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 American Corporation Litigation ActionWatch

AmericanCLAW

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When executives of large corporations resort to litigation or the threat of litigation against consumers to conceal mistakes or unethical business practices, AmericanCLAW is ready to help fight back. We are a new non-profit organization with a mission to hold corporate executives accountable for the unethical actions of their corporations, and to seek settlements for the consumers. Our first case is Allstate Insurance, and the executives accountable are Mike Fiato and Elizabeth Brady. 

AmericanCLAW 

 Three Phase Process 

Phase 1: This platform serves as a space where consumers can share evidence about corporate misconduct.  We then add our opinions and commentary on the case. Next, we reach out to the responsible corporate executives, giving them the chance to challenge the consumer's claims or rectify any posted information. Their responses are then included on this site. In Phase 1, our primary objective is to ensure executives comprehend the claim and are provided a fair opportunity to respond. This is a Beta site and not publicized; public notification occurs in Phase 2. 

 

Phase 2:  If settlement is not reached after Phase 1, we don't immediately initiate a lawsuit.  Recognizing that corporations like Allstate are already entangled in numerous legal battles, adding one more may not significantly impact their behavior. Instead, we leverage the influence of social media to go viral. Our team of social media specialists craft compelling videos that highlight the case, and we contract with social influencers to share the videos. The videos serve two key purposes: first, they alert consumers about the corporation's unethical conduct and the responsible executives. Second, they function as recruitment tools to connect with other customers who may have suffered similar harm, inviting them to participate in a potential class action lawsuit. 

 

Phase 3:  If a settlement is not achieved in Phase 2, we proceed by presenting our analysis and a compiled list of recruited claimants to law firms specializing in consumer class action lawsuits. If there is already an active class action lawsuit involving the same misconduct, we extend our support to it. Once we decide on the law firm to collaborate with we provide them with additional named claimants recruited through ongoing viral campaigns. Additionally, we assist law firms in the statistical analysis of data obtained through trial discovery. Recognizing that class action lawsuits alone may not sufficiently incentivize corporate executives to change their behavior, we emphasize the combination of the lawsuit and our viral social media campaigns as the catalyst for change.

 

Case 1: Allstate Insurance Company

 

Imagine this: You are peacefully driving to your 7 am beach walk,  and you are stopped at a red light on a quiet stretch of road.  Suddenly, a speeding car crashes headfirst into yours, in an accident that could alter your life permanently. You'd naturally assume that your insurance company has your best interests at heart, treating you with compassion and fairness. However, if you're insured with Allstate, they exploit your expectation of fair treatment, taking advantage of it, and deceiving you. 

 

Allstate markets itself as a friendly insurance company that gives you a fair shake. But, according to accredited rating agencies, the opposite is true. The American Association for Justice (AAJ) Ranks Allstate as the worst auto insurance company in the USA. The AAJ uncovered documents that show that Allstate encourages their employees to fight against their own policyholders who have suffered a loss or who have been injured.  Allstate shows little interest in settling their customers' insurance claims fairly. The AAJ succinctly sums up Allstate - “The company essentially uses a combination of low-ball offers and hardball litigation.”  Corroborating these findings, Consumer Reports ranks Allstate 24th out of 26 auto insurance companies. Our case exemplifies why Allstate's poor ratings are justified and demand action.  

The Accident   

On November 12, 2023 a driver insured by Allstate (the victim) was stopped at a red light in New York when another driver (also insured by Allstate) collided headfirst into the victim's car. The victim's vehicle was declared a total loss, and the victim sustained neck and neurological injuries.  Fortunately, the victim obtained video footage of the accident, and the video proved that he was 100% faultless. 

