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Insurance Claims and Denials

Consumer Alert: “Pop-up ER’s”

April 27, 2016

You see them popping up around town. But do you really know what they are? What is a Free Standing Emergency Room? A freestanding emergency center, or pop-up ER, is essentially an emergency room without being directly attached to a hospital. Since a Texas law set new licensing guidelines for these types of facilities, they’ve…

Class-Action Lawsuit Against USAA

January 13, 2016

USAA is in hot water over allegations of unethical ‘cost containment schemes’ to avoid paying out on insurance claims. USAA is being accused of delaying, denying or reducing medical payouts to faithful policyholders who have been injured in auto accidents. According to San Antonio Express News, the company has been defending similar allegations for over…

Flood Damage in Wichita Falls and Texoma

May 27, 2015

On Monday, an additional 24 counties across Texas were declared in a state of disaster. A few of the Texoma counties hardest hit were Wichita, Archer, Henderson, Caldwell, Clay, Denton and Wilson. The recent heavy rain, thunderstorms, tornadoes and flooding has ravaged the state and caused considerable flood damage in our own home town, Wichita…

Wichita Falls Insurance Agent Arrested for Fraud

August 29, 2014

Last week, an insurance agent with SIG Insurance was arrested after a 10-month fraud investigation. The Wichita Falls Police Department reports that Shawn Chambers was arrested in Clay County and charged with insurance fraud and misapplication of fiduciary property. Apparently Chambers was taking payments from people and depositing the money directly into his personal accounts.…

Insurance Assistance Event for Oklahoma Tornado Survivors

June 6, 2014

John Doak, the Oklahoma Insurance Commissioner, is planning a consumer assistance event for tornado victims who still have unresolved claims. This Tuesday evening event is going to take place at Westmoore High School’s lecture hall. According to KSWO News Channel Seven, almost 100,000 insurance claims have been filed since last year’s tornadoes. So far, payments…

Education Level, Data Mining and Your Insurance Rates

April 16, 2014

An article out of The Wall Street Journal recently reported on the disturbing news about what education level and data mining have to do with insurance rates. As it turns out, data mining and education level have quite an impact on what you’re paying for car insurance each month. Insurance corporations can actually use data to determine…

Is Your Insurance Company Treating You Fairly?

June 20, 2013

The Associated Press recently reported that nearly 71,000 insurance claims have been filed in relation to the tornadoes that swept through Oklahoma last month. Insurance adjusters are likely working overtime to get claims reviewed. Under the law, your insurance company has certain duties to treat your fairly. There are deadlines for responding to claims. The…