When you’ve been injured in an accident, understanding how insurance companies evaluate personal injury claims is crucial to getting a fair settlement. Insurance adjusters don’t work for you—they work for the insurance company, and their goal is to minimize the payout. However, knowing what factors they consider can help you navigate the process more effectively.
1. The Severity of Injuries
Insurance companies begin by assessing the severity of your injuries. The more serious the injury, the higher the potential settlement. This is determined by medical records, doctor reports, and any necessary medical treatment you’ve undergone. For example, if your injury requires surgery or results in long-term care, it signals to the insurance company that the claim could have significant costs associated with it.
2. Medical Documentation
Insurance adjusters scrutinize the medical documentation to determine the extent of your injuries and the treatment you’ve received. This can include everything from emergency room visits to ongoing physical therapy sessions. The more comprehensive and well-documented your medical records are, the stronger your claim will be. Insurance companies will also review whether you followed your doctor’s orders and attended appointments on time.
3. Liability and Fault
The next step is determining who is at fault for the injury. If there’s clear evidence that the other party is responsible, your claim is likely to move forward more smoothly. However, if liability is contested or unclear, the insurance company may lower its settlement offer or deny the claim altogether. In cases where you share some fault, your compensation could be reduced based on comparative negligence laws.
4. Economic Losses
Insurance companies will also consider any financial losses that result from the injury. This includes lost wages due to missed work and any medical expenses not covered by insurance. The longer your recovery, the higher the potential financial losses will be, making your personal injury claim more valuable.
5. Pain and Suffering
While it’s harder to quantify, pain and suffering are also part of your claim evaluation. Insurance companies calculate this based on the severity of the injury, the impact it has on your daily life, and how long recovery is expected to take. Some adjusters use a multiplier method to determine compensation for pain and suffering, adding more value to your claim based on the severity of your injuries.
Navigating the world of personal injury claims can be complicated, but understanding how insurance companies evaluate them gives you an advantage. With the right legal team, such as Kearney Law, you can ensure that your claim is properly assessed and that you receive the compensation you deserve.
This post was written by a professional at Kearney Law. At Kearney Law, we’re dedicated to delivering personalized legal guidance that puts your needs first. Whether you’re looking for an attorney for personal injury near you, a real estate attorney near you, a probate attorney near you, or a Title Attorney in Brandon, FL residents trust, our team is ready to provide the focused representation you deserve. We recognize that every client’s situation is different, which is why we take the time to understand your case and craft strategies that align with your goals. With a commitment to protecting your rights and securing the best possible outcome, Kearney Law offers trusted legal support with the attention and care you won’t find just anywhere.