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Car Accident
Injury Claim Negotiations
Part 2:
Tips for Negotiating Pain and Suffering...
When negotiating a car accident injury claim it's
important
to be prepared and confident. This page
gives tips and strategies for negotiating your auto accident
claim for pain and suffering.
An often heard maxim is that pain and suffering
equals 1½ to 5 times hard costs (a.k.a. "Special
damages"). That can be true, but unless you know how to convince the
adjuster to compensate you for pain and suffering, you may
never get past payment for only the hard costs.
There are no U.S. laws which compel a claims
adjuster to pay for pain and suffering. There is no reference guide listing compensation amounts to be paid for mental anguish.
Having an adjuster and injured party come to an agreement on fair
compensation for pain and suffering is without doubt the most
difficult aspect of settlement negotiations after a car collision.
The adjuster
usually has the upper hand. He has the money and you
don’t. He's not going to pay any amount for pain and suffering unless
you can convince him to.
Pain
and suffering (a.k.a. "Mental Anguish") is not easily
quantifiable. The adjuster may believe that you suffered pain and
anguish as a
direct result of his insured’s actions, but he may not agree with the
amount of money you think should be paid as compensation for that
suffering.
There are tools and strategies you can rely on to gauge appropriate
settlement
amounts for pain and suffering in car accident injury claims. They
won't guarantee success but they
can help
convince the adjuster to pay a fair and reasonable amount for the pain
and suffering you endured.
Tips to
Negotiate a Car Accident Injury Claim:
As you go through the following tips you will begin to understand negotiation
strategies and how they can be
successfully applied to your claim.
Tip #1.
Organize and Prepare. Personal injury attorneys do
it and so should you. Make sure you have all your
documents organized. Know what they are and how to access them
immediately. Remember the maxim: “Nine out of ten times, the
person who is best prepared will prevail.”
Tip #2.
Know
What Constitutes Pain and Suffering. Knowing what
is included as pain and suffering, and
what is not, is essential if you're going to successfully negotiate
your car accident injury claim.
Knowing the difference will streamline negotiations and
should command the attention of the adjuster. He will know he's
dealing with someone who understands car accident injury claims and the
settlement
negotiation process.
Technically, pain and suffering is a measure of how the injuries
received by the collision have caused you to suffer. It is supposed to
be payment for the subjective pain. For example, if your back was fine
before the collision, and now because of the collision your back hurts
every day, the money paid for pain and
suffering is supposed to be for
that pain you now suffer every day.
You know you are in pain every day.
The adjuster sees the X-rays showing the torn disks. He believes you
are in pain. The question then becomes how much is that pain worth? And
how do you measure what that pain is worth?
Suffering
also includes psychological suffering. The fear,
helplessness, and terror you experienced was part of
the suffering.
Pain and Suffering does not cover resultant
inconveniences, such as rental cars, lost wages, or other similar
quantifiable amounts. It is for the pain and suffering
alone – or at least is supposed to be.
Tip #3.
Speak
With the Adjuster as You Would Any Other Professional. You
want the claims
adjuster to take you and the negotiations seriously.
Commanding
his attention and begrudging respect will go a long way toward an
effective presentation and consideration by the Adjuster.
- Sound in control and organized.
- Your voice should be steady, and never shrill
or insulting.
- Do not sound desperate, or like you are in a
hurry to settle.
- Pace yourself. You are probably not
going to settle your car accident injury claim on the first day.
Tip #4.
Don't
Begin Negotiations Presuming Anything. You
already know the adjuster doesn’t have to give you any pain and
suffering compensation. So going into a negotiation thinking it's all
about seeing
how high you can “jack him up” is not only foolish, but can set the
negotiation back before you even get started.
Remember the adage, “Don’t
engage the mouth until the brain is in
gear.”
Tip #5. Don't
Attempt to Get Personal With the Adjuster. The adjuster is
not your buddy. Hopefully he will be polite and amiable, but be
assured it's not for your benefit.
He's probably learned from his
training that being angry or mean during business hours reflects poorly
on
the company and will cause premature burnout or
ineffectiveness.
Tip #6. Never
Imply or Invite Collusion. There have been too many
examples of injured parties misunderstanding something a claims adjuster
either said or implied and using it as an invitation to
propose something illegal.
