Workcover insurance bad faith negotiation tactics

Bad faith insurance practices occur when an insurance company knowingly and intentionally denies payment of a legitimate claim by using several different tactics. These tactics include failure to investigate claims promptly and thoroughly, delaying and underpaying claims, misinterpreting policy language, and failing to communicate honestly with the insurer regarding claims. A key word in bad faith practices is “unreasonable“. If this is not enough, insurance companies and their representatives and lawyers will also use disturbing bad faith negotiation tactics, be it at conciliations or settlement mediations. Here we list common tactics.

Unfortunately, many insurance companies will continue to practice bad faith in hopes the insured will just “go away” and drop the claims. They will also do anything to stonewall negotiations in the hope to delay, stall and minimise settlements.

Workcover insurance bad faith negotiation tactics

Individual Responses regarding Bad Faith Negotiation Tactics

A list of any other ways in which a party acts in “bad faith” (i.e., unfairly) in a negotiation:

  1. ‘stonewalling’ or frustrating the process unnecessarily
  2. If party is primarily motivated by punishing the other, or by vindicating herself
  3. The mediator doesn’t help the parties overcome these obstacles
  4. Party uses the process for ‘discovery.’  Party has no intention to explore opportunities for settlement
  5. Comes with no intent in even considering settlement except for some number decided by someone else who isn’t present. Then the negotiation usually is a total waste of everyone’s time, money, and effort.
  6. Takes advantage of a power imbalance which mediator does not address and ameliorate; consciously takes advantage of mediator’s bias or close link to such party; is simply unreasonable and intractable; is unwilling  to listen to the other side
  7. A party gets off topic so much they run the time out and both sides aren’t given enough time (even if they are given “equal” time but one party isn’t permitted to address things important to their position b/c of having to address the side issues (“distractions”))
  8. A party uses hardball tactics meant to corner or trick the other party into submission
  9. If a party knows or should know the value of the case but refuses to acknowledge it
  10. Threats relating to future unfair behaviour
  11. Not willing to go through whole process
  12. I don’t equate “unfair” with “bad faith” Unfair could simply mean having a better lawyer, more experience, etc.
  13. Asserting and maintaining an unreasonable position; being unprepared; not having decision-makers present
  14. Fails to show up
  15. They don’t listen
  16. By refusing to listen to the other side’s position(s)/need(s)
  17. Refuses to listen to the other party. Refuses to provide necessary documents
  18. Parties can lie/withhold information/refuse to compromise (with or without good reason). None of that is “unfair.” I can’t think of anything a party can do that would be “unfair.”
  19. Unequal disparity of dispute resolution resources between (among) the parties
  20. Person doesn’t have settlement authority [how often have you experienced this at Conciliation for example? Some cocky insurance representative stating "sorry I can only offer you a maximum of 1 hour per fortnight home help..."
  21. A party shows up without the authority/will/information to settle
  22. Misrepresentation or characterization of the case to their own client
  23. Is unwilling to listen to the other party.  Can't get off positions and into interests and needs
  24. Trying to "bully the mediator or other party - how familiar!
  25. A party is not a decision maker but represents him/herself as one having authority
  26. The more powerful party (like a big corporation or an insurance company!) overwhelms the little guy with nomenclature, laws, etc.
  27. Comes to mediation for other ulterior, reason, i.e., determine opponent's bottom line, conduct discovery... Etc
  28. Because "good" is a relative term #6 is tough. A party who does not give the other party a chance at understanding the reason for their actions or lack of action hinders a fair/helpful/just process.
  29.  Keeping information from a party that will directly effect a decision just because the other party didn't directly ask for it when the ramification is known and obvious if the information were shared. Unknown ramifications for information withheld probably would not constitute "bad faith." Unknown because communication is hindered by being stuck in a position, that is.
  30. It is only form to get to court--let the judge decide, they say
  31. Negative communication patterns continue; there is no self-analysis of what one contributes to the conflict
  32. A party declares that he/she has authority to settle when such authority does not exist
  33. Aggressive behaviour. More comprehensively - a party that does not do as it would be done by
  34. They take advantage of a power differential (i.e., the other party is emotionally weak, afraid, a victim of some kind of discrimination, etc.)
  35. Makes selfish, hurtful or threatening comments
  36. A Party acts unfairly when it refuses to settle because it wants to outspend its opponent in litigation or its lawyers want to keep billing their client, therefore they steer the case away from a fair settlement
  37. Manipulation of information, power, or communication process (verbal and non-verbal) - how TYPICAL!

[Source: http://settlenow.org/BadFaithNegotiations.html]

 

You can read more about shocking  bad faith claim practices by workcover insurers here

 

 

 

 

 

About Workcovervictims

We are the authors, co-authors, seriously injured workers and invisible supporters (incl. abled family members and friends) behind A Diary of a WorkCover Victim. We hope this site, our and many other injured workers’ stories will somehow help other injured workers navigating the murky waters of the workcover system, and, at the very least, teach you to be extremely diligent in finding out your legitimate rights, always questioning the “system” in order to keep some sort of control within the workcover system. The workers compensation is – in our opinion- extremely adversarial and they use tactics to wear you down, to make you emotionally bleed out, to break you, all in order to weaken your position and to maximise their insane profits.

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6 Responses to Workcover insurance bad faith negotiation tactics

  1. Anthony August 18, 2012 at 10:56 AM #

    Vic Ombudsman’s report slams Worksafe payout agencies
    http://www.abc.net.au/pm/content/2011/s3228087.htm

    “In one of the worst examples, the report found staff at CGU had hidden 10,000 files in a locked cupboard and manipulated invoices to make the company to the tune of $2.5 million.”

    “But WorkSafe chief executive, Greg Tweedly, says despite the findings, most claims are well managed.” And I add “LOL”

    Not to mention those big deceptive corporations commonly and frequently change name to avoid Legal problems.
    Let’s take Cambridge it washed hands before troubles came in and changed to Xchanging.

    “The ombudsman found problems at Allianz, CGU, Gallagher Bassett, GIO, QBE, and Xchanging, which between them were paid more than $200 million by WorkSafe last financial year.”

    Wow 200 million it sounds a big profitable business at the expenses of injured workers and tax payers!

  2. johnny rotten August 18, 2012 at 12:05 PM #

    Problems at ALLIANZ mmm na their pretty good at all 37 items listed above and if we had a score id give you 10 outta 10

    • Anthony August 18, 2012 at 1:50 PM #

      Are you saying the Ombudsman made wrong findings about Allianz? Are you above the Ombudsman? Working for Allianz? NOT??

      • workcovervictim August 18, 2012 at 2:20 PM #

        Johnny Rotten (Johnny Boy) is just joking mate, he is our biggest Forum Star and ensures we all have a good laugh now and then to relieve our stress and grief – you may want to get to know Johnny better in our forum. Johnny also drives our Karma Bus!

        • Anthony August 18, 2012 at 5:54 PM #

          I still have had no chance to join the forums and tell my sad story, yet another Xchanging “intentional” denying.
          Got too much anger inside.
          Sorry for Johnny but his joke fouled me :D

      • johnny rotten August 18, 2012 at 11:16 PM #

        ombudsman was spot on ,i once thought i was the chosen one well i was wrong mmm ALLIANZ don’t start me on ALLIANZ

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