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The Role of Insurance Adjusters 2017-04-07T16:11:59+00:00

If you were involved in an accident that resulted in an injury, you could get compensation. But, there are many steps that you must go through to file a claim and bring a lawsuit against the at fault party. One aspect of this process includes an insurance adjuster. The insurance adjuster comes from the at fault party’s insurance company. The role of the insurance adjuster is something that you should be familiar with if you are going to file a case.

Insurance Adjusters

Once an accident resulting in injury occurs, both parties should notify their insurance companies. Generally, the at fault party’s insurance company will assign an insurance adjuster. The adjuster will work on the personal injury case. The insurance adjuster is part of the whole process of the case. They are involved from the moment that the personal injury claim is made to the case resolution. This is the case whether the resolution is trial, appeal, or settlement. Understanding the role of this adjuster can help you build your case. It will also help you know what to expect during the lawsuit process.

Insurance adjusters are usually claims professionals that are hired by insurance companies. The job of the insurance adjuster is to propose a quick and inexpensive settlement to the injured party. These settlements usual get proposed toward the beginning of the case. This tries to save the insurance company money. Insurance adjusters evaluate the accident, the case budget, and the risk management purposes. They do this to propose a settlement that the injured party will find attractive.

Settling with the Adjuster

It is not in your best interest to accept the first settlement from an insurance adjuster. This is because adjusters want the plaintiff to settle quickly without involving lawyers. Insurance adjusters will try to pressure you into taking the deal. This is because it will not cost the insurance company a lot of money. Insurance adjusters might also try to get you to delay your lawsuit in the hopes that the statute of limitations will run out on your case. In Connecticut, you cannot file a personal injury lawsuit after two years of the date of the accident.

Determining Personal Value

You must present all your injuries if you wish to receive compensation for them. Usually, the at fault party involved in the accident has to pay for:

  • Your medical care.
  • Any loss of income due to an inability to work because of the injury.
  • Physical disability that is permanent.
  • Loss of educational experiences, such as school or training.
  • Social experiences, such as parties or vacations.
  • Emotional damage.
  • Property damage.

The at fault party’s insurance company will usually pay for this compensation.

Proving Injuries

You should keep a record of any tangible expenses that arise as a result of your injury. This includes loss of income, property damage, medical bills, etc. These bills are straightforward and easy for the insurance company to pay. If you have a record of these bills and can prove how they are related to your injury, you should get compensation. But, other types of compensation can be difficult to determine. It is hard to put a monetary price on pain, suffering, or lost opportunities. Insurance companies have formulas for dealing with these types of losses.

Insurance adjusters begin by adding up the medical expenses that are related to the injury. This is referred to as medical special damages. Also, this is a base figure that adjusters use to determine how much money covers intangible losses. This is referred to as general damages. If your injuries are minor, the insurance adjuster will multiply the medical special damages by about 1.5 or two. This happens to include general damages. If the injuries are more serious or longer lasting, the special damages can get multiplied up to five times. This happens to account for general damages. In extreme cases, the special damages can get multiplied by up to 10.

Protecting Your Rights

At this point, the negotiation will begin. This is a starting figure for compensation. But, it can go higher depending on your settlement or mediation tactics. If you decide to take the case to trial, you could be awarded even more money. To understand the complexities involved in the compensation formula, hire a personal injury lawyer.

Insurance adjusters do not have your best interest at heart. Instead, they are biased toward the defendant and the defendant’s insurance company. While they might seem sympathetic toward you, they just want you to take the settlement. For this reason, it is important that you hire your own personal injury lawyer. Your lawyer will protect your interests and your rights. Your lawyer will know what is a fair settlement better than you can due to their experience. You should not negotiate with an insurance adjuster unless you have a lawyer present.