1. When will my case settle?
It is impossible in the early stages of a personal injury claim
to predict when that particular claim will actually settle. Some
cases settle in a matter of months after the injury while others
can take years to get to settlement or trial. Your lawyer will usually
wait until you have completed recovery from your injury or have
at least come close to recovery before trying to settle your case.
It is important to know the following before your case is settled:
a. What is the total of all medical bills?
b. Will any further medical treatment be necessary?
c. If further medical treatment is necessary, what is the prediction
of its cost?
d. Are any of your injuries permanent?
e. if any of the injuries are permanent, how do such permanent injuries
affect your earning capacity?
f. What was your total loss of income and what other employment
benefits were lost because of the injury?
g. Is it likely that you will lose any further income as a result
of your injury?
There are other factors that must be taken
into consideration before settlement. As the case progresses,
your lawyer will have some idea as to the approximate time in
which the case may be appropriate for settlement.
2. How much
is my case worth?
This question is one of the most frequently asked questions and
is also very difficult to answer in the early stages. It is virtually
impossible to predict the value of a case until all of the information
has been collected and you have recovered or almost recovered
from your injury. There are many factors that determine the value
of a case. They include:
a. The actual amount of all your medical bills.
b. How such medical bills were incurred; that is, from diagnostic
tests, treatments, physical therapy, hospital stays, prescription
medication, over-the-counter medication, chiropractic care and
other treatment.
c. How much income and other employment benefits were lost as
a result of your injury. This would include lost pay, sick leave
used, vacation time used, loss of insurance benefits and other
losses resulting from your injury.
d. The actual extent of your injury and how such injury affected
your daily life. This would include limitations of household activities,
sports and leisure activities and social life.
e. Whether or not any aspect of your injuries are permanent. This
would also include permanent disfigurement such as scars, blemishes
and other disfiguring characteristics.
f. Whether any of your injuries required hospitalization.
g. The extent of liability on the part of the potential defendant.
h. Whether there is any evidence that you were partly at fault
for your own injuries.
i. The status of the law as it relates to your case.
j. The quality of your witnesses, including those who will testify
about the incident, your injuries and your medical treatment.
k. Other factors such as pain, suffering, inconvenience and loss
of consortium (ie. how the injury affected your marital relationship).
I. Which insurance company is involved in the case.
m. The amount of available insurance coverage.
The above are just a few of the factors that
must be taken into consideration in determining a settlement value.
Some factors are more important than others and because insurance
companies require specific documentation, it is your responsibility
and that of your lawyer to provide the insurance company with
as much clear information as possible to support your claim.
3. Who determines
the settlement value of my case?
Marc L. Shapiro, and the other attorneys at the Law Firm of Marc
L. Shapiro PA.have a great deal of experience in the area of personal
injury law. After evaluating all of the factors enumerated in
question 2 above, one of the lawyers in our firm will discuss
the case with you to arrive at a possible settlement range.
Once you have agreed upon a general settlement
range, one of the attorneys in our firm will present a demand
to the insurance company within the range determined. It is important
to know that you have the ultimate decision to make, but, because
of your lawyer's experience in this area of law, you should seriously
and carefully consider any recommendation he or she makes as to
the ultimate value of your case.
4. What steps
will be taken to settle my case?
After all the investigation and research has been completed, your
lawyer will keep in touch with the progress of your recovery.
Hopefully, your injury will not be a serious one and eventually
it will be appropriate to attempt settlement. After a settlement
range has been decided upon, the lawyer will send what is usually
called a letter of demand to the insurance company.
The letter of demand summarizes the important
factors of your claim and is a formal request to initiate settlement
discussions. After the insurance carrier's claims adjuster receives
the letter of demand, he or she will meet with appropriate supervisors
to obtain settlement authority. Once the adjuster has his final
authority figure, he will respond and negotiations between your
lawyer and the insurance adjuster will take place.
Some cases can be concluded with a series
of telephone conferences, office conferences and correspondence.
The period of time required to complete negotiations usually depends
upon a number of factors including the nature of the insurance
company, how busy the insurance adjuster is and other factors.
