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## Dealing with a CTP Claim for Missing Work Due to Injury

I am currently in the midst of a CTP claim process for missing work because of an injury. The total amount involved is expected to be less than $6,000, considering I will be off work for a period of 6 weeks. However, things have taken a complicated turn as my insurance provider has handed my case over to a third-party investigator. This investigator is now requesting a significant amount of information from me.

### Extensive List of Required Documents

The investigator is asking for authorization to act from organizations such as NSW Police, NSW Health, and RMS. Additionally, I am required to provide 3 months’ worth of call and SMS logs, receipts for past motor vehicle repairs (even though there is no vehicle claim involved), blood test results following the incident, scanned copies of 100 points of identification, and photos of the vehicle before and after the accident.

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### The Conundrum of Cooperation

Despite my lack of criminal history or health issues, I am hesitant to provide such a vast array of information. During my conversation with the investigator, I expressed my concerns regarding the excessive nature of the requests. However, my claim seems to be at a standstill until I comply with the demands. It appears that I am being bombarded with requests in the hope that I will relent and withdraw my claim.

### Seeking Guidance and Advice

I am seeking advice on how to navigate this situation. Do I truly need to cooperate to this extent? While I am willing to provide necessary information for the claim, I am uncomfortable with the idea of surrendering such broad and extensive details. Any guidance or recommendations on how to proceed would be greatly appreciated.

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4 Comments

  • Needmoresnakes

    I’ve never handled personal injury claims but I did property for a while and investigations did often feel pretty intense for clients but fraud happens a ton so they need to have these procedures to minimise it and keep everyone’s premiums reasonable.

    We had various things that triggered an investigation like the claim being over a certain amount, policies being brand new, etc. I wonder in your case if it’s actually the lack of vehicle damage that’s triggered it.

    If its ok to ask, how did you break your fingers but no car damage, steering wheel?

  • Asleep_Winner_5601

    Generally there is a duty to assist the insurer to investigate the circumstances of a claim. That however does not extend to overly broad requests for information.

    It sounds like they’re a bit unsure how someone can break a finger in an accident that did not result in damage to the car, and trying to figure out some way to prove the situation actually happened.

    So yes, a police report and a medical report would be reasonable. Haven’t you already provided this to them?

    Months of call logs, without a specific question in mind is overly broad and unlikely to be reasonable. If they said, for the day of the accident for trying to ascertain your location that day and your attendance at a hospital or something is fine.

  • sread2018

    This sounds like an investigation that’s designed to of course detect any fraud.

    I don’t see anything to be alarmed by. My partner went through something similar in terms of depth of information requested

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