do auto insurance companies generally have what attorney claims for bodily injury

by Prof. Delaney Medhurst 4 min read

In general, all car insurance policies contain language stating that the insurer will provide a lawyer for the policyholder if he or she gets into a car accident and is sued for damages resulting from the crash.

Full Answer

Who can file a bodily injury claim after a car accident?

Most states allow people involved in accidents to file bodily injury insurance claims against the at-fault driver. No-fault states require drivers to use their own insurance to pay for their medical bills after an accident, though lawsuits are allowed if costs exceed a certain amount.

Does car insurance cover bodily injury claims?

Car Insurance Coverage for Bodily Injury Claims. Car insurance companies provide bodily injury liability car insurance in order to provide drivers with compensation for injuries they sustain in an accident. It's important to note that your liability insurance pays for the other driver's injuries when you are at fault.

Do insurance companies pay for personal injury claims?

Injury Claims and Insurance Often, injury claims are handled by insurance companies. Generally speaking, insurance companies agree to pay for car accidents and other injuries involving their clients. After all, this is the reason people spend the money on insurance in the first place.

How does a car accident affect my compensation claim?

The type of injuries that you sustain in a car accident will have an effect on your compensation. For example, a broken arm doesn’t have the same long-term impact as a spinal injury. The more detailed your medical reports and documentation are, the more successful your bodily injury claim will be.

Why do insurance companies provide bodily injury liability insurance?

When you get injured in a car accident, is it important to file a claim?

What If the Other Driver Doesn't Have Insurance?

What is underinsured motorist coverage?

Can a lack of medical documentation hurt your claim?

Can a claims adjuster manipulate your answers?

See 3 more

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Which type of automobile insurance pays for accidental bodily injury?

Bodily injury liabilityLiability Coverage is for accidents that are your fault. Bodily injury liability pays for bodily injury you cause someone else. Property damage liability pays for property damage you cause someone else.

Is pain and suffering the same as bodily injury?

Generally speaking, there are two types of pain and suffering that accompany a claim for bodily injury. The first is for physical pain and suffering, and the second is for the mental anguish that accompanies a physical injury. The law characterizes both as components of "general damages."

What are examples of bodily injury?

Bodily injury refers to specific kinds of harm done to the body after an incident, such as bruises, burns, cuts, fractured bones, and nerve damage. When someone carries bodily injury insurance, it covers the costs of the other person involved in the accident.

What should you not say to your insurance after an accident?

Avoid using phrases like “it was my fault,” “I'm sorry,” or “I apologize.” Don't apologize to your insurer, the other driver, or law enforcement. Even if you are simply being polite and not intentionally admitting fault, these types of words and phrases will be used against you.

How much pain and suffering should I ask for?

For example, if you had $50,000 in medical costs and other hard costs, and your suffering was rated at about a 3, then the pain and suffering damages should come to about $150,000 (3 x $50,000 = $150,000).

How much can you get out of pain and suffering?

How is Pain and Suffering Calculated? There is no clear pain and suffering calculator, either for a judge and jury or for an insurance company. Typically, pain and suffering get based on a percentage of your special damages: usually between 1.5 and 5 times the special damages from your claim.

What is considered an accidental bodily injury?

Accidental Bodily Injury means an Injury sustained as the result of an Accident and independently of all other causes by an outside traumatic event or due to exposure to the elements. Bodily injury means bodily injury, sickness or disease sustained by a person, including death resulting from any of these at any time.

What counts as serious bodily harm?

Serious bodily harm is defined as bodily harm that imposes a substantial risk of death or causes extreme physical pain, prolonged loss or impairment of the function of any body part or organ, protracted unconsciousness, permanent disfigurement, or significant internal damage (such as internal bleeding or broken bones).

Is a bruise considered bodily injury?

(4) the term “bodily injury” means— (A) a cut, abrasion, bruise, burn, or disfigurement; (B) physical pain; (C) illness; (D) impairment of the function of a bodily member, organ, or mental faculty; or (E) any other injury to the body, no matter how temporary.

