Many times clients fear that by going to a lawyer, they are necessarily filing a lawsuit against the other party. As a result, many are reluctant to talk to a lawyer about their personal injury case because they “don’t want to file a lawsuit.” When I explain they are not bringing a lawsuit, but instead, they are filing a “claim” against the responsible party’s insurance company (or sometimes their own company) they have trouble understanding the difference.
Usually, the first step is simply filing a claim for injury. This is purely a conversation with the insurance company. No lawsuit is filed or any official paperwork with the court. The only time you will actually file an official lawsuit is if you cannot reach a settlement agreement with the other party’s insurance company, and therefore, the only way to change the landscape is to file a lawsuit with the court. However, you need to be mentally prepared to file the lawsuit. Filing in the court system can take its toll on you and your family. It’s not a decision you should enter into lightly. If you decide to file a lawsuit against the responsible party, formal paperwork known as the “complaint” is filed with the court. The defendant (the responsible party) then has to “answer” the complaint by filing something called the “answer” with the court. After all parties have engaged, there is a formal “discovery” process between the parties during which time each party is entitled to learn more about the other party’s position. This involves sending questions and requests to each other, all of which need to be answered under oath. There also might be depositions which are essentially formal question and answer sessions where testimony is recorded by a court reporter. I try to explain to my clients that most cases resolve themselves before a formal lawsuit needs to be filed. Sometimes you need to file a lawsuit because you’re running out of time, and the statute of limitations is about to expire. Simply put, the statute of limitations is the time frame during which a lawsuit must be filed. If it expires, you cannot file a lawsuit in most cases. As of this posting, California’s statute of limitations is two years on most personal injury matters After a car accident, many of my clients report a "fear of driving" - a fear they're going to get into another accident, especially when circumstances are similar. As a result, they want to be compensated for this as part of their overall claim.
Many clients seem to have some degree of post traumatic stress disorder because they are frightened when it comes to driving an automobile. Every time they approach a similar scenario while driving, their body tightens up, and they fear they're going to get hit again. This is very common when it comes to car accidents. People are afraid to drive through an intersection if they got hit in an intersection. People are afraid to stop at a stop sign for fear they will get rear-ended. This can go on for weeks or sometimes months. Unfortunately, this fear is not really compensable when it comes to accident cases. With respect to the person actually undergoing the stress, it is very real and very disheartening. The truth is "fear of driving" (while certainly a real side effect of accidents) isn't worth very much when it comes to personal injury cases. Most juries don't award very much for this kind of fear. Unless you have serious psychological damage (i.e., you went to doctors etc), it's just expected as "part of life," so most juries and judges will not award much compensation for this fear of driving. It is a very real fear, and there is no denying its existence after many car accidents. However, when it comes to compensation, don't place too much value on it. The insurance adjuster may ask you for your social security number at some point during your claim. The primary reason they want your social security number is because they want to “index” you. That means they want to run your social security number through their computer system to see whether or not you have a previous claims.
In some cases, they can learn about previous accidents, injuries, attorneys you’ve worked with, doctors you’ve seen, and much more. If you have a rich history of claims, you can expect that could backfire when it comes time to settle your case. Pre-existing conditions and claims to the same body parts in the past will be used against you. Insurance companies look for any evidence of a similar injury from the past. For example if you’re claiming a back injury from an automobile accident, any mention of previous back injury will likely backfire and work against you. Of course, there is the notion of “aggravation of pre-existing condition,” but the difficulty comes in trying to assess how much is attributable to the new accident versus how much is attributable to the old accident or pre-existing condition. Therefore, providing the other insurance company with your social security number essentially gives them permission to go fishing for your history. By the same token, the lack of any previous claims can benefit you in some cases. Insurance companies have grown tired of “professional plaintiffs,” people who make claims every couple of years for one reason or another. However, if your record is very clean and you have no pre-existing claims or very few, that can actually help your case to some extent. If you're involved in a hit and run accident, the best thing to do is try to obtain as much evidence of the incident as you can. Talk to witnesses who may have seen the accident and get their information. Call the police and make a police report. If they won't come to the scene, have a police report prepared on a subsequent date. It is important to document the fact that this hit-and-run accident occurred. Since it was a hit-and-run accident, you can't go after that party's insurance company. Therefore, your only option will be to pursue your own "uninsured motorist" policy (aka UM Coverage). Of course, that assumes you have UM coverage available.