The Auto Total Loss Claim

In an accident where you are entirely blameless, you may expect your insurance company to make a sincere effort to offer a fair assessment for your totaled car.  Not true with Allstate. The Allstate adjuster assigned to the auto claim, James, provided an appraisal that was thousands less than the true value of the car. He accomplished this by deducting heavily for minor flaws in the condition of the totaled car and ignoring attributes of the car that would increase the car's value. Our research also uncovered that Allstate adjusters operate under stringent oversight from "Reinspectors" tasked with ensuring claims costs are minimized.  We obtained an interview with an Allstate adjuster who stated: "Reinspectors will write us up if we fail to identify ways to reduce a claim." The adjuster emphasized that Allstate penalizes them for treating their own customers fairly.  So Allstate can not claim that  individual adjusters are responsible for underpaying claims, it's part of  the Allstate corporate culture. 

The following meticulous analysis of the evidence demonstrates the specific ways in which Allstate manipulates data to underpay claims. 

The Auto Claim Evidence

Allstate produces automobile valuation reports through an application provided by a third-party company called CCC Information Services, Inc. (“CCC”). CCC is a known enabler of corporate malfeasance and is involved with numerous lawsuits alleging that their software and process consistently undervalue totaled cars.  Allstate is also currently facing a class-action suit in New York State related to how the CCC report undervalues totaled cars. However, the specific case under consideration here differs.

Our claim centers on the assertion that Allstate adjusters deliberately input inaccurate information into the CCC software application and intentionally overlook or suppress other relevant information that would otherwise raise the value of the totaled car. 

To assess the impact of the car's condition on its value, Allstate utilizes a condition matrix provided by CCC. The first indication of Allstate's deceptive practices towards their customers becomes evident in the modifications made to the standard labeling of the condition levels. The standard CCC condition levels consist of "Major Wear" (which reduces the car's value), "Normal Wear" (no change to value), "Dealer Ready" (which adds value), and "Exceptional" (which adds even more value). However, for reasons that will become apparent, Allstate altered the label "Major Wear" to "Fair" and "Normal Wear" to "Private Owner."

Below is the standard condition matrix applicable to the victim's car seats:

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Why would Allstate change "Major Wear" to "Fair"? We believe this alteration is motivated by the fact that customers are more likely to contest the report if their car's condition is characterized as "Major Wear" compared to a milder term like "Fair." It is crucial to emphasize that Allstate does not furnish the matrix for customers to scrutinize; only the labels are included in the report. In the case of the victim's car, the car seats were labeled as "Fair," resulting in a reduction of the car's value by $257.

 

We obtained photos of the victim's car from the auction company, depicting the condition of the car seats. Have a look at the condition of the seats: 

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As clearly evident in the photos, these  7 year old seats do not exhibit "Major Wear". The driver's seat displays some minor wrinkles, but the front passenger seat and rear seats are in excellent condition due to infrequent use. The last photo illustrates the third-row seats, which have never been used and were never even opened.  Nevertheless, Allstate deliberately overlooked the outstanding condition of the seats. James input condition "Fair" into the CCC application and the software reduced the value of the car by $257.  

It now becomes evident why Allstate altered the condition labels. Any owner would vehemently oppose classifying these seats as having "Major Wear." However, by rating them as "Fair" and relying on the assumption that customers trust Allstate to act honestly and fairly, there is a higher likelihood that owners will reluctantly accept the rating and the consequent reduction in value.

 Analysis of the Auto Total Loss Claim

We contend that the evidence presented by the victim clearly demonstrates Allstate's practice of undervaluing totaled cars by deliberately suppressing evidence related to the car's condition,  when that condition would enhance the car's value. While we have provided a detailed example focusing on the car seats, we have additional evidence indicating that Allstate inaccurately rated five other aspects of the victim's vehicle, resulting in a significant undervaluation.

We believe that the evidence in this case is compelling on its own; however, we assert that a much more formidable case could be established through a class-action lawsuit against Allstate. We are prepared to substantiate our allegations in a court of law through a meticulous statistical analysis of hundreds of Allstate appraisal reports obtained via document discovery. By scrutinizing numerous totaled car appraisal reports, we believe we can prove our allegation that Allstate consistently diminishes the value of cars by manipulating and suppressing evidence input into the CCC system.