How do you beat an insurance adjuster?

How to Beat Insurance Adjusters to Get the Best SettlementFile a claim quickly after an accident.Keep detailed records of the accident.Do not accept the first offer.Consult a lawyer.Send the insurance adjuster a detailed Demand Letter.Decide a specific settlement in mind.Highlight emotional points in your favor.More items...•

How long does an insurance company have to investigate a claim?

about 30 daysGenerally, the insurance company has about 30 days to investigate your auto insurance claim, though the number of days vary by state.

Why do insurance adjusters never answer the phone?

Another reason that the adjuster is not calling you or returning your calls is simply because they do not have to. They usually get away with their delaying tactics because they are not legally bound by a fixed timeline, and they are not technically breaking any law by delaying or even rejecting your claim.

What is the meaning of bodily injury?

(4) the term “bodily injury” means— (A) a cut, abrasion, bruise, burn, or disfigurement; (B) physical pain; (C) illness; (D) impairment of the function of a bodily member, organ, or mental faculty; or (E) any other injury to the body, no matter how temporary.

What is the difference between pain and suffering?

Pain is what happens to us, suffering is what we do with that pain. While changing our perception of this concept may be difficult, it is possible. We can avoid or lessen our actual suffering based on what we choose to do with the pain we experience.

What is included in pain and suffering?

The phrase “pain and suffering” refers to a legal term that describes both the physical and emotional injuries suffered by a victim following an accident. Any substantial physical pain or mental anguish you suffer following an accident may qualify as pain and suffering for settlement purposes.

What is the difference between PIP and bodily injury?

Bodily injury comes into play if you're at fault in an accident and pays the bills for others involved in the accident. Personal injury protection is available in no-fault insurance states and covers your expenses no matter who is at fault in the accident.

What is bodily injury liability coverage?

Bodily injury coverage pays for financial damage to others that occurs as a result of a car crash that you're responsible for. This could include m...

Do I need bodily injury liability coverage?

In most cases, yes. Every state except Florida requires BI liability coverage in order to register a car.

How much bodily injury coverage should I buy?

You will definitely need to buy at least enough to meet the minimum required amount in your state, but we recommend drivers buy more based on their...

Is bodily injury coverage expensive?

The cost of BI liability coverage depends on how much you buy, as well as other factors like your driving history. The more coverage you buy, the b...

What Information Do I Need For A Bodily Injury Claim?

When you file a personal injury claim, you must provide the insurance company’s claims adjuster with certain pieces of information. During the time...

Seeking Medical Attention

A lack of medical documentation will hurt your bodily claim; however, understand that just one visit to the emergency room probably won't help your...

Bodily Injury Claim Sample Questions

In addition to the above information, your claims adjuster will ask you questions, such as: 1. What’s your physician’s name and contact information...

What If The Other Driver Doesn't Have Insurance?

If you're in an auto accident with a driver who doesn't have car insurance, or his limits are not sufficient to cover your injuries, you might be o...

How to File a Bodily Injury Claim After a Car Accident

How to File a Bodily Injury Claim After a Car Accident If you've been injured in a car accident, you have a number of options. One of the most effective ways to get the help you need is filing a bodily injury claim after a car accident with the at-fault driver's insurance company.

How much bodily injury liability coverage should you have?

You should get limits that match the value of assets you have, or the highest limits you can afford. That's because if your car insurance isn't enough to pay for the damage you cause, the other driver may take you to court and sue for the remainder. If the judges rule in their favor, your assets will have to be liquidated to pay for the court damages.

What does bodily injury coverage pay for?

Bodily injury liability insurance pays for injuries you cause to another driver if you are at fault in the accident. It includes medical bills as well as lost wages and even funeral costs if applicable.

What is bodily injury liability?

