Insurance company claims fraud after hit-and-run accident claim. $159K arbitration award.
After plaintiff makes his second UIM claim for a hit-and-run accident, insurer cries foul.
- Case Name: Michael Manes v. Allstate Northbrook Indemnity Company
- Court and Case Number: UM Arbitration
- Date of Verdict or Judgment: Tuesday, May 26, 2020
- Date of Arbitration Award : Tuesday, May 26, 2020
- Date Action was Filed: Friday, September 21, 2018
- Type of Case: Underinsured Motorist, Vehicles – rear-ender
- Judge or Arbitrator(s): R. A. Carrington
Plaintiffs: Michael Manes, 59.
Defendants: Allstate Northbrook Indemnity Company
- Type of Result: Arbitration Award
- Gross Verdict or Award: $159,508.09
- Trial or Arbitration Time: 6 1/2 hours
Attorney for the Plaintiff:
McDonald Worlely, P.C. by Michael R. Dufour, Los Angeles.
Attorney for the Defendant:
Law Offices of Gregory J. Lucett by Ani S. Garibyan, Glendale.
Plaintiff’s Medical Expert(s):
Kiarash Michel, M.D., urology.
Richard Shapiro, M.D., urology.
Gregory Lercel, M.D., orthopedic surgery.
Plaintiff's Technical Expert(s):
John Gardiner, PhD, P.E., accident reconstruction.
Defendant's Technical Expert(s):
Gregory R. Hora, P.E., accident reconstruction.
Facts and Background
Facts and Background:
On December 5, 2017, at approximately 7:30 p.m., claimant was driving his 2006 BMW 750 LI eastbound on Pico Boulevard in Los Angeles. After passing through the intersection of Fairfax Avenue and Pico Boulevard, claimant was rear-ended by a white SUV with a large front bumper guard.
The adverse driver immediately fled the scene and claimant was unable to determine the SUV's license plate number. Claimant called 911 from the scene.
That an unidentified motorist hit claimant's vehicle.
Claimant's accident reconstruction expert/biomechanical engineer, John Gardiner of MEA Forensics, illustrated that, indeed, the property damage was consistent with the type of vehicle Mr. Manes described as having hit him.
Respondent contended that since claimant was in another hit-and-run accident in 2016, and thereafter increased his medical payments coverage from $5,000 to $25,000, that claimant was committing a fraud on respondent so that he would have funds to pay for a necessary surgical procedure.
Accident reconstruction expert, Gregory Hora, alleged that claimant's property damage was inconsistent with a rear-end collision. Mr. Hora testified and offered opinions in his reports that the property damage was consistent with contact to a rigid barrier or stationary object, rather than the vehicle described by Mr. Manes.
Injuries and Other Damages
Physical Injuries claimed by Plaintiff:
Aggravation of preexisting myofascial injuries, namely, claimant's entire back, neck, and left shoulder.
The surgery recommended after this accident was a completely different surgery (necessitated by the impact) than that which was recommended before the accident.
Permanent damage to claimant's bilateral Interstim Implant (fractured electrodes), which rendered the implant nonfunctional.
- Special Damages Claimed - Past Medical: $42,068.09