Complaint: I am rejecting this response because:The information about Kaiser taking a long time is not trueI called Kaiser Medical Release office directly and discovered that medical records were picked up and signed for on Sept21, by Unisourse Regards, D [redacted]
D [redacted] WAYANTIOCH, CA 94531-8493Re:Insured:LUIS ESTRADAClaim #:2***42Date of Loss:07/15/2015Claimant:D [redacted] Mr. B [redacted] , This claim has been transferred to Jeffrey Abbott ###-###-#### X6523 for further handling. Please direct all further correspondence... and communication to my attention.We are unable to bring your claim to conclusion at the present time. Under the California Fair Claims Settlement Practices Regulations (C.C.R. 2695.7(c)1), we are notifying you of our need for additional time. The reason for our need for additional time to conclude your claim is as follows:A review indicates that we have requested your medical records via Kaiser. However, requests for medical records and bills from Kaiser can take quite some time, and as of today, no records have been received. Please advise if you have received any correspondence from Kaiser, or their recovery company. Kaiser will want to be reimbursed for any treatment you obtained for injuries sustained in this accident. We appreciate your patience during our investigation.
Alliance United Insurance Company is in receipt of a request from the Revdex.comThe Company regrets any difficulty you may have experienced trying to reach our adjusterOur records reveal we spoke directly to you via ###-###-#### on September 8, and on September 15, Our phone system captured 31calls from ###-###-#### which were so short in duration that our adjuster was unable to pick up the phone in time and our voicemail system were unable to pick up before the call was terminated on your endThis pattern suggests you terminated your call to us times when the voicemail system was triggeredOur insured had a valid policy in force on the date of loss and liability is not disputedThe damages to your vehicle indicate a “total loss”The Company’s total loss department has ordered an evaluation of your vehicle to determine the “actual Cash Value” of your automobileUpon receipt of the evaluation our total loss department will contact you directly at the phone number you providedPlease contact the handling adjuster Stephanie Rubalcava at ###-###-#### if you have any questions or require any additional information
We apologize for any problems you may have with your claim Your concerns are being addressed by the claims management team and they will review your file and contact you to regarding the status of your claim
Dear [redacted] , Thank you for you inquiring regarding your claimThe claims adjuster, H [redacted] , first spoke to you on 10/03/and offered a bodily injury settlement cash out offer of $1,to settle your injury claimYou told H [redacted] you would consider the offer then give her a call back later on in the day at this time you had not went to the doctorsShe spoke with you again on November 9th reiterated the offer of $1,dollars adding an additional $on to the offer to cover your initial chiropractor visit and you said that you felt as if the offer was not fairThe next day November 10th you spoke with claims supervisor Thomas Wwho stated that if you felt that the offer was not fair you were always able to seek legal remedies
Revdex.com: William milner has contacted me and I will be awaiting further contact I have reviewed the response made by the business in reference to complaint ID 11447585, and find that this resolution is satisfactory to me Regards, [redacted]
The Company’s records reveal that the witness statement is not favorable to you. Adjuster Anthony Villanueva needs to simply follow-up with you on a few additional items that have surfaced since you provided your original statement. The Company will conduct a thorough investigation as required by law. The Company employs a multitude of specialized adjusters. The claimant vehicle operator is now represented by an attorney and is claiming they suffered an injury as a result of your negligence. Your automobile insurance policy allows us to make payment to another party when the Company believes you were legally liable for those damages. In this case, the Company is still investigating facts of the loss as each party is presenting a different set of facts. Company must confirm if you were or were not liable for the claimant’s damages. Kindly continue to cooperate with the investigation as per your policy requirements.