Lost wages: If the harmed party was seriously injured and unable to work, your bodily injury liability coverage makes up for their lost income. This amount will be based upon the amount of time they are unable to work as a result of the injury, and subject to various limits based on where you live.

What does BI insurance cover?

If you cause a car crash in which someone else is injured, your bodily injury liability (BI or BIL) insurance pays for expenses related to injuries they sustain in the crash. It is one of the two forms of liability car insurance coverage that pay for any damage you cause other drivers. Nearly every state sets a minimum requirement ...

What is covered under bodily injury liability?

What is covered under bodily injury coverage. The types of expenses a third party can file against your bodily injury liability policy include: Medical bills: For the other party's hospitalization, follow-up care and related medical or health care. Lost wages: If the harmed party was seriously injured and unable to work, ...

How much is the average bodily injury claim in 2019?

In 2019, the average bodily injury claim was $18,417 as reported by Insurance Services Office Inc. (ISO). Bodily injury claims tend to be relatively infrequent, however, with only 1.1% of policies experiencing a claim that year.

Why do you need higher coverage limits for car insurance?

Because wealthier people may be bigger targets for lawsuits, we recommend higher coverage limits for higher net worth individuals, as a higher policy limit will cover more of the claims brought against your bodily injury protection. The next thing to consider is how to find the cheapest car insurance for the coverage you need.

Why do insurance companies provide bodily injury liability insurance?

Car insurance companies provide bodily injury liability car insurance in order to provide drivers with compensation for injuries they sustain in an accident.

When you get injured in a car accident, is it important to file a claim?

When you get injured in a car accident, it's important that you take the appropriate steps to file a car insurance claim right away.

What If the Other Driver Doesn't Have Insurance?

If you're in an auto accident with a driver who doesn't have car insurance, or his limits are not sufficient to cover your injuries, you might be out of luck unless you have one of the following coverages:

What is underinsured motorist coverage?

Underinsured motorist coverage: Pays the difference when the other driver's liability insurance limits are too low to cover your expenses.

Can a lack of medical documentation hurt your claim?

A lack of medical documentation will hurt your bodily claim; however, understand that just one visit to the emergency room probably won't help your claim much.

Can a claims adjuster manipulate your answers?

As you can see, some of the questions are pretty straightforward; however, others can get a bit tricky, and your claims adjuster can manipulate your answers if you aren’t careful. It’s best to hire a personal injury attorney with experience handling bodily injury claims cases.

How long does it take to settle a personal injury claim?

That is why it can often take months or years to settle a personal injury claim fairly. The adjustor is often given “marching orders” by his/her superior and the computer. Offers will start unrealistically low and over time weeks, months, years will increase. Patience is the key word.

What insurance companies use personal injury software?

Insurance companies believed to use such software programs include Aetna, Allstate, CNA, Erie, Farmers, Metropolitan, Ohio Casualty, The Hartford, MetLife, Travelers, USAA and Zurich. (Many other insurance companies use other form of injury valuation software.)

Do insurance companies use software evaluation programs?

Neither the insurance companies that use these software evaluation programs nor the designers of such software will reveal their criteria / algorithm. Not much precise information about the software is available.

1. Insurer Accepting Liability

For claims against the other person’s insurance company, you will bear the burden of proof to show their insured was liable, meaning responsible for your injuries.

2. Allegations of Shared Fault

You may be convinced the other party was completely at fault for your injuries. However, the adjuster will always look for ways to put some of the blame on you.

3. Evidence of Fault and Damages

The final payout you get from the insurance company will be directly affected by the evidence you collect to support your claim.

4. Reasonable and Necessary Medical Costs

Higher medical expenses usually lead to higher injury settlements if the medical costs make sense. You can’t assume the claims adjuster will simply agree with the amount of medical and chiropractic bills you submit for reimbursement.

5. Bodily Injury Liability Insurance Limits

Most bodily injury claims are paid by auto insurance or homeowner’s insurance policies that have limits of coverage.

