Investigation of claims results in police charges carrier says

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An investigation into allegedly fraudulent insurance claims has resulted in fraud charges, Aviva Canada announced over the weekend, against Toronto legal and health professionals.

Aviva was alerted by a customer who came forward after allegedly being pressured to lie about accident injuries.

In video Aviva subsequently provided Toronto Police Service, a chiropractor and clinic employee from Wellness Centres of Ontario in Toronto are shown explaining to two undercover investigators how they can work together to obtain insurance payouts – despite both investigators stating that they were not hurt.

Also captured on the video is a paralegal from a nearby law firm explaining how the undercover investigator can illegally obtain an insurance payout. The investigator was told he would get a $10,000 insurance settlement in roughly a year; with the law office to keep 30%.

“These so-called professionals are supposed to look out for the best interest of accident victims – and allegedly, this has not been happening,” said Greg Somerville, Aviva Canada President and CEO.

“Fraud costs honest insurance customers approximately $130 each every year in Ontario and we continue to make every effort to stop it.”

The three accused are scheduled to appear in Court on March 17, 2016.

  • Griswald Gorning on 2016-03-16 10:41:41 AM

    Good on Aviva for catching out these fraudster. Fraud like this just makes it harder for legitimate claimants to get services post accident. Now maybe Aviva will do something about all the fraudulent medical opinion reports in the system that are used to deny claims. Questionable medical opinions are at the bottom of all the bloated costs where insurers fight off their injured customers based on untrue or unqualified medical opinions. Time to clean house, clean up the system and start serving customers who bought coverage in good faith.

  • TammyK on 2016-03-16 11:32:54 AM

    Thank you Aviva for shedding light on the fraud that exists in the health providers realm. The legitimate mva victims have been painted with the fraudulent brush for too long! Fraud is running rampant in the medical evidence used to disqualify legitimate claims!
    Will Aviva, and other insurers fix this problem instead of allowing more traumatization of survivors.

  • TammyK on 2016-03-16 11:34:57 AM

    Thank you Aviva for shedding light on the fraud that exists in the health providers realm. The legitimate mva victims have been painted with the fraudulent brush for too long! Fraud is running rampant in the medical evidence used to disqualify legitimate claims!
    Will Aviva, and other insurers fix this problem instead of allowing more traumatization of survivors.

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