D0####7CAThe Company regrets any difficulty you may have experienced trying to reach our adjuster The supplement and your rental charges have been paid 675- Premier Auto Body $ 08/12/ 08/11/ Issued 675- A [redacted] $ 08/15/ 08/15/ Issued enterprise rent a car7/15/thru 8/12/29dys#######################29.99/dy =$dollarsSales Tax: 8.75% $dollarsVLR: 1dollar/dy $dollars#######################Total to Reimburse: $ dollars HYUN SONATA HYBRID LIMITED Subtotal 861.27Sales Tax $ @ % 26.88Additional Supplement Taxes -24.02Total Supplement Amount 864.13NET COST OF SUPPLEMENT 864.13##############################Amount Paid: $dollars##############################
Complaint: I am rejecting this response because:I was hit by one of this companies insuredDealing with them is a nightmareThey told me my car would be repaired but told the body shop it was a total lossThey approved a rental car but won't reimburse for itThe accident occurred on June and it is now August I have not even been able to get the car into a repair shop and there is no end in sight.I want to get my car into a body shopTo do that, this company needs to state that the car is repairable and not totalledThey told me that and will say that on the phone to me but that is worthlessI also want them to reimburse my receipts for a rental carThey approved a rental car but now said they will pay for a car for "7-days"My car is inoperable and I have rented a car since June The bill for the first weeks was $I sent them a copy of the bill and they ignored it Regards, P [redacted]
Dear [redacted] , Alliance United Insurance Company is in receipt of your complaint. The Company regrets any difficulty you may have experienced trying to reach our adjuster. Our best practice is to pick up our telephones each time they ring. Although this is not always possible, it is our goal.... The Company received confirmation that the independent appraisal firm Mega Appraisers has received our request for appraisal as of Wednesday May 18, 2016. Claim representative Z [redacted] has been instructed to contact you tomorrow May 18, 2016 at ###-###-####.
Complaint: I am rejecting this response because: Alliance United called me yesterday 11/and left a voicemailI returned their call but have yet to hear back from themI also emailed S [redacted] but have not received a response Regards, C [redacted] ***
In regards to coverage: Our investigation has revealed a coverage
issue, as per the status letter we mailed to you on March 1, which
included important mitigation information Our investigation remains
open at this timeWe will advise you when our investigation is completeUntil
then it is your duty to mitigate your damagesWe cannot tell you how much
longer our investigation will take at this timeI regards to damages: You must
mitigate your damages meaning keep your damages from getting any worse than
they already areWe understand you’re vehicle
is currently located in a storage free locationDo not move your
vehicle to a repair facility is it appears to be a total lossWe understand
you have rented a vehicleThis letter serves to
advise you that Alliance United Insurance Company is currently handling this claim under a full reservation of our
rightsThis means that there currently exists a question as to whether or not
coverage exists for this accidentPlease call Z*** *** Claims
Representative, ###-###-#### Ext:
Our efforts to reach our insured continueYou spoke directly to our adjuster Cory Dixon today and he explained we are working to resolve this issuePlease understand we are unable to provide coverage under our
insured’s policy unless there has been full compliance with all terms of our
insured’s
policy, including our insured's cooperation in obtaining the facts of the loss from our insuredAlthough California statutes prevent us from releasing our
insured’s personal information to anyone, we are able to advise you, that for
this loss there has not been full compliance with all terms of this policy and
as such, no coverage can be extended for the above referenced loss, at this timeWe will continue in our attempt to reach our insured to confirm the facts of the loss
Hi M*** *** ***,