6. Venue and Jurisdiction

Where your accident occurred can have a big impact on the amount of compensation you receive. Insurance adjusters take venue and jurisdiction into account when they decide how much to pay for settlements.

7. Multiple Victims for Limited Funds

When multiple vehicles are involved in an accident, determining who’s liable for your injuries becomes more complicated. Also, although your injuries may be real, and the costs of treatment reasonable and necessary, your settlement amount may be limited by the insurance policy limits of the at-fault driver.

What type of insurance is liability for injury?

Liability for Injury: Insurance Options. There are many different types of insurance out there: car insurance, life insurance, homeowner's insurance. It can be difficult to know which polices are truly necessary. After all, insurance can be expensive. Read our guide to the most common insurance policies.

Who pays for car accidents?

Injury Claims and Insurance. Often, injury claims are handled by insurance companies. Generally speaking, insurance companies agree to pay for car accidents and other injuries involving their clients. After all, this is the reason people spend the money on insurance in the first place.

What is car insurance?

Car insurance protects the insurance policy owner against physical damage to the car as well as bodily injury caused by a car accident. Most car insurance policies usually cover liability arising from a car accident as well. Homeowner's insurance can be a helpful type of insurance if you own a home. This type of insurance generally protects both ...

What happens if you are uninformed about your insurance?

There are times when insurance companies make mistakes, and if the claimant is uninformed, he or she could lose out on a benefit that was promised in the contract.

Why do people buy insurance?

More. Common Types of Insurance. The reason to buy insurance is to give some financial protection in the event of a disaster, such as a car accident, natural disaster, or an injury. There are several types of insurance, and it can be hard to figure out which kind of insurance is necessary.

Why do hospitals lay claim to a patient's personal injury settlement?

Sometimes hospitals and other medical care providers lay claim to a patient’s personal injury settlement in order to collect what the patient owes them. Learn about how hospitals make a claim on a settlement and how to prevent it.

What is homeowner's insurance?

Homeowner's insurance can be a helpful type of insurance if you own a home. This type of insurance generally protects both the home itself and the items inside the home. Sometimes homeowner's insurance policies also protect the homeowner from accidents that happen at the home, such as a slip and fall. Similar to homeowner's insurance is renter's ...

What does it mean to have an attorney for a personal injury claim?

Most personal injury attorneys will represent you on a contingency basis, meaning that they’ll only be paid if your claim is successful.

Who pays for bodily injury?

Bodily injury claims usually cover medical bills and lost wages, and these claims can be paid by either the injured party’s insurance company or the at-fault driver’s insurance.

When Can You File a Bodily Injury Claim?

You can file a bodily injury claim when you are injured in a car accident. In almost every state, drivers are required to carry a certain amount of bodily liability insurance that pays for injuries to others in accidents that they cause. The exact coverage requirements vary between states, but every liability policy will include a dollar limit for how much the insurance company will pay per injured person and per accident.

What is the difference between bodily injury and personal injury?

The difference between bodily injury and personal injury coverage in car insurance is that personal injury protection pays for the policyholder's own medical bills, while bodily injury coverage pays for others' medical bills when the policyholder is at-fault. Bodily injury coverage is a form of liability insurance.

Why is it important to have enough bodily injury insurance?

Maintaining enough bodily injury liability insurance to cover your net worth is recommended to prevent lawsuits. Bodily injury liability coverage pays for other drivers' and passengers' injuries when the policyholder is at-fault in an accident.

What type of insurance do you need for medical expenses?

Instead, you need to use personal injury protection (PIP) or MedPay coverage, both of which pay for your medical expenses after an accident regardless of fault. They are usually optional levels of coverage, although several states require them.

What information should you provide when filing a bodily injury claim?

When you file a bodily injury liability claim, you should be prepared to provide the following information: A detailed description of what happened.

What is the most important factor in personal injury claims?

In most personal injury claims, the most critical claim value factor is the nature of the actual injuries that the victim suffered and that was diagnosed by the victim’s physicians.

