As we discussed in our prior article – What Are Claims Assessment Cases – a claims assessment case is a personal injury claim that an insurance company evaluates using claims assessment software to determine the payout they will give you. This type of claim makes up approximately seventy percent (70%) of third-party claims in the United States.
The complex claims assessment software uses upwards of 12,500 rules or factors to evaluate claims for insurers. Due to this incredibly high number of factors, there are a few considerations that injured drivers and their attorneys must keep in mind when filing a claims assessment case:
Medical Records
For the most part, medical records and medical evidence are the only sources that are used to determine what information will be input into the software.
Allegations
Injuries that are not diagnosed by a doctor will not increase the recovery of the injured driver. Since that is the case, it is extremely important that any doctors who examine the injured driver take into consideration the full extent of the injuries of the driver to ensure that all injuries are entirely accounted for.
“Severity Points”
The factors that the software uses create a total number that suggests the severity of the injuries. The “severity points” are allocations of these factors that, when combined, are assigned a monetary value.
Truthful Statements
Finally, it is crucial to remember that all information entered as a part of a claims assessment case must be absolutely true.
Understanding how software-based injury analysis works can help ensure that claims are fully evaluated when processed by this type of software. It is extremely important that you have an experienced personal injury attorney guiding you through the process to ensure you remain compliant with the software’s evaluation requirements, and to ensure that you receive the compensation you deserve for this claim. If you are in the process of filing a claims assessment case or have suffered a personal injury and want to begin a personal injury lawsuit, our knowledgeable team here at KI Legal Personal Injury is here to help you. Give us a call at (212) 404-8605 or email michael@kilegal.com to set up a free consultation today.
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This information is the most up to date news available as of the date posted. Please be advised that any information posted on the KI Legal Blog or Social Channels is being supplied for informational purposes only and is subject to change at any time. For more information, and clarity surrounding your individual organization or current situation, contact a member of the KI Legal team.
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KI Legal Personal Injury fights for victims of a wide array of personal injury claims, from Motor Vehicle Accidents to Scaffolding and Ladder Falls to Slip/Trip & Falls, amongst others. By leveraging its multidisciplinary foundation and, with the help of its experienced litigators, KI Legal Personal Injury can fight for the results and compensation that victims deserve without pushing for premature settlements due to financial reasons. This financial paradigm shift swings the pendulum in our favor when it comes to negotiating with insurance carriers, inherently leading to better results for clients. For the latest updates.