The Company regrets any difficulty you have experienced attempting to reach the adjuster
The Company’s records reveal that adjuster Maria Avila spoke to you directly, yesterday July 29,
She obtained your statement
The Company is
reviewing the information received to date in an effort to conclude our liability investigation
Complaint:
I am rejecting this response because:THIS IS A TOTAL LIEYES THE ADJUSTER CONTACTED MY SON TODAY 01/14/BUT MY SON ASKED THAT THEY DEAL DIRECTLY WITH MEHE DID NOT AGREE TO THE SETTLEMENT AND HE DID NOT SAY NOT TO CONTACT MEIN FACT HE STATED THAT THEY SHOULD CONTACT HIS AGENT, WHICH IS ME. HE THEN CONTACTED ME RIGHT AFTER TALKING WITH ANDREW, IN TURN I CALLED AND LEFT MESSAGES WITH ANDREW AND KAREN LARSENANDREW THEN CALLED ME AND IN A VERY CONDECSCINDING TONE SPOKE WITH ME ABOUT HOW HE CAME TO HIS DECISIONI TOLD HIM I WAS NOT AGREEING TO THE DECISION AS FARMERS ADJUSTER HAD REVIEWED THE SAME INFORMATION AS HE HAD AND MY SON WAS NOT LIABILE FOR ANY PART OF THE ACCIDENTANDREW TOLD ME IT WAS HIS DECISION AND BASICALLY THAT WAS THATI ONCE AGAIN ASKED ABOUT RENTAL CAR SINCE THEY HAVE NOT EVEN OFFERED THAT AND MY SON SHOULD HAVE HAD ONE SINCE 12/07/ANDREW STATED IT MAY BE SOMETHING THEY WOULD CONSIDER AS LOSS OF USE BUT WOULD NOT AGREE TO ANYTHING AT THE MOMENTAS EACH DAY GOES BY WITH THIS CLAIM PROCESS I GROW MORE AND MORE FRUSTRATED WITH ALLIANCE UNITED AND IT'S REPRESENATIVESHOW YOU CAN HAVE THE AUDACITY TO SAY THAT SOMEONE SPOKE TO ME ON A CERTAIN DATE FOR MINUTES AND HAVE THAT BE UNTRUE AND NOW SAY MY SON HAS AGREED TO SOMETHING AND SAID YOU DID NOT NEED TO SPEAK TO ME WHICH IS MORE LIESHOW AND WHY ALLIANCE UNITED THINKS THEY CAN JUST CLAIM A BUNCH OF LIES IS BEYOND MY COMPREHENSIONI DO NOT APPRECIATE BEING LIED TO OR TAKEN AS A FOOLSTOP WITH THE LIES AND JUST GET THE CLAIM CLOSEDI AM EMAILING ANDREW A SIGNED LETTER FROM MY SON GIVING ME THE AUTHORITY TO MAKE THE DECISIONS ON THIS CLAIMI HAVE REPEATEDLY ASKED IF THERE IS ANYTHING THAT CAN BE DONE TO EXPEDITE THE CLAIM PROCESS TO LET US KNOW IF THIS LETTER WAS ALL THEY NEED TO CONTACT ME DIRECTLY THEY COULD HAVE HAD IT FROM DAY ONEI HAVE NOT AGREED TO ANY OF THE SETTLEMENT AND NEITHER HAS MY SON WE WILL NOT UNTIL SPEAKING FURTHER WITH OUR INSURANCE ADJUSTER AND REVIEWING ALLIANCES SETTLEMENT TERMSSO ONCE AGAIN NO AGREEMENT TO SETTLE THIS CLAIM HAS BEEN MADE FROM MY SON OR I
Regards,
C*** ***
Alliance United Insurance Company is not able to comment on your question:
“why they give statements and unsupported decisions”
The Company does not believe you were liable for the other party’s damages
The Company has denied liability to the Hartford Insurance Company who believes you were 50% at fault for the claimant’s damages
Alliance United Insurance Company will stand with you against Hartford Insurance Company in regards to our liability conclusion
Complaint: I am rejecting this response because:The information about Kaiser taking a long time is not trueI called Kaiser Medical Release office directly and discovered that medical records were picked up and signed for on Sept21, by Unisourse Regards, D [redacted]
D [redacted] WAYANTIOCH, CA 94531-8493Re:Insured:LUIS ESTRADAClaim #:2***42Date of Loss:07/15/2015Claimant:D [redacted] Mr. B [redacted] , This claim has been transferred to Jeffrey Abbott ###-###-#### X6523 for further handling. Please direct all further correspondence... and communication to my attention.We are unable to bring your claim to conclusion at the present time. Under the California Fair Claims Settlement Practices Regulations (C.C.R. 2695.7(c)1), we are notifying you of our need for additional time. The reason for our need for additional time to conclude your claim is as follows:A review indicates that we have requested your medical records via Kaiser. However, requests for medical records and bills from Kaiser can take quite some time, and as of today, no records have been received. Please advise if you have received any correspondence from Kaiser, or their recovery company. Kaiser will want to be reimbursed for any treatment you obtained for injuries sustained in this accident. We appreciate your patience during our investigation.
