How Are Injury Claims Figured By Insurance Companies in the UK?

When you file injury claims in the UK, it is important to know exactly how claims are figured and handled. This is the most difficult part of a claim to determine. Every amount varies based on the particular circumstances that surround the claim. There is a basic way claims are determined by most insurance companies, however. The first step is being able to determine exactly what type of damage has occurred. You cannot be compensated until this part of the equation is figured out. The most common practice, especially after a car accident where one person is liable, is that the person responsible for the accident pays the person that has been injured. This payment is made through their insurance company. Car accident claims tend to cover medical care plus related expenses, permanent disability for disfigurement, loss of family, damaged property and emotional damages.

Compensation can be somewhat east to figure since you can compare money spent and any money that may have been lost to come up with a settlement figure. There is no exact way to prepare this figure since you cannot put a monetary figure on suffering and pain, missed opportunities and lost opportunities. Since this seems to be a major stumbling block, it leaves insurance companies in a position to use a damage formula.
An insurance adjuster is appointed to figure any medical expense that has been correlated to the in injury. Those expenses are given the term ‘medical special damages’. This is the figure that will be used to come up with a settlement amount. Depending on how serious or minor the injuries may be, the adjuster will add to the settlement amount based on pain, loss and suffering on a scale from 1.5 to 5 and multiply the amount accordingly.

Once this figure has been determined for injury claims, then the negotiations begin. The next thing that needs to be determined is the extent of the fault of the other party involved. The basis for the damages formula simply gives a basis to work from before the fault of the other party has been considered. This can make an injury claim rise significantly depending on the amount of fault involved. If little or no fault is involved, then the overall figure for the injury claim is reduced.