How Does Insurance Company Put Dollar Value On Your Personal Injury Case?

Personal injury lawyer in Naperville knows that certain significant factors influence the value for each personal injury case. Of those significant factors, one of the most important is the level of pain and suffering that the plaintiff has had to endure.

The factors that relate to pain and suffering

The nature of the reported injury: Was it a hard or soft injury? What sort of treatment did it require?

The size of the medical expenses, with respect to treatment: Insurance companies do not like to reimburse a claimant or plaintiff for the money that was spent on diagnosing a condition or injury. That approach makes sense today, when most tests are simple. Still, some tests, such as a colonoscopy, force the patient to deal with a decided level of discomfort.

The type of physician that was consulted by the injured victim: Insurance companies make a lower offer, if the claimant/plaintiff has been visiting a chiropractor, instead or someone with an MD degree.

The types of medication prescribed: Was it a simple pill, or did it have to be administered by IV? Was surgery the only way to correct the problem that had been created by the accident-connected injury?

Length of treatment: Patients that have to receive an IV could be in the hospital for several weeks. A patient with a broken bone must wear a cast for more than one month. Some patients become dependent on a pill, one that must be taken on a regular basis.

Any disruption to the victim’s lifestyle: Someone that had been paralyzed from the waist down would become dependent on a wheelchair. A simple scar might affect the career of a model.

Factors associated with a low level of pain and suffering

• Injury to soft tissue, as opposed to hard tissue
• Insurance companies assume that a high utilization of diagnostic procedures should not cause the tested person to experience great discomfort.
• Choice of physician: Insurance companies do not relish the need to pay money to a chiropractor.
• Doctor has not prescribed any medications, as treatment, or any surgery.
• Short treatment; short recovery period

Other factors that work to influence a determination of a given case’s value

• Was there evidence of shared fault?
• Had the claimant/plaintiff appeared organized, when speaking with representatives from the insurance company?
• Had the claimant/plaintiff maintained a professional attitude, when dealing with representatives from the Insurance Company?
• Had the other side presented a credible argument?
• Had the plaintiff managed to obtain testimony from supportive witnesses?

Each of the above factors helps to estimate the size of the multiplier, the number that gets inserted into the formula that is used by the insurance adjuster, to determine a case’s value.

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