when to involve lawyer in injury claim

by Ms. Victoria Cassin DDS 8 min read

If your injuries are not clearly work-related, require extensive medical treatment, involve long periods of time off work, or result in permanent disability, you should call a workers' compensation lawyer. By Sachi Barreiro Free Case Evaluation

When to Call a Lawyer
  • Any accident that causes significant injury to you or someone else.
  • Any accident where fault is not clearly established.
  • Any crash involving another motorist, such as a pedestrian, other cars, truck, or cyclist.
  • Any collision in a school zone.
  • Any crash in a construction zone or work zone.

Full Answer

Do I need a lawyer for a personal injury claim?

Ryan Babcock, an attorney with the Babcock Law Firm, a personal injury law firm in Georgia, says lawyers are sometimes necessary to overcome the insurance industry’s practices in dealing with claims.

When should I contact a personal injury attorney after an accident?

If there is any conflicting information at all, you should immediately speak to an attorney. When multiple people are injured in an accident, even if they are from the same family, it is crucial to speak with an attorney.

When should I hire a lawyer for an insurance dispute?

Any time you're in a dispute with the insurance company, you should consider hiring a lawyer to represent you.

What do I need to know when settling an injury claim?

And you know best what injuries you suffered, what your physical condition has been since the accident, and how you've been affected in different aspects of your life. Usually, these are the most important things to understand when settling an injury claim.

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What percentage do most injury lawyers take?

33-55%Unlike many other lawsuits, attorneys in personal injury cases are most often paid through a contingency fee agreement. If you're asking what percentage do lawyers take for personal injury services, the answer is they usually receive 33-55% of the award as payment fees.

Can I negotiate an injury settlement?

Indeed, it means you're ready to demand the compensation you deserve for your suffering and losses. If you are determined to seek fair compensation for your losses, you must be prepared to negotiate with the insurance company (or, more specifically, the claims adjuster) to get what you want.

How long do most personal injury cases take?

How Long Does It Take to Resolve Personal Injury Claims? Half of our readers resolved their personal injury claims within two months to a year, while 30% of readers waited over a year for their cases to be resolved. The overall average was 11.4 months.

How do you ask for a bigger settlement?

Let's look at how to best position your claim for success.Have a Settlement Amount in Mind. ... Do Not Jump at a First Offer. ... Get the Adjuster to Justify a Low Offer. ... Emphasize Emotional Points. ... Put the Settlement in Writing. ... More Information About Negotiating Your Personal Injury Claim.

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 long does it take for an injury claim to payout?

As a very rough guide, a claim may take 6 to 12 months if liability is accepted by the treatment or care provider immediately. If liability is disputed, it could take 12 to 18 months for more complicated claims. Very complex cases can take significantly longer.

How do lawyers negotiate settlements?

The negotiation process typically starts with your lawyer providing a written proposal for settlement to the insurance adjuster or the defendant's lawyer. The adjuster or lawyer will respond to your lawyer either in writing or over the phone.

How long does an injury claim take to settle?

A straightforward injury claim could take around six months to settle, while a more challenging case could take three years or longer to come to an end.

Where do personal injury lawsuits start?

A personal injury lawsuit technically begins when a " complaint " is filed in the local branch of your state's civil court. The complaint is a legal document setting out the facts and legal basis for your claim against the defendant.

Why do lawyers set cases for trial?

Often lawyers are forced to set cases for trial in order to put enough pressure on an insurance company to get a reasonable settlement offer. Getting a trial date from the court is a simple matter—your lawyer just sends the court a written request. It's what happens next that you have to be concerned about.

What is a complaint in court?

The complaint is a legal document setting out the facts and legal basis for your claim against the defendant. This complaint must be filed within the time limit set by your state's statute of limitations. But the real action of a lawsuit does not begin until the defendant and his or her lawyer are formally brought into the case when your complaint ...

What is the decision to serve the defendant?

The decision of when to serve the defendant, and therefore when to start the expensive and often stressful course of a lawsuit, depends on whether settlement negotiations are making any progress. If they are not, your lawyer may feel that proceeding with a formal lawsuit is the only way to pressure the insurance company to step up ...

What happens if you decide that what the insurance company is offering is just not enough?

If you decide that what the insurance company is offering is just not enough, even after your lawyer has done everything possible to persuade the insurer of your damages and the other party's liability, you may end up in a trial.

What does it mean when an insurance company has not come up with a settlement offer?

