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 Posted: Wed Feb 20, 2008 3:54 pm Post subject: What are the basic process of an evaluation of claim? |
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| what are the basic steps/process of a evalution of injury claim? If they find their insured at fault. and have all the documents such as med. records and bills..etc..from the injured party. how long will it take for them to evaluate the claim and make an offer? |
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gb298888
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| Posted: Wed Feb 20, 2008 4:57 pm Post subject: |
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| This all depends. Is the person done doctoring? Usually you must be released from a doctor before many claimed can be resolved. If it is and as you say they have all the documentation it could take at least a month, possibly more. It really boils down to alot of things. Is their a lawyer involved? Do you have any judgements against you or money owed/ They do have to check all that first. I am in no way an expert but this road is a little familiar to me. Insurance companies usually want to clean up a claim as quickly as possible. An attorney usually helps with this manner also. |
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fireyone
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| Posted: Thu Feb 21, 2008 7:06 am Post subject: |
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The time required to settle the injury claims may vary depending upon the nature to the injuries sustained by the claimant. If you have recovered completely and all the treatments are done and you are happy with the amount offered by the carrier then it may take only few months to settle the whole claim process.
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Anita Hoffman
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| Posted: Thu Feb 21, 2008 7:24 am Post subject: |
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| Quote: | | If you have recovered completely and all the treatments are done and you are happy with the amount offered by the carrier then it may take only few months to settle the whole claim process. |
Yeah, but more often than not the insurer may insist upon settling the claim even before you recover completely. At times, injuries may taken longer time than normal to heal, which implies longer period of medication, the claimant then may need to involve his/her doctor to ascertain the future expenses of treatment as well. However, the best policy to settle for the BI claim is to take into account all present and future medical expenses and not to settle untill you recover completely form the pain. Hope this helps.
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underdogpatrick
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| Posted: Thu Feb 21, 2008 1:40 pm Post subject: |
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| What if you won't recover from your pain. I'm dealing with RSD now and have to deal with it forever as a result of a car accident. All they say they can do is manage the pain. I was under the impression that once you recieve a definite diagnosis and it is lifetime that they can settle and leave any medical left open. |
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fireyone
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| Posted: Fri Feb 22, 2008 3:28 pm Post subject: |
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A settlement is just that, you would agree not to purse anything else, including any future medical bills. I'm not saying that they are not considered, they are. They should be added into the settlement.
When the carrier pays you for the injury their insured caused, they are doing so in order to protect their insured. Which is correct and they whole reason why they are making the offer/payment.
If the RSD was caused by the accident, it might be a question of policy limits. That is, the other person's limits might not be high enough for the insurance company to make a reasonable offer. If this were the case, they could only offer the limits. |
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tcope
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| Posted: Fri Feb 22, 2008 5:51 pm Post subject: |
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| That makes a lot of sense. The only thing I can't make sense of is why the other company doesn't have to tell you or anyone else what the coverage limits are of the other person. So how do you know what is available? At least this the info I got out of the matter. Either way whats done is done and we all have to move forward even when faced with difficult challenges. Thats what makes us who we are. |
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fireyone
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| Posted: Fri Feb 22, 2008 7:54 pm Post subject: |
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| Some states don't require the carrier to disclose the limits. It's the owner/operator who actually legally owes the money so I guess knowing the limits is like requiring the other driver to tell you how much money he/she has in the bank. I've never been in a state where disclosure is not required so I agree, I think it's actually easier for everyone if it's disclosed. Of course, this only comes into play when the injury settlement might be close to the limit. If I have a million dollar limit and the claim is around $20k, the limits are really a moot point. If the payment is going to be close to the limit, I just think it's easier if everyone is on the same page. So I don't see why hiding the limit amount would help. |
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tcope
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| Posted: Fri Feb 22, 2008 10:48 pm Post subject: |
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I don't get the whole thing about hiding the amount either but we all have to play by the rules. I seriously do believe alot of these rules were set up do to people who fake injuries and
spend their lifetime trying to make an easy dollar. Whatever will be will be. I am hoping to put this all in the past and hope the place where I work can still find me useful enough to stay on. I've got an excellent work reputation so I'm hoping that helps. I will find out this spring when they call everyone back. Until then I'm not gonna sit on pins and needles wondering. |
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fireyone
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| Posted: Fri Mar 14, 2008 5:07 pm Post subject: car accident |
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why don;t the other party ...have to give up how much their limit is... i don;t want to be stuck paying doctor bills... cause they had a limit..it was their fault
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jane
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| Posted: Fri Mar 14, 2008 5:56 pm Post subject: |
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Any offer less the the limits should address all related medical treatment. If the limits of the policy are not sufficient to address a person's loss, that person can choose not to accept the limits of the carriers policy and pursue the at-fault person directly. But if the at-fault person does not have a lot of money in the bank... the most a person may be left with is still the limits payment from the at-fault parties carrier.
It's not the insurance companies fault the state does not require hire limits. It's also not their fault their insured asked for lower limits. But it is true that many (most?) people don't want to spend a lot of money on liability insurance so they obtain the lowest limits possible. |
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tcope
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| Posted: Fri Mar 14, 2008 10:29 pm Post subject: |
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| Tscope makes a good point about people getting the cheapest insurance. I don't think most of us relize how underinsured we are until dealt a blow like this. I know I have upped my policy limits since my auto accident. Why? Two really good reason. 1. I don't want to short change someone especially if I injured them. 2. I sure don't want to face a personal lawsuit. I hear, although I don't know true this is, that most attys don't like to deal with personal lawsuits pertaining to suing after an auto related wreck. I guess the chances are low to recover anything. Unless I had some pretty serious injuries and the other person was drunk, using drugs or something like that..I don't think I could ever personally sue someone. |
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fireyone
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