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How Do Insurance Adjusters Determine Car Accident Settlement Amounts?

Posted by Hammad Shabbir | Oct 16, 2024

If you've been in a car accident, you might wonder how insurance adjusters come up with car accident settlement amounts. Their goal is to minimize the payout while staying fair within the policy's limits. Knowing their methods can help you better understand the offer. Please understand that nothing here should be construed as legal advice or sufficient information to enable you to handle your own claim. You should always consult a qualified lawyer about your claim.

What Factors Do Insurance Adjusters Use to Value Claims?

When deciding on a settlement amount, adjusters take into account many factors. Understanding these factors can help you maximize your car accident settlement amount.

  1. The Severity of Your Injuries
    The medical reports you provide are reviewed by adjusters. They often include a description of injuries, diagnosis, and treatment plans. If you forget to include a report, do not assume the adjuster will obtain it. With your medical reports, adjusters can determine a valuation for your bodily injury claim.
  2. Medical Bills
    Medical bills are also used to determine the expenses related to your bodily injury claim. Serious injuries often lead to higher settlements. This is because they require more medical treatment and thus, more bills.

Must Read: Shoulder Pain After Auto Accident | Recovery Tips

  1. Lost Wages
    If you missed work because of the accident, you could claim lost wages. This will be factored into your settlement amount. Adjusters will take this into consideration.
  2. Fault
    In California, fault plays a big role. If you were partially at fault, it can affect your claim. Your settlement might be reduced as a result. Understanding these factors is essential. It provides insight into how settlement amounts are calculated. This helps you see how adjusters arrive at their decisions.
Insurance Adjusters Determine Car Accident Settlement
Insurance Adjusters Determine Car Accident Settlement

Do Medical Bills and Car Repair Costs Affect the Settlement?

The amount you get as a settlement will be heavily influenced by your medical expenditures. Vehicle repair cost estimates are also crucial at this stage. The final settlement amount is greatly affected by each of these considerations.

  • Medical Costs: The total of your medical bills and reductions based on the value you will be personally responsible for. You want to make sure you have accounted for all your medical bills and haven't left anything out. The expense of any follow-up treatments will also be considered.
  • Repair Estimates: Verify that the quotes you receive for fixing your vehicle are correct. It is crucial to include the repair expenses when calculating the overall damage. The settlement offer will also take these expenses into consideration.

It is critical to provide precise and legible paperwork for medical expenses. It is equally important to keep meticulous records of repair expenses.

What If You Had Pre-existing Conditions?

Pre-existing conditions can complicate your claim, but they don't automatically disqualify you from receiving compensation.

  • Worsening of Pre-existing Conditions: If the accident worsened a previous injury, you are entitled to compensation. This includes any aggravation of your existing condition. You can file a claim for damages to cover the additional injury the accident caused.

    A settlement reduction may be sought by the adjuster. They can try to argue that the collision did not cause all your injuries. A lesser offer of compensation may follow from this.

Verify the accuracy of your medical reports. Demonstrating the impact of the accident on your health is crucial.

What Can You Do If You Disagree with the Adjuster's Settlement Offer?

Remember, you should not represent yourself, but if after consulting with an attorney you still wish to pursue your own claim, you have options if you don't agree with an offer. If the adjuster's offer doesn't seem fair, you can challenge it. You have the right to dispute the offer. Don't settle for less than you deserve.

  1. Ask for a Re-evaluation
    You can request the adjuster to review your case again. Present any new evidence or information to support your claim. This could help improve the offer.
  2. Present More Evidence
    You may need to provide additional proof. Medical evaluations or repair estimates can be useful. This could strengthen your case for a higher settlement.
  3. Consider Legal Help
    If the adjuster is unwilling to raise the offer, negotiations can come to a deadlock. Contacting a car accident attorney Los Angeles onset of an accident is always the best approach. The negotiation can be handled by a lawyer on your behalf.

After a car accident, dealing with an insurance adjuster can be tough. It's important to know what to expect in advance. Being prepared can increase your chances of securing a fair settlement.

Consulting a Los Angeles personal injury attorney can help you navigate the challenges of your case. An attorney can help defend your rights. At Fassonaki Law Firm, P.C. we fight for the compensation you deserve.

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