This means that the insurance company has not come up with a reasonable settlement offer and there are no more legal maneuvers, short of setting for trial, available to pressure the insurance company. Also, once the case is set for trial, the pace of legal maneuvering and preparations may speed up dramatically.

Can an insurance company force a lawyer to do more work?

Nor can it force your lawyer to do any more work, or run up more in expenses, than the lawyer decides is necessary to investigate and prepare your claim. But once a formal lawsuit begins, your lawyer may have to do considerably more work, including responding to steps initiated by the insurance company's lawyers.

Why are insurance companies not afraid to deny a claim?

“Insurance companies are not afraid to deny a claim using shaky reasoning because an unrepresented claimant has no ability to seek a remedy in court.

What is the best strategy for a large claim?

Another good strategy for a large claim is hiring a public insurance adjuster. For example, after extensive home damage a public adjuster can work with you to get paperwork done, meet deadlines and advocate for you.

How many homes have water damage claims?

Roughly one in 50 insured homes have a property damage claim caused by water damage or freezing each year, according to the Insurance Information Institute. And about one in 20 insured homes has a claim each year. When should you contact a lawyer? How do you even know if an attorney can help?

Did November have to replace the adjuster?

And that’s when he and his wife decided to lawyer up. Which was easy for November because he is a lawyer. November asked the insurance company to replace the adjuster, which it did. The new adjuster, a fellow Clevelander, understood the extent of the damage to November’s home and helped him get the full claim approved.

Can a small claim settle without a dispute?

Small run-of-the-mill claims usually settle without trouble. But in cases where there’s more at stake—for both you and the insurance company—there may be a higher chance for dispute. This could include: Claims where you and the insurance adjuster don’t agree early on. Expensive or complex claims.

Why do insurance companies deny workers compensation claims?

For example, the insurance company might claim that your injury wasn't work-related or that you filed your claim too late. (To learn more, see our article on common reasons workers' comp claims are denied .)

How to appeal a disability denial?

You can appeal the denial through the workers' compensation system. While the appeals process varies from state to state, it generally requires you to file formal paperwork, use legal tools to gather evidence, and present your case at a hearing. Your permanent disability rating is disputed.

How much is a workers comp contingency fee?

Additionally, many states place caps on contingency fees in workers' comp cases. The percentage varies from state to state, but is generally between 15% and 25%. However, the fee can be as low as 10% and as high as 33% in some states.

Do I need a workers compensation lawyer?

Many workers will need to—or can benefit greatly from—hiring a workers' compensation lawyer. In very few cases, an employee who suffers an injury at work can make a claim outside of workers' compensation, and a personal injury lawyer would be appropriate.

Do lawyers get more settlements?

You're likely to get a much higher settlement offer when a lawyer is involved. Lawyers understand the law, know how to negotiate, and can use various tools to build up your case. Because of this, you will probably receive more in benefits if you hire a lawyer, even after the lawyer takes his or her fee.

Do I need an attorney for an injured worker?

Not every injured worker will need to hire an attorney. After all, the workers' compensation system is an administrative process designed to be relatively easy for workers to navigate. If you have a straightforward claim that is not being disputed by your employer or its insurance company, you can probably handle your own claim.

Do I need a lawyer for a minor injury?

If you suffer a relatively minor injury at work that completely heals with treatment, you probably won't need to hire a lawyer. Insurance companies are unlikely to dispute claims that: involve injuries that are clearly work-related. don't require extensive medical treatment.

What happens when you get injured in an accident?

When serious injuries occur as the result of an accident, you may be facing extended medical care or even life-time care. The cost for this type of medical care will be very high.

What happens if you have a long term injury?

If there are going to be long term effects from your injury, your lifestyle will change. This may include the inability to return to your current job or profession , the need for special renovations to your home and vehicle, and loss of income for the rest of your life.

What happens if a family member dies in an accident?

If the accident resulted in the death of your family member, you may have certain rights under the law to seek compensation for wrongful death. You will need to speak with an attorney to see if you qualify for this type of case under the laws of your state.

What percentage of the fault is at fault in an accident?

Many states are considered at-fault states. This means that the injured party must not be more than 49 percent responsible for the accident if they want to seek compensation for the injuries they received. In some states, the injured party cannot share any of the fault for the accident.

What happens if you have conflicting medical reports?

Any type of conflicting information in police reports, medical reports, or insurance reports can lead to a significantly lower offer of compensation or denial of claims. If there is any conflicting information at all, you should immediately speak to an attorney.

What are the side effects of an accident?