If you want to pursue your own insurance company's uninsured motorist policy, you will have to prove that something actually happened. Sometimes, your insurance company might be suspicious of your claim if you cannot prove that someone else caused the accident and fled the scene. A hit and run accident is often treated as though it were an uninsured motorist case - even though the other driver may have actually had insurance. After all, you were injured by someone else who for all intents and purposes doesn't have insurance available for your claim. As a result, you will have to pursue your own insurance company's policy. You want to make sure you gather as much evidence as you can about the hit and run because the insurance companies are trained to be suspicious when comes to hit and run accidents. Believe it or not, there are some people who fake claims against insurance companies in order to collect. You don't want to be lumped in with these people! I met with a new prospective client today. She got into a pretty bad rear end accident and suffered some severe neck pain. She was taken by ambulance to the ER and they recommended she follow up with her doctors. Every time she tried to call, she got poor service. They would not schedule her or would claim her health insurance didn't cover this or that. Essentially, she was given the run around. While it certainly wasn't her fault, she waited 2 months before she saw me for a consultation. As a result, she had not had any physical therapy for about 2 months. I told her the insurance company for the other party would certainly use that gap against her. Even though she had perfectly legitimate explanations, and had suffered a strong impact, her case would probably be worth less because of the delay in commencement of treatment. That isn't always the case, but the insurance companies routinely use lags in treatment to defend and minimize accident claims.
Not only is NOT wearing a seatbelt dangerous, but it can also backfire on you if you bring a claim against the responsible party in a car accident. In California, the other party will point to your "comparative negligence" for not having worn a seatbelt. Their argument will be that your lack of seatbelt contributed to your injury. In other words, had you been wearing your seatbelt, your injuries would have been far less serious. Of course that isn't always true, but truth doesn't really matter when it comes to defending a case in the personal injury world. The insurance company for the responsible party will do anything to poke holes in your case. Also, a jury might look unfavorably upon someone who was injured if they were not wearing a seatbelt, even if one can demonstrate the lack of a seatbelt had nothing to do with the injury. The moral of this story is you should wear your seatbelt when driving or anytime you're in a vehicle. Wearing your seatbelt is arguably the safest thing to do and is required by law. If you get hurt in an accident and you weren't wearing your belt, that fact will certainly be used against you. Simply put, be safe - personal injury case or not.
There are several factors that may affect the value of a personal injury case. That being said, there is no exact science to the evaluation of any accident case. An experienced personal injury lawyer can help you analyze your case. This discussion assumes you were actually injured in an auto accident.
Here are some factors that might influence the evaluation: 1) The severity of the impact and the amount of property damage. If you have to squint to see the damage to your vehicle, you will have an uphill battle getting any sympathy from an insurance company - even if the impact felt huge! In short, if have minimal property damage, most insurance companies won't believe your injury. As a general rule, the more visible property damage you have, the more the insurance company will believe your injury. 2) The severity of the injury. Minor soft tissue sprains and strains don’t impress adjusters or juries. Therefore, if all you have is a minor soft tissue injury, you shouldn't expect a high valuation of your case. Of course, there are "degrees" of soft tissue injuries, but as a general rule, insurance companies are more likely to fight soft tissue cases. The inverse is true - the more serious your injuries (fractures, surgery performed, etc.), the more value your case will usually have. Also, how the accident affected your daily life may be considered by some insurance adjusters. 3) Your age. Simply put, the older you are, the more susceptible you are to injury. Younger people generally have a harder time convincing an adjuster they had appreciable injury. Most insurance companies believe that younger claimants are more resilient and therefore more resistant to injury. 4) Residual injury. If you have injuries that won’t resolve and are projected to last a long time (or indefinitely), it may affect the value of your case. Also, permanent injuries can affect the value of your accident case as will anything requiring surgical intervention. Injuries that appears on xrays, MRIs, CT scans, etc. may also affect the value of your case assuming they are indeed related to the accident. Pre-existing injuries to the same body parts may also affect the insurance company's opinion. 5) The Insurance Company/Adjuster - I hate to say this, but some insurance companies are notoriously stingy. Unless your head popped off your body and rolled down the street, they will almost always give you a hard time. Similarly, the insurance adjuster assigned to your case may factor into the valuation. Simply put, some adjusters are cynical and suspicious folks who think everyone is trying to scam the system while other adjusters can be more reasonable. There are other factors, but in my experience, these are among the top considerations. If you would like an evaluation of your car accident case, give our office a call at (661) 414-7100 Many people wonder what their personal injury case is worth. The problem is there is no real "guide" you can buy with values assigned to different injuries. However, an experienced lawyer can provide you with some guidance. Also, insurance companies keep statistics on injury cases so they have some idea how much a case is worth. Typically, if an insurance company makes an offer to you, they may indeed be low-balling, but their offer often has some basis in reality. Therefore, if they offer you $1500 on a minor soft tissue case (minor whiplash from a car accident), it's because they know juries rarely award very much for such cases and it will cost you more than that to file a lawsuit. Factors that can affect the value of your case include how old you are (the older you are, the more likely you are to get injured), the severity of the impact, the amount of property damage, the severity of the injury, and any residual medical problems you may have from an accident.