Alliance United Insurance Company is in receipt of a request from the Revdex.comThe Company regrets any difficulty you may have experienced trying to reach our adjusterOur records reveal we spoke directly to you via ###-###-#### on September 8, and on September 15, Our phone system captured 31calls from ###-###-#### which were so short in duration that our adjuster was unable to pick up the phone in time and our voicemail system were unable to pick up before the call was terminated on your endThis pattern suggests you terminated your call to us times when the voicemail system was triggeredOur insured had a valid policy in force on the date of loss and liability is not disputedThe damages to your vehicle indicate a “total loss”The Company’s total loss department has ordered an evaluation of your vehicle to determine the “actual Cash Value” of your automobileUpon receipt of the evaluation our total loss department will contact you directly at the phone number you providedPlease contact the handling adjuster Stephanie Rubalcava at ###-###-#### if you have any questions or require any additional information
We apologize for any problems you may have with your claim Your concerns are being addressed by the claims management team and they will review your file and contact you to regarding the status of your claim
Dear [redacted] , Thank you for you inquiring regarding your claimThe claims adjuster, H [redacted] , first spoke to you on 10/03/and offered a bodily injury settlement cash out offer of $1,to settle your injury claimYou told H [redacted] you would consider the offer then give her a call back later on in the day at this time you had not went to the doctorsShe spoke with you again on November 9th reiterated the offer of $1,dollars adding an additional $on to the offer to cover your initial chiropractor visit and you said that you felt as if the offer was not fairThe next day November 10th you spoke with claims supervisor Thomas Wwho stated that if you felt that the offer was not fair you were always able to seek legal remedies
Revdex.com: William milner has contacted me and I will be awaiting further contact I have reviewed the response made by the business in reference to complaint ID 11447585, and find that this resolution is satisfactory to me Regards, [redacted]
The Company’s records reveal that the witness statement is not favorable to you. Adjuster Anthony Villanueva needs to simply follow-up with you on a few additional items that have surfaced since you provided your original statement. The Company will conduct a thorough investigation as required by law. The Company employs a multitude of specialized adjusters. The claimant vehicle operator is now represented by an attorney and is claiming they suffered an injury as a result of your negligence. Your automobile insurance policy allows us to make payment to another party when the Company believes you were legally liable for those damages. In this case, the Company is still investigating facts of the loss as each party is presenting a different set of facts. Company must confirm if you were or were not liable for the claimant’s damages. Kindly continue to cooperate with the investigation as per your policy requirements.
D0####7CAThe Company regrets any difficulty you may have experienced trying to reach our adjuster The supplement and your rental charges have been paid 675- Premier Auto Body $ 08/12/ 08/11/ Issued 675- A [redacted] $ 08/15/ 08/15/ Issued enterprise rent a car7/15/thru 8/12/29dys#######################29.99/dy =$dollarsSales Tax: 8.75% $dollarsVLR: 1dollar/dy $dollars#######################Total to Reimburse: $ dollars HYUN SONATA HYBRID LIMITED Subtotal 861.27Sales Tax $ @ % 26.88Additional Supplement Taxes -24.02Total Supplement Amount 864.13NET COST OF SUPPLEMENT 864.13##############################Amount Paid: $dollars##############################
Complaint: I am rejecting this response because:I was hit by one of this companies insuredDealing with them is a nightmareThey told me my car would be repaired but told the body shop it was a total lossThey approved a rental car but won't reimburse for itThe accident occurred on June and it is now August I have not even been able to get the car into a repair shop and there is no end in sight.I want to get my car into a body shopTo do that, this company needs to state that the car is repairable and not totalledThey told me that and will say that on the phone to me but that is worthlessI also want them to reimburse my receipts for a rental carThey approved a rental car but now said they will pay for a car for "7-days"My car is inoperable and I have rented a car since June The bill for the first weeks was $I sent them a copy of the bill and they ignored it Regards, P [redacted]
Dear [redacted] , Alliance United Insurance Company is in receipt of your complaint. The Company regrets any difficulty you may have experienced trying to reach our adjuster. Our best practice is to pick up our telephones each time they ring. Although this is not always possible, it is our goal.... The Company received confirmation that the independent appraisal firm Mega Appraisers has received our request for appraisal as of Wednesday May 18, 2016. Claim representative Z [redacted] has been instructed to contact you tomorrow May 18, 2016 at ###-###-####.