The Personal Injury Claim

The victim, an elderly male, experienced neck and neurological issues following the accident including: whiplash, tinnitus, and Post Traumatic Stress Disorder (PTSD). The victim is still currently being treated by his by his physicians. During discussions with the Allstate medical claims adjuster, Jerry,  the victim provided a comprehensive account of his injuries. However, Jerry insisted on proof.  To address Jerry's request, the victim arranged for his doctor to provide testimony, but Jerry declined to consider it, and instead insisted he needed to see an MRI to prove the whiplash.

The victim was surprised  that a physician's testimony was rejected and that an MRI was required. He asked Jerry what purpose would an  MRI serve. Jerry responded that an MRI would provide proof of injury. The victim then asked Jerry what percent of whiplash injuries show up on an MRI, and Jerry responded that he did not know.  

 

After the call with Jerry, the victim spoke to his doctor. The victim's doctor said that Jerry was likely not being truthful when he said he didn't know what percent of whiplash injuries show up on an MRI. The doctor asserted that it is widely recognized, supported by numerous medical studies, that whiplash is seldom detectable through MRI. Citing a study published in the New England Journal of Medicine, the doctor noted that 99% of whiplash cases did not manifest on MRI scans.  He provided a quote from the NEJM study:

 

“One hundred patients with whiplash injuries from head-on or rear-end auto accidents had MRI of the cervical spine and brain within three weeks of the accident.  Virtually all patients had neck pain and headache; other symptoms included loss of concentration, dizziness, tiredness, and PTSD. Only one patient had an MRI abnormality."

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For 99% of whiplash victims, an MRI only serves to provide Allstate 

with grounds to reject a claim.

Analysis of the Personal Injury Claim

 

It's truly remarkable that Allstate adjuster Jerry rejected the testimony provided by a qualified doctor while insisting on an MRI—a costly and time-consuming procedure with a high rate of inconclusive results (failing to identify abnormalities in 99% of cases).  Jerry's insistence on an MRI suggests an attempt to find grounds for denying the claim, given the procedure's high likelihood of inconclusive results. Additionally, the rejection of the doctor's testimony appears to be a deliberate suppression of evidence supporting the victim's claim.

 

Jerry's dismissal of the doctor's testimony may also be influenced by Allstate's procedures tied to the use of Colossus claims adjustment software. Allstate employs Colossus to calculate settlement amounts with the intention of minimizing payouts to victims of motor vehicle collisions. Critics posit that Allstate can manipulate the input data, thereby impacting the calculated settlement figure.  Moreover, the software's design makes it challenging to incorporate essential information that would provide a comprehensive view of one's injuries, such as the testimony from the victim's doctor. The Colossus personal injury calculator appears geared not towards achieving a fair settlement value but rather towards driving down settlement values to save money for insurance companies.

 

Allstate has already been fined $ 10 million by the National Association of Insurance commissioners for improper use of Colossus. As part of the settlement terms, Allstate committed to implementing several modifications to its claims handling procedures. This includes the obligation to inform claimants about the potential use of the Colossus software program in assessing their bodily injury claims. The wording mandated for inclusion in the notification is as follows:

"One of the tools that our claim personnel may use in evaluating your claim is a computer program known as Colossus, licensed by Computer Sciences Corporation. Colossus uses a broad range of information about your injury, treatment, and prognosis to determine the severity of your injury. Based on this information, Colossus makes a recommendation as to the value of your injury."

 

The notification received by the victim is notably different, as it makes no reference whatsoever to Colossus:

"Allstate Fire and Casualty Insurance Company takes many things into consideration when determining the severity of your injury. We may use an evaluation tool to assist in this process."

Why would Allstate seek to conceal information regarding their utilization of Colossus? The answer lies in the potential consequences if a claimant were to research "Colossus" online, leading them to discover a trove of information about Allstate's use of the software to minimize claim payouts. Predictably, Allstate's use of Colossus to minimize claims payouts has given rise to an entire business ecosystem to fight back. There are personal injury lawyers who specialize in beating Colossus and who instruct their clients to use doctors who know how to craft medical records to maximize Colossus payout. Moreover, some radiology centers, physical therapists and chiropractors focus their practice on auto accidents.

