Quick Preview – DEALING WITH THE INSURANCE COMPANY • Prepare for frustration. • Opening an insurance claim. • The art of recorded statements. • Get ready for a lot of phone tag. • Understanding settlement talks. 33 CHAPTER 4. Crucial Question #2: How Do You Deal with the Insurance Company? The Fun Starts Now – Not Really As a personal injury attorney I have the privilege of dealing with insurance adjusters every single day. If you didn’t sense sarcasm in the word privilege in the previous sentence, then let me use a few different words to describe what it is really like – frustrating, irritating, lonely (because 90% of the time I am talking to answering machines) and exhausting. You do not have to have an attorney when dealing with the insurance companies, but just know that the insurance companies have their own attorneys. There are multiple occasions that you may have to talk to the insurance companies during the recovery. I will try to outline the most common times dealing with insurance companies. Opening a Claim The initial step in getting the insurance companies to take action is to open a claim with them. This can be as simple as calling them and letting them know what happened, but often times requires a lot more information including many of the correspondences below. It is likely that you will have to open a claim with both your insurance company as well as with the other insurance companies involved. Recorded Statements Initially both insurance companies have the right to ask you questions about the accident in order to open the claim and 35 figure out liability. During these initial conversations the insurance companies will ask you many questions both about the car accident and about your injuries. In fact, one of the tactics used is asking the same question multiple different ways in order to try to get you contradict yourself and downplay your injuries, which is later use during negotiations to minimize the value of your claim. Often times it is very beneficial to do these recorded statements in the presence of your attorney. Written Correspondence One of the most vital things insurance companies request in these written correspondences are your permission to request your medical records. Insurance companies also correspond via letters and sometimes emails. One of the most vital things insurance companies request in these written correspondences are your permission to request your medical records. The insurance companies do need to see your medical records in order to value your claim; however, the problem most people make is they give permission to the insurance company to get whatever they want for as long as they want. This often gives them ammunition to find prior injuries that have very little to do with the car accident and use that to minimize your settlement. This is one more reason why it may not be a bad idea to either have an attorney request and deliver the medical record or at minimum restrict how much authority you give to insurance companies in getting your medical records. Correspondence One of the most frustrating tasks of dealing with insurance companies is simply trying to get hold of them. Often times 36 they are on different time zones and or have so many claims that it take three to seven messages before getting a return call. This is not always the case, but occurs more often than any person deserves. Additionally, if you are trying to get hold of the insurance company it is likely because you need them to do something like fix your car or get a rental. If you do not know your way around the internal communications of these large corporations, this can cause huge headaches and frustrations. Settlement Offers I strongly advise you not accept any offers until you know for a certainty that the offer is fair. Another very important reason the insurance company may be trying to communicate with you is to try to get you to settle your claim. Often times this occurs very early in the claim and well before you may know the extent of your injuries. I strongly advise you not accept any offers until you know for a certainty that the offer is fair. This goes for both property damage as well as settlement offers for you injury claims. An experienced car accident attorney deals with settlements on a daily basis and is likely your best source in figuring out if the settlement is fair or not. Most attorneys offer a free consultation as well. IME (Independent Medical Evaluations) Insurance companies often ask if you will be willing to see and IME doctor. The “independent” doctor’s job is to take a look at your injuries and determine if you need more treatment or if in their opinion, you should be healed by now. They are paid by the insurance company therefore they are almost always unfavorable to you. The IME process more often than not occurs at the request of the 1st party insurance (your own insurance company) and usually is requested to determine if your insurance company 37 feels they should continue to pay your PIP benefits. 38 Checklist: DEALING WITH INSURANCE Prepare yourself for frustration. Open an insurance claim. Conduct your recorded statements. Call multiple times until you get ahold of someone. Do NOT accept the first settlement offer extended. Speak with an experienced auto accident attorney. 39
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