If you cross the line, the adjuster will probably stop returning your
calls and the next communication you receive will be a letter from the
insurance company’s legal department ceasing any
negotiations with you. Period.
At that point they owe you nothing, and will wait to be contacted by
your attorney. Any hope of settling your car accident injury claim
without an attorney is
gone. These things happen, and although you are probably
smart enough never to engage in such behavior, you should be aware of
the consequences for people who do.
Here are two examples of actual conversations which took place between
an adjuster and an injured party:
- Injured Party to 1st Adjuster: "Look, you and
I know you have
to pay me. The maximum is 5 times right? So I’ll tell you what I’ll do.
We’ll split the difference, but instead of 2½ times, go ahead and give
me 3. Then tell me where to mail it and I’ll mail you the difference."
- Injured Party to 2nd Adjuster: "Don’t try and
(expletive) me
over pal. My brother’s an attorney and he’s already told me what
sleazeballs you guys are. I know how you guys take kickbacks
all the
time."
Tip #7. Tell
the Adjuster How the Collision Affected You on a
Personal Level. Include such things as the sheer
terror of the collision,
the helplessness you felt as you were being
propelled into the concrete wall, and the belief you thought you were
about to die. These are powerful feelings. Feelings like
these are certainly not commonplace.
For most people the
closest they get to real helplessness is being stuck in
traffic. What you experienced were feelings only someone close to death
might experience. What are those feelings worth? That is what you
have to convey to the adjuster.
There is little argument about how these events affected you
physically, but only you know how that horrible day affected you
personally. How it affected you at the time of the collision
and how it will affect you into the future. You and only you
will have to effectively communicate those feelings to the adjuster.
Tip #8. Don’t
Be Shy. This
is not the time to be understated or humble. Within the bounds of
professionalism you can still be doggedly determined. If you
are a natural extrovert then use that trait. If you are a bit
more introverted… well, if there was ever a time for you to step out
of your comfort level, this is it.
Remember, when negotiating your car accident injury claim, one in which
there are thousands
and thousands of dollars at stake, there will be no dress rehearsals.
So again, be organized
and prepared.
When speaking with the adjuster your starting point should not be the
collision, but just before it. Let the adjuster know that up until the
collision the day was going as it normally did. Here's an example of
how descriptive your story should be...
You were driving to
work, looking forward to the weekend with your friends. It was a
beautiful day. You had the sunroof open and your favorite music
playing.
Then you remember hearing some screeching of tires, and car horns
blowing. You turned down the volume and began to be concerned,
especially as the screeching and sound of honking horns grew closer.
You
continued driving still
heading to work you when you remember seeing in your rear view mirror a
car cutting in and out of traffic. Every time you
looked up it seemed the car was
speeding and weaving closer to you. You
began too feel a little sick to your stomach as an impending fear of
something bad started to set in.
The next
thing you remember was the terrible sound of glass breaking
and the screeching of tires. You sat frozen and felt completely
helpless as you found yourself sliding across three lanes of traffic at
more than sixty miles an hour. Your feelings turned from
helplessness to sheer and utter terror as you saw the concrete wall
which borders the expressway looming nearer and nearer. And then you
hit the wall.
You remember
praying knowing you were going to die at any
second. Your car was sliding down the concrete wall seemingly
forever as sparks flew out with every bump of sheet metal into
concrete. The next thing you remember were people yelling at you as you
lay in your car, slumped over, bleeding and confused. They
were trying to get you out of the car but you were coming in and out of
consciousness. At some point you remember the paramedics
checking you
for injuries. You later learned the collision fractured your left
clavicle and completely snapped your left tibia.
And there
was more...
Suddenly as
your head began to clear you felt a sensation of pain like you
had never felt in your life. Your leg and collarbone area felt
like someone stuck hot knives in and kept twisting them. At one point
the pain was so intense you vomited all over yourself.
The paramedics
were working feverishly but you didn’t know it. One was clearing your
mouth as the other kept trying to get you to tell him if you were
allergic to any medications. He didn’t want to administer
morphine until he found out if you were allergic to any medications,
which in and of themselves might cause a life threatening reaction. To
this day there are still some things you can’t remember.
Tip #9. Tell
the Adjuster How Extremely Painful the Collision Was.