 

Victims who choose not to engage with this ecosystem and opt for their own private doctors may find themselves at a disadvantage in receiving a fair settlement offer. The recourse of costly litigation seems to be the only viable option, but even then, Colossus plays a significant role. The algorithm analyzes the litigation history of the claimant's attorney, assigning a higher value to the claim if the lawyer possesses experience in Colossus-related litigation.

We firmly believe that pursuing a class action lawsuit is an effective strategy to expose how Allstate utilizes Colossus as a tool to unjustly deprive a broad section of their customers of a fair settlement. By engaging in thorough document discovery and conducting statistical analyses of the data input into Colossus, we are confident that we can substantiate the claim that Allstate consistently underpays bodily injury claims. Through litigation it will become apparent how Allstate manipulates or restricts the data input into Colossus as a method to lower injury payouts. 

Overall Case Summary

New York State law prohibits insurance companies from misstating or concealing material facts that bear upon a claim. We allege that Allstate engages in a systematic practice of data manipulation and evidence suppression relating to their use of the systems employed for processing claims resulting from auto accidents. In instances of auto total loss claims, our investigation reveals that Allstate intentionally withheld data entered into the CCC application to diminish the assessed value of a totaled vehicle. For the medical claims, Allstate rejected crucial doctor testimony, thus suppressing essential evidence of injuries. Furthermore, the adjuster insisted on seeing an MRI, a diagnostic tool that proves ineffective for 99% of cases involving whiplash and PTSD.

Lastly we found that the communication between Allstate and the victim to be confrontational and perplexing. For example, in an email dated December 11, 2023, Allstate adjuster Jerry wrote:  “I'm going to send you a Medical Authorization form in order to review bills and records to complete your evaluation. When you have completed treatment, please fill it out and return..”  The victim responded that treatment was ongoing, and that he would notify Allstate when it was complete.  

 

Jerry then responded via a formal letter stating that because they have received no evidence, they are closing the bodily injury claim.   

Why did Jerry instruct a customer to hold off on submitting evidence until the conclusion of treatment, only to later close the claim while the claimant is still undergoing treatment? The only plausible explanation seems to be obstruction or intimidation.

 

Allstate is currently embroiled in hundreds of lawsuits including several class actions, but we believe this to be a new cause of class action against Allstate.  Once the jury hears about how Allstate manipulates and suppresses vital data input into their claim evaluation systems we think they'll agree that Allstate needs to change the way they do claims processing, and pay claims fairly.  

The Allstate Executives Responsible

Mike Fiato

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Mike Fiato  joined Allstate as executive vice president and chief claims officer, effective Jan. 22, 2024. So Mr. Fiato  now has responsibility for the conduct of Allstate adjusters and for Allstate claims policy. The critical question to be answered is whether Mr. Fiato will acknowledge the need for improvement in claims processing and strive to settle the victim's claim fairly, or deny it and thereby prompt AmericanCLAW to launch a viral social media campaign. We look forward to hearing from Mr. Fiato, and will update this site with his response.

Elizabeth Brady

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Elizabeth Brady is EVP and chief marketing, customer and communications officer. Brady leads marketing for the corporation's brands as well as internal and external communication and customer experience.  The question for Ms. Brady is whether she approves of the of the customer experience of the victim in our case.  An even more critical question is whether her hands are tied because the negative customer experience of the claims process directly contributes to higher profits for Allstate.  The AmericanCLAW viral social media campaign may be required to provide Allstate with the impetus to make changes.  We look forward to hearing from Ms. Brady, and will update this site when she responds.

Preparing to go viral: The Crash Video

Here is the raw footage of the crash that initiated this case. Our social media team is developing  compelling viral versions.  The working title: The crash that cost Allstate a billion dollars.

Contact AmericanCLAW

 

Email us at: Mail@AmericanClaw.net

 

Phone: 203-632-9010

AmericanClaw's application for 501(c)(3) status is pending.  We therefore can not accept donations at this time. Please keep checking back, this site is updated frequently.

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