim.
Doyle LLP Trial Lawyers prides itself in protecting the rights of policyholders who fall victim to insurers who deny proper claims. If your commercial property claim or business interruption claim has been denied, we can assist in evaluating your rights under the insurance policy.
Commercial Property– Insurance Bad Faith
Doyle LLP Trial Lawyers has filed suit against Lexington Insurance Company, McLarens Inc., and its adjusters for the denial of a commercial property insurance claim. The claim arose from a May 29, 2013 hail storm that hit the Dallas and North Texas area.
The suit seeks the insurance benefits under the policy in order to allow repair of several damaged commercial properties. In addition, Doyle LLP’s client has filed suit to obtain interest for the delayed payment of insurance benefits, attorneys’ fees, and other damages associated with the delay in repairs to the commercial buildings involved.
Although Doyle LLP’s client provided all of the proper documentation to support its claim, Lexington Insurance Company, McLarens, Inc., and their adjusters refused to pay the claim. They issued multiple denial letters, failed to conduct a reasonable investigation, and refused to pay the claim even though their liability was reasonably clear, the suit alleges.The suit further alleges that Lexington Insurance Company and its adjusters breached the insurance policy, violated the duty of good faith and fair dealing, and failed to follow various Texas statues, such as the Texas Insurance Code – Unfair Claim Settlement Practices Act, the Prompt Payment Act, and the Deceptive Trade Practices Act (DTPA).
Doyle LLP Trial Lawyers has experienced attorneys in representing commercial property owners in claims against insurance companies who refuse to honor commercial property insurance policies. If your building has been damaged and the insurer is refusing to pay for necessary repairs, call us to discuss your right to benefits under your policy.
Doyle LLP Trial Lawyers has filed an insurance bad faith suit under Arizona law in Maricopa County Superior Court against Ace American Insurance Company, Gallagher Bassett Services, Inc., and their adjusters.
The suit arises from Ace American and Gallagher Bassett’s wrongful handling of the Plaintiff’s workers’ compensation claim. After a work injury at FedEx in May 2014, the Plaintiff was owed benefits due to serious shoulder and back injuries. The case alleges that the Defendants wrongfully closed the injured worker’s claim based upon the misuse of the Independent Medical Exam (IME) process. First, Defendants closed the claim based upon the report of Dr. Zoltan. However, Dr. Zoltan’s opinions had already been rejected by the Industrial Commission of Arizona (ICA) in an Award that was entered in June 2016. And then, recognizing this unreasonable and bad faith basis to close the claim, Defendants attempted to manufacture a new basis to deny the claim and sent the Plaintiff for an IME with Dr. Theiler. Arizona law holds that insurers and adjusters may not use the IME process in bad faith. The lawsuit alleges that the Defendants engaged in this conduct by using an already-rejected IME report and then using the IME process to generate another excuse to deny the insurance claim in bad faith.
It was only through proceedings before the Industrial Commission of Arizona and with the assistance of an attorney that Plaintiff was able to force Ace American and Gallagher Bassett to reverse their denial. On March 6, 2018, the Industrial Commission of Arizona entered an award finding that Defendants’ closure of Plaintiff’s claim was unfounded and that Ms. Mable was entitled to the benefits that had been unreasonably denied by Defendants, including income benefits and disability benefits. Nonetheless, Defendants’ bad faith conduct did not end there. Defendants repeatedly refused to follow the orders of the Industrial Commission of Arizona and ignored multiple written communications and telephone calls to Defendants and their attorney asking them to honor the award and pay the owed benefits. It was not until approximately 11 months later, on or about, February 5, 2019, that Defendants issued the payment. Not surprisingly, the Industrial Commission of Arizona found that the Defendants had acted in bad faith and ordered payment of $8,251.81 as a penalty. However, the suit further alleges that the Defendants have continued their bad faith conduct and refused to pay the bad faith penalty that was ordered by the Industrial Commission of Arizona.
Plaintiff’s suit alleges that this conduct amounts to a breach of the duty of good faith and fair dealing under Arizona law.
Doyle LLP Trial Lawyers is a firm that focuses its practice on holding insurance companies responsible for wrongfully withholding benefits and engaging in bad faith conduct. If you or a family member need advice on the wrongful handling of your insurance claim, Doyle LLP’s lawyers are available to discuss your claim at no cost to you.
Doyle LLP has filed suit against American Zurich Insurance Company and Sedgwick Claims Management Services, Inc. for bad faith insurance claim handling. The suit, which is pending in the United States District Court of Arizona, Phoenix Division, alleges that American Zurich violated the duty of good faith and fair dealing and that Sedgwick Claims and its adjusters aided and abetted American Zurich’s bad faith conduct.
The Plaintiff in the suit was an employee of JBS and was injured at work in November 2017, when he fell from a ladder and suffered injuries to his shoulder, neck, and low back. Rather than properly handle the Plaintiff’s claim, American Zurich and Sedgwick Claims wrongfully denied the claim in its entirety.
The Plaintiff’s work injury was documented in an on-site incident report and at the onsite medical facility. Moreover, the Plaintiff’s injury was confirmed by a treating physician. Nonetheless, American Zurich and Sedgwick ignored this evidence and denied income and medical benefits that were required to ensure that the Plaintiff received timely medical care and had income to meet his living expenses.
It was only through proceedings before the Industrial Commission of Arizona and with the assistance of an attorney that the Plaintiff was able to force American Zurich and Sedgwick Claims to being paying benefits. The suit seeks the damages caused by the delay in payment of these benefits, such as pain and suffering, physical impairment, mental anguish, and punitive damages.
If you or someone you know suffered a work injury in Arizona and have been the victim of a wrongful denial of benefits or other bad faith conduct, the lawyers at Doyle LLP stand ready to assist you in determining whether you have a viable claim.