Loss of income, missing school, or being unable to participate in activities that you do on a regular basis are all serious side effects from an accident. Under the law, you have the right to seek compensation for your financial losses that incurred as the result of the accident.

When you have been injured in a car accident, should you seek medical attention?

When you have been injured in any type of accident, you should immediately seek medical care for your injuries. It does not matter if it is a vehicle accident, slip and fall, or work accident. Taking care of the injury is the most important thing for you to do – even if you’re unsure whether you’ve actually been injured or not.

What does a personal injury lawyer know?

A personal injury lawyer knows your rights and also knows how much your claim is worth. They also know that their success determines how much money you will pay them. Insurance claims come with so many uncertainties, and most times, insurers always try to find a way of denying claims.

Can you take pictures after a car accident?

You may have taken pictures after your car accident, but this is not enough to prove liability. Your lawyer will do their best to gather all the evidence required. They will visit the scene of the incident, conduct interviews on witnesses, and gather all documents such as police reports and medical bills, which will prove that the other party was at fault.

Can insurance companies file a lien on my claim?

Insurers will always file a lien on your claim if you received any benefits from them. Your lawyer can negotiate with the lien holder to try and get them to reduce the amount. This ensures that you go home with the compensation that you deserve.

What type of attorney is most likely to have the most impact on settlements?

Property damage attorneys tend to have the most impact on settlements when the case is related to damaged homes or businesses. Home and business owners frequently seek the services of an attorney for claims involving:

What does a property damage attorney do?

A property damage attorney can provide guidance regarding what your policy covers and can give you an honest assessment of the insurance company’s settlement offer. If you don’t believe your insurance company is properly valuing your claim or treating you fairly, a property damage attorney can offer solutions to help you get ...

Is insurance a business?

Insurance companies are businesses, not charities. They fundamentally make decisions intended to maximize their profit, which usually means keeping revenue (the premiums you pay) high while minimizing their costs (the claims they pay you for damages).

Can property damage attorneys get involved in an auto accident?

Most property damage attorneys won’t get involved with an auto accident claim, for example, unless there were injuries involved, because the value of vehicles would rarely net a large enough settlement to make their time worthwhile. However, if a vehicle were to run into your house or business and cause a significant amount ...

How much money do you need to settle a lawsuit without counsel?

For example, if you're expecting a $100,000 settlement without the benefit of counsel, a lawyer would need to get you more than $150,000 to make it worth the bother. Believe it or not, most attorneys give honest opinions on whether or not it would be worth your while to hire an attorney or take any easy settlement.

Do you have to have counsel in small claims court?

You're certainly entitled to have counsel present to protect your rights in small claims court . The law firm, however, is likely going to expect a fee for their services rather than working on contingency, since the expected recovery would be very small. It depends on the situation.

Can you file a personal injury claim if you have no injuries?

Generally, if no people were hurt, or there was no damage ( no broken bones or potentially lingering injuries that cause you to miss more than a couple days of work), then it may not be worthwhile pursuing a personal injury claim. Just be careful making this judgment of “no injuries” yourself.

Do insurance companies do their jobs?

In a lot of instances, insurance companies do in fact do their jobs as expected. There are definitely situations where you'd want an attorney to be involved, but there are also times when obtaining counsel is simply overkill. Let's take a look at some of the cases where you may NOT need to hire an attorney after an accident.

How to settle a personal injury claim?

Most claims involve no more than a few short letters and phone calls with an insurance adjuster who has no legal training, so you don't need to know technical language or complex legal rules. In fact, your right to be compensated often depends on nothing more than commonsense observations about who was careful and who wasn't, how serious your injuries are, and your willingness to keep negotiating until you receive a fair offer from the insurance company. (Tip: Don't take the insurance company's first offer to settle your personal injury case .)

What factors determine how much an insurance claim is worth?

Rather, a number of simple factors—type of accident, injuries, medical costs—go into figuring how much any claim is worth. The amount an insurance company will be willing to pay usually falls into a fairly narrow range. Learn more about how insurers value an injury claim.

What do you know about an accident?

You know better than anyone else—including insurance adjusters and attorneys—how your accident happened . You were there; they weren't. And you know best what injuries you suffered, what your physical condition has been since the accident, and how you've been affected in different aspects of your life. Usually, these are the most important things to understand when settling an injury claim.

Do you need a lawyer for an injury claim?

An injury-related insurance claim doesn't always require a lawyer' s help, but make sure you know what you're getting into. Need Professional Help?

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