5. Will the
insurance carrier pay the demand figure in my attorney's request
for settlement?
In almost every case, the final demand figure issued by your attorney
in the first letter requesting settlement is substantially higher
than the actual settlement range. This is a common negotiation
tactic for personal injury cases.
Because of your attorney's experience in
this area of law, a request for settlement will usually be made
in an amount that gives both parties a fair amount of room to
negotiate. Therefore, do not consider the demand figure to be
the actual settlement range of your case.
6. How long
does it take to complete settlement after the first letter of
demand?
In most cases the amount of time it takes from the first letter
of demand to final settlement can be several weeks to a few months
or sometimes longer. In smaller, clear-cut liability cases where
the injuries are fairly minimal, the process can be achieved in
a month or two usually. Every case is different, however, and
your lawyer will advise you about his opinion on the amount of
time it will probably take to settle your case. There are many
factors which affect the response time
and the adjuster's final offer.
They include:
a. How many files the insurance adjuster is handling.
b. How well documented the claim has been during the preparation
period.
c. Whether or not liability is clear on the part of the insurance
company's client.
d. Whether or not there is any comparative negligence on your
part.
e. Whether or not there are any other parties that may be responsible
for your injuries.
f. The internal claims process of the particular insurance company
including the number of supervisors required to approve the adjuster's
settlement offer.
g. How reasonable your lawyer's demand figure is.
h. The time of year (some months are better for settlement than
others).
i. The state of the economy as it relates to the insurance claims
process.
j. Other possible factors.
7. Because
the insurance company will undercut my attorney's request for
settlement, why not request a very large sum to begin with?
Many people believe that because the carrier will come back with
a lower figure than the demand, the attorney for the injured person
should request a very high figure to begin with. Such a process
never works. if the first demand figure is way out of line, most
insurance companies will not even respond to the request for settlement.
Asking for a high figure for settlement that
is ridiculous will often delay the process and sometimes will
make the insurance company refuse to make any offer at all. Therefore,
it is important that the first demand be reasonable at least.
Because your lawyer is experienced in this area of law, he will
have the best idea as to the amount for the first demand figure.
8. After the
insurance company and my attorney agree upon settlement, how long
will it take to get my money?
After an agreement has been reached between the insurance company
and you through your lawyer, it usually takes between two and
six weeks to complete the settlement process. There may be exceptions
to this range, but the average time to sign all the documents,
receive the check and figure out the exact proceeds for each party
usually requires at least a month.
9. What has
to be done before I get the money that is due me from settlement?
First, the insurance company will require that you, and perhaps
your spouse, sign a release. This is a document that settles your
claim. In the release, you will read language stating that you
are forever giving up your right to sue the person, persons or
company who was responsible for your injuries. In exchange for
giving up your claim, you will receive a certain sum of money
when the insurance company receives the release.
Second, your lawyer will have to pay any
medical bills that have not been paid arid may be required to
reimburse any insurance company that has expended money for medical
bills such as your health insurance carrier, automobile insurance
carrier or some other party who paid for your medical bills resulting
from your injury.
Third, your lawyer will deduct attorneys'
fees, actual out-of-pocket expenses and other possible costs associated
with the claim. After all deductions have been made for medical
bills, possible liens, attorneys' fees and costs, you will receive
the balance in a check processed from your own attorney's office.
10. After attorneys'
fees, medical bills, liens, and costs, will there be anything
left for me?
In most cases there should be a fair sum of money left for you
to compensate you for pain, suffering and some loss of income.
There are many factors influencing settlements. Such factors include
the amount of your medical bills, whether those medical bills
have to be paid from the settlement, whether you actually lost
income from your job or used sick leave, etc. If you have to pay
all of your medical bills from your settlement or reimburse a
health or medical payments carrier, this will substantially affect
the final amount.
You must remember that the law allows you
to be compensated for your injury - to give you compensation for
lost wages, medical bills, and a reasonable amount for pain and
suffering. The law does not provide that injured parties "get
rich" from insurance claims, especially in small cases. Your
attorney will do his or her very best to see that you get fair
compensation for your injuries.
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