Complaint: I am rejecting this response because: Alliance United called me yesterday 11/and left a voicemailI returned their call but have yet to hear back from themI also emailed S [redacted] but have not received a response Regards, C [redacted] ***
In regards to coverage: Our investigation has revealed a coverage
issue, as per the status letter we mailed to you on March 1, which
included important mitigation information Our investigation remains
open at this timeWe will advise you when our investigation is completeUntil
then it is your duty to mitigate your damagesWe cannot tell you how much
longer our investigation will take at this timeI regards to damages: You must
mitigate your damages meaning keep your damages from getting any worse than
they already areWe understand you’re vehicle
is currently located in a storage free locationDo not move your
vehicle to a repair facility is it appears to be a total lossWe understand
you have rented a vehicleThis letter serves to
advise you that Alliance United Insurance Company is currently handling this claim under a full reservation of our
rightsThis means that there currently exists a question as to whether or not
coverage exists for this accidentPlease call Z*** *** Claims
Representative, ###-###-#### Ext:
We have alerted P***'s supervisor C*** *** to contact you today
Kindly provide our claim number so we may respond accordingly
Our efforts to reach our insured continueYou spoke directly to our adjuster Cory Dixon today and he explained we are working to resolve this issuePlease understand we are unable to provide coverage under our
insured’s policy unless there has been full compliance with all terms of our
insured’s
policy, including our insured's cooperation in obtaining the facts of the loss from our insuredAlthough California statutes prevent us from releasing our
insured’s personal information to anyone, we are able to advise you, that for
this loss there has not been full compliance with all terms of this policy and
as such, no coverage can be extended for the above referenced loss, at this timeWe will continue in our attempt to reach our insured to confirm the facts of the loss
Hi M*** *** ***,
The Company regrets any difficulty you have experienced attempting to reach the adjuster
The Company’s records reveal that adjuster Maria Avila spoke to you directly, yesterday July 29,
She obtained your statement
The Company is
reviewing the information received to date in an effort to conclude our liability investigation
We have advised you that our coverage investigation remains open
We have notified Claims Management of your complaint
Complaint:
I am rejecting this response because:THIS IS A TOTAL LIEYES THE ADJUSTER CONTACTED MY SON TODAY 01/14/BUT MY SON ASKED THAT THEY DEAL DIRECTLY WITH MEHE DID NOT AGREE TO THE SETTLEMENT AND HE DID NOT SAY NOT TO CONTACT MEIN FACT HE STATED THAT THEY SHOULD CONTACT HIS AGENT, WHICH IS ME. HE THEN CONTACTED ME RIGHT AFTER TALKING WITH ANDREW, IN TURN I CALLED AND LEFT MESSAGES WITH ANDREW AND KAREN LARSENANDREW THEN CALLED ME AND IN A VERY CONDECSCINDING TONE SPOKE WITH ME ABOUT HOW HE CAME TO HIS DECISIONI TOLD HIM I WAS NOT AGREEING TO THE DECISION AS FARMERS ADJUSTER HAD REVIEWED THE SAME INFORMATION AS HE HAD AND MY SON WAS NOT LIABILE FOR ANY PART OF THE ACCIDENTANDREW TOLD ME IT WAS HIS DECISION AND BASICALLY THAT WAS THATI ONCE AGAIN ASKED ABOUT RENTAL CAR SINCE THEY HAVE NOT EVEN OFFERED THAT AND MY SON SHOULD HAVE HAD ONE SINCE 12/07/ANDREW STATED IT MAY BE SOMETHING THEY WOULD CONSIDER AS LOSS OF USE BUT WOULD NOT AGREE TO ANYTHING AT THE MOMENTAS EACH DAY GOES BY WITH THIS CLAIM PROCESS I GROW MORE AND MORE FRUSTRATED WITH ALLIANCE UNITED AND IT'S REPRESENATIVESHOW YOU CAN HAVE THE AUDACITY TO SAY THAT SOMEONE SPOKE TO ME ON A CERTAIN DATE FOR MINUTES AND HAVE THAT BE UNTRUE AND NOW SAY MY SON HAS AGREED TO SOMETHING AND SAID YOU DID NOT NEED TO SPEAK TO ME WHICH IS MORE LIESHOW AND WHY ALLIANCE UNITED THINKS THEY CAN JUST CLAIM A BUNCH OF LIES IS BEYOND MY COMPREHENSIONI DO NOT APPRECIATE BEING LIED TO OR TAKEN AS A FOOLSTOP WITH THE LIES AND JUST GET THE CLAIM CLOSEDI AM EMAILING ANDREW A SIGNED LETTER FROM MY SON GIVING ME THE AUTHORITY TO MAKE THE DECISIONS ON THIS CLAIMI HAVE REPEATEDLY ASKED IF THERE IS ANYTHING THAT CAN BE DONE TO EXPEDITE THE CLAIM PROCESS TO LET US KNOW IF THIS LETTER WAS ALL THEY NEED TO CONTACT ME DIRECTLY THEY COULD HAVE HAD IT FROM DAY ONEI HAVE NOT AGREED TO ANY OF THE SETTLEMENT AND NEITHER HAS MY SON WE WILL NOT UNTIL SPEAKING FURTHER WITH OUR INSURANCE ADJUSTER AND REVIEWING ALLIANCES SETTLEMENT TERMSSO ONCE AGAIN NO AGREEMENT TO SETTLE THIS CLAIM HAS BEEN MADE FROM MY SON OR I
Regards,
C*** ***
Alliance United Insurance Company is not able to comment on your question:
“why they give statements and unsupported decisions”
The Company does not believe you were liable for the other party’s damages
The Company has denied liability to the Hartford Insurance Company who believes you were 50% at fault for the claimant’s damages
Alliance United Insurance Company will stand with you against Hartford Insurance Company in regards to our liability conclusion