Why are medical expenses important in valuing an injury claim?

Usually, an injury victim’s medical expenses will be the second-most important factor (after the diagnosed injuries themselves) in valuing their injury claim, first because the expenses are an actual item of economic or “special” damages that the victim can recover dollar-for-dollar from the person (s) who are legally liable for the damages.

How to prove medical bills?

Providing proof of medical bills for treatment that an injury victim has already had is usually quite simple – submitting medical records that describe the billed treatment and which indicate the treatment was for injuries suffered in the accident is usually sufficient. The bodily injury liability insurance adjuster may want to argue over the reasonableness of the charged amounts or over what portion the victim is entitled to be compensated for. Still, if the charges were for treatment clearly related to the accident, they will usually be included in the claim value. Some things that are more likely to prompt arguments, however, are charges following gaps in treatment – where an injury victim has stopped receiving treatment, then starts up again weeks or months later -- or bills for unusual or experimental treatments. A personal injury victim who has an attorney should always discuss with their attorney when they are anticipating concluding or changing their treatment programs. Doing so when they haven’t yet fully recovered or doing so against the advice of their doctors can not only have negative health implications but can also significantly damage their personal injury claims.

What is the rule for medical expenses in California?

The general rule in California is that an injury victim is entitled to compensation for the actual dollar value of out-of-pocket payments (co-pays, health insurance deductibles, pharmacy payments, ...

Can you recover medical bills in California?

However, for medical bills that are covered by health insurance – either private insurance through an employer or that is individually purchased, or public insurance plans like Medicare and Medi-Cal – injury victims in California are generally able to recover only for the portions paid by their insurance company or out of pocket.

Is a brain injury more likely to be a broken bone or a sprained ligament?

In a very general way, a severe brain injury will usually have a higher claim value than a broken bone, which will usually have a greater claim value than a sprained ligament, and so forth. We as potential members of a jury – and juries are always the ultimate authority on the values of injury claims – can have some common sense understanding ...

Do you get paid for medical bills for bodily injury?

Because of the way that bodily injury claims are handled, however, we won’t receive prompt payment for medical expenses the way we usually will for property damage claims. Bodily injury claims are typically much more complicated. Instead of taking into account only one factor (a repair bill or a total loss valuation) the way a property damage claim does, a bodily injury claim will need to account for multiple factors: the injuries, medical expenses for those injuries, wage loss or earning capacity loss resulting from the injuries, loss of consortium, pain, and suffering, and potentially future amounts for these items if the injuries are permanent or long-lasting. Since there is only one final resolution of the claim – whether by settlement negotiation, arbitration award, or jury verdict – all these claim items are usually paid at once in a single check at the end of the claim. We won’t usually receive interim payments on our medical bills for a claim, just one lump sum settlement payment for everything at the end.

Why do insurance companies provide bodily injury liability insurance?

Car insurance companies provide bodily injury liability car insurance in order to provide drivers with compensation for injuries they sustain in an accident.

When you get injured in a car accident, is it important to file a claim?

When you get injured in a car accident, it's important that you take the appropriate steps to file a car insurance claim right away.

What If the Other Driver Doesn't Have Insurance?

If you're in an auto accident with a driver who doesn't have car insurance, or his limits are not sufficient to cover your injuries, you might be out of luck unless you have one of the following coverages:

What is underinsured motorist coverage?

Underinsured motorist coverage: Pays the difference when the other driver's liability insurance limits are too low to cover your expenses.

Can a lack of medical documentation hurt your claim?

A lack of medical documentation will hurt your bodily claim; however, understand that just one visit to the emergency room probably won't help your claim much.

Can a claims adjuster manipulate your answers?

As you can see, some of the questions are pretty straightforward; however, others can get a bit tricky, and your claims adjuster can manipulate your answers if you aren’t careful. It’s best to hire a personal injury attorney with experience handling bodily injury claims cases.