Insurer Claims Fall is not Accident

Our client called us after her accidental death claim was denied by a large insurance company. The client’s mother fell in the kitchen, landed on her right hip and had a right hip fracture as a result of the fall, which required surgical treatment. She died two days later in the hospital. In its denial letter the insurer devoted only two sentences to its decision to deny benefits on medical grounds: “[The insured] was a high fall risk and the fall was due to gait impairment. … There is no evidence of an accident that caused or contributed to death independent of all other causes.”

Our law firm successfully recovered this accidental death claim without resorting to litigation. The client received her ADD claim check within 4 months of the denial letter.

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About the author

Attorney Tatiana Kadetskaya has over 10 years of experience in life insurance law representing beneficiaries and policy owners. She is best known for successfully collecting denied and delayed claims and settling complex beneficiary disputes and interpleader lawsuits.

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