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What Happens When Someone Files a Bodily Injury Claim?

bodily injury claim

Allegations of bodily injury claim causes relate mostly to negligence on the part of a third party, and subsequent acts mostly continue as evidence gathering, liability establishment, and negotiation with the opposite party through its insurance company, terminating probably in a lawsuit or settlement. 

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What Is the Process for Filing a Claim and Investigation?

  • Initiation—The injured party (the claimant) lodges a claim with the insurer of the at-fault party, or if the at-fault party is uninsured, the injured party hangs onto the offending party directly. 
  • Evidence Collection—From there, usually with the help of an attorney, the claimant will gather all the evidence to prove the claim; that evidence includes photographs of the scene, statements of witnesses, medical records, and accident reports. 
  • Liability Investigation—An adjuster or investigator from the at-fault party’s insurance company will check all of the information and determine who was at fault for the accident or incident that resulted in the injuries. 

Understanding Settlement Demands and Negotiations

Settlement Demand—The claimant will then issue a settlement demand through counsel to the insurer, stating the damages suffered and damages sought. 

Negotiations—Insurance companies will investigate the demand and may counteroffer. The parties will continue negotiating until they either agree on a settlement amount or realize that neither side can convince the other to accept one.

What Happens If Settlement Talks Fail? 

  • File a Suit—If the settlement talks fail, the claimant may file a lawsuit as an additional method for the claimant to pursue the claim in court. 

Litigation Process

When you file the matter with the court, it enters litigation and moves through discovery, possible motions, and mediation, and it will probably end in a trial.

Conclusion

Settlement—Almost all bodily injury claims settle long before trial, when the claimant receives damages.”

Court Judgment—If the case goes to trial, a judge or jury decides the defendant’s liability and the amount owed to the claimant. 

bodily injury claim

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How to Navigate Insurance Limits and Protect Your Rights?

Legal Representation 

Claimants may do well to hire a personal injury lawyer in order to negotiate the labyrinthine procedures and to protect their rights. 

Insurance Limitations 

Any amount paid out from insurance will be according to the policy limit. You can claim any excess sum above these limits directly from the at-fault party.

How Is a Bodily Injury Claim Calculated?

Settlement amounts for bodily injuries are a whole different ball game, but they are, of course, primarily a function of the severity of the injury, the medical bills, the lost income, pain and suffering, and last but far from least, the policy limits prescribed for the offering insurance company. Such issues as the length of treatment, potential for permanent disability, and the extent to which fault lies with the other party are among the factors to consider. 

Since no claim is ever the same, no single amount applies to every settlement, but knowing these factors helps approximate a realistic settlement.

What Are The Stages Of A Bodily Injury Claim? 

The claim essentially comprises seeking better remuneration due to damage to the person, emotionally or physically, caused when the other person behaved in a negligent way. This usually claims against the liability insurance of the other party. The settlement process includes assessing the accident and proving the evidence, such as a medical record from a doctor, a police report, or even a doctor’s diagnosis, to verify the injuries inflicted upon you. After reviewing the alleged evidence of the claim, the adjuster will negotiate the claim value if he or she finds liability. Otherwise, he/she just denies it. 

Processes for Making a Bodily Injury Claim 

Make a Report and Seek Medical Care

Normally, immediately after any accident, the person should report to the responsible party for the insurance. Immediate medical treatment for safety is also advisable, as this forms a basis for proper documentation of your injury. 

Gathering Evidence

In this regard, gather the following for your case:

  • Medical Records: These substantiate evidence of your injury and treatment. 
  • Accident Reports: By these police reports, the event is officially recognized. 
  • Photos: Pictures of visible injuries (bruises, cuts, and scars) and an accident scene can improve your claim. 
  • Dashcam Footage: Video evidence can prove liability beyond a reasonable doubt. 

Recording Document of Your Innermost Feelings and Effect

Apart from pain, discomfort, and changes in daily and mental health lives, the formal medical assessment would contribute a chunk to evidence regarding injury extent and impacts on long-term harm. 

File a Claim

You must submit all collected documentation to the insurance provider for the at-fault driver.

Contact an Adjuster

The insurance company will assign an adjuster to your case to investigate and determine liability.

Negotiate Settlement 

When liability has been agreed, you will have to negotiate with the insurer on:

  • Medical bills: For treatment/recovery costs. 
  • Loss of earnings: For pay compensation for days not worked as a result of the injury. 
  • Pain & suffering: One measure of the settlement compensating for physical and emotional distress. 

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What Is the Time Frame for Bodily Injury Claims?

A complicated bodily injury claim may take years for an award, with moderately serious claims typically taking anywhere between a few months and a few years, depending on the speed of liability establishment. An easily settled case with clear liability could settle in under one year; however, serious or complex claims, which usually involve permanent or disabling injuries, will often take the longest review time so as to allow a thorough assessment of recovery and damages.

  • Do it now: Settlements should not be hurried since the most important consideration is a future need that is not equal in importance. 
  • Interim payments: There may be money needed while a claim is being processed, and there are companies that will allow you to make an application for interim payments. 
  • Seek professional guidance: Dealing with the case with a personal injury attorney might be easier, especially when the case tends to be tougher or higher-value. 
bodily injury claim

Bottom Line

Allegations of bodily injury claims primarily involve negligence by a third party, leading to evidence gathering, liability determination, and negotiation with insurers, possibly culminating in a lawsuit or settlement. The process begins with the claimant filing a claim with the at-fault party’s insurer, backed by evidence collection, including photographs, witness statements, and medical records. Following liability investigations by insurance adjusters, the claimant submits a settlement demand, prompting negotiations to begin. If these fail, a lawsuit may be filed, leading to litigation that often resolves before trial through settlement. Key factors for calculating claim amounts include injury severity, medical expenses, lost income, and insurance policy limits. While claims can be complex and vary in duration, hiring a personal injury attorney can ensure proper navigation through this process, including documentation and negotiations. Tenina Law can assist in these areas to protect claimants’ rights.

Finale!

A personal injury lawyer can be very helpful for one in the process of registering a bodily injury claim. The lawyer must have experience and knowledge in insurance dealings and legal proceedings.


An attorney at Tenina Law can help with the evidence-gathering process. Filing of a claim and the negotiation of settlements in such a manner that your rights are protected throughout the process. Call our office to speak with a personal injury lawyer in Orange County. We can help you start over after your injury. Reach out to us today for a free consultation.

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