In my experience, it's always a tough decision whether or not to get the police involved at the scene of an accident. Typically speaking, you will call the police from the scene of the accident and they will ask you whether or not anyone was injured. If there are no serious injuries, most people say, "No." Truthfully, if no one has any immediate serious injuries, the inclination might be to say "No, there are no injuries." If that is the case, the police will generally advise you just exchange information and go on your way.
However, many insurance adjusters will use the lack of police report at the scene as evidence against you if you later claim injury from the car accident. That can backfire if you discover your injury at a later date. In fact, some serious injuries can manifest themselves later on, once all the adrenaline has passed etc. Of course, you don't want to mislead the police officers into thinking you have an injury when you don't. By the same token, you don't want to be extra brave and foolish by declining police assistance at the scene if you have some possible injury. In fact, this is not the time to be brave and "suck it up." It is however time to document the injury and the accident. Again, so many insurance adjusters will use the lack of the police report against you - as evidence you were not injured since the police did not take a report. Therefore, think long and hard before you decline assistance from a police officer at the scene of accident. Recently, a client came to me who had been hit by an automobile while he was riding his bike. The other party turned right in front of him and caused an accident to occur. By all accounts, the accident wasn’t his fault. The impact was so strong, that he flew off his bike about 22 feet into the air, and landed on another vehicle. He had several severe orthopedic injuries (broken clavicle, cracked ribs, facial lacerations, etc.), and he was taken to the hospital. It turned out he needed further orthopedic care and possible surgery.
When I first met with client, he told me of a police officer who witnessed the accident. The officer apparently assured my client it was not his fault, and the other party was very apologetic scene. My client was sure the accident was not his fault, especially after what the officer told him and the apologies of the other party. All signs were in his favor. I told my client that after so many years of practicing law, he should not be surprised if everyone’s story changes. My client was surprised I would say such a thing. Perhaps I was being too careful? Perhaps I didn’t want to have too much confidence so early in the case? Sure enough, we got a call the next day from the insurance company for the other party. The driver of the car had a change of heart. She now alleged my client caused the accident by riding his bicycle too fast. When we obtained the police report about two weeks after the accident, we found the police officer had found against my client and cited him for riding his bicycle too fast for the circumstances – a violation of California Vehicle Code 22350. The lesson here is that you should never assume what the police officer is going to say, what the police report is going to reveal, or whether were not the other party will accept fault. Even if the other party accepts fault, that doesn’t mean his/her insurance carrier will agree. Also, your insurance company and the other party’s insurance company might disagree. I had a case recently where my client’s insurance company found in her favor, while the other party’s insurance company found against her. Never be surprised, because people can change their tune. What you think will happen doesn’t necessarily unfold the way you might expect. I remember one client didn’t hire me because she thought I was being pessimistic. I tried to persuade her I wasn’t being pessimistic, but I was trying to be realistic. I wanted her to be prepared for differing versions of the accident. I told her there are courthouses all over the United States full of people who disagree about this or that. It is my opinion that by advising my clients of these possibilities in advance, they are better prepared for such developments as they unfold during their claim. Of course, we hope everyone will stick to their story, but that isn’t always the case. People change their minds. What you THINK you heard at the scene of an accident may not actually be the entire story. You may have heard bits and pieces, and your brain jumped to certain conclusions based on what you perceived to be the truth. Wait till all the facts are in before you make conclusions about your personal injury case. |
Attorney Robert MansourRobert Mansour is an attorney in Santa Clarita, California who has been practicing law since 1993. After working for 13 years for the insurance companies, he now counsels victims of personal injury. Click here to learn more about Robert Mansour. Categories
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