Explain in excruciating detail everything that happened. For example,
(presuming the following events were
true...) speak of how your head slammed
into the driver’s side window, and
then snapped violently back
toward the passenger side. Tell him your
body jerked forward and
backward as if it was a punching bag.
Tell him your front airbag didn’t deploy because your car and you hit
the concrete wall sideways. And because you weren’t able to afford one
of those fancy new cars
where airbags seem to deploy from a
million places, your shoulders, knees, and entire upper torso banged
off the driver's side door and window repeatedly and painfully.
If the preceding characterizations don’t fit those of
your car accident injury claim, you can still follow a similar form and
substance, while incorporating your unique circumstances.
Tip #10. Tell
the Adjuster How Extremely Painful Your Treatment Was,
both the immediate treatment and the recovery period afterwards.
Talk of enduring the setting of your bones, and the pain and
discomfort
as you lay in the hospital bed for days and nights. Tell him
about the embarrassment and indignity you suffered while in the
hospital bed unable to clean yourself and manage personal needs.
Tip #11. Go to
the Sources of Information. Courthouse records
and online sites are
excellent sources of information on the amounts juries have awarded in
cases similar to yours. Online sites are beginning to
open en masse providing information of every kind. These days for a
reasonable price you can research as many sources in one
hour as it used to take in one day. One such site is VerdictSearch.com
You can research what juries in
and around your county have awarded in similar car collision
cases. You specifically want to see the amount of money juries
have
awarded victims in car accident injury claims similar to yours. Make
sure to look at jury
verdicts in your state and especially in your local
counties. You'd be surprised at the disparity in verdict
amounts from one state to another, and even from one county to another.
Tip #12. Tell
the Adjuster You Have a Copy of his Insured’s Driving Record
(and criminal
record if applicable). You can be pretty sure the adjuster has
copies as
well but was hoping you weren’t sharp enough to know about
them or have copies of them.
(Presuming the following is applicable...) Refer to his insured’s
driver’s license
suspension a year before this collision. The
suspension was a result of too many moving violations including
speeding, reckless driving, failure to maintain a single lane, and
following too closely.
After going over his insured’s terrible driving record, move on to his
insured’s criminal record - a record which includes convictions for two
DWIs within the last five years, and a felony conviction for
possession of drugs.
Tip #13. Make
the "Before and After" Clear to the Adjuster. Say that
before the collision you never had any real physical or psychological
problems.
You were healthy and enjoyed working out, playing golf, basketball, and
other sports with your friends. Until the collision you enjoyed a
healthy personal relationship with your spouse.
Then suddenly his insured's recklessness changed
everything. Just like so many others who've suffered back injuries
and had multiple surgeries, your pain and discomfort has not
abated. It remains, and it reminds you every morning and throughout
every day how
your life has been so seriously altered.
You have tried get back into the swing of things, but the pain and
discomfort are so intense that you've lost any pleasure you used to
have
while engaging in sports, dancing, and intimacy with your spouse.
The
loss of intimacy with your spouse is a very sensitive subject and one
which you certainly would prefer not to speak with the adjuster
about, but the lack of intimacy you suffered is recoverable.
It is considered part of your overall pain and suffering and
is called Loss of
Consortium.
Tip #14. Remind
the Adjuster that You Will Require Additional Treatment.
Tell him that your doctor's final narrative clearly indicates you will
require additional
treatment, including, but not limited to more MRIs and CAT scans to
gauge your rate of recovery.
What is all
of this worth?
You've done all you can to make a professional presentation of your
case. Car accident injury claims are much easier to
write about than to actually negotiate. When writing or talking about
the process there is no one to argue with you or to interrupt or
disagree with you.
The actual negotiation
process will require:
- a command of all
the information you've accumulated and prepared,
- an ability to present all the information in a
cohesive manner, and
- the ability to engage forcefully and
effectively in
a dialogue with the adjuster.
To do all
this will take skill.
The next page represents
excerpts
of dialogues between adjusters and injured parties. Much of
what
follows is taken directly from notes and records of negotiations in
actual car accident injury claims...
Dialogue for How to Negotiate a Car Accident Claim
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Check out Part 1: More Tips on Negotiating Car Accident Settlements.
Return
from Car Accident Injury Claim to
Auto Accident Claims
Return
from Car Accident Injury Claim to Personal
Injury Settlement
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