Auto Insurance Claims: Rear ended by city bus, dural sac, state bar associations


Question
I was recently rear ended by city bus in california.Car damage 1,166, i also sufferd neck 2.4 mm right posterocentral compressing the dural sac, but not the spinal cord.I do have a lawyer ,but wanted second opinion. I'm unable to perform my regular work,lifting up to 50lb boxes,as well as driving forklift.I'm still in pain 3 months chiropractor.What is a fair settlement,oh sorry bus driver 100% at fault.Thanks in advance

Answer
Hi Dyarrl,

Please accept my sincere apologies for the delay in answering your question.  I was not asleep at the switch: rather, I just had to put my beloved Peke dog, Sebastian ahead of all volunteer and other work.  He recently developed a swelling and ulceration in his eye, even though he is only four years old.  I spent a lot of time taking him in for care and eventually for surgery.  Things will work out when they take off the patches.  Side note: we should all be amazed at the talent the vets have: they can do any number of tasks, whereas human doctors are pretty limited.  Anyway, thought you would like to know that I was not just ignoring you.  

Now, on to your question.  
We are not allowed to guess at values of claims inasmuch as the various state bar associations contend such is the practice of law.  Plus, with the prospect of malpractice, we cannot take the risk.

In your case, it is best to get a second opinion right there in your town.  Those attorneys can see what kind of witness you will make, and they can review your medical records, etc.

What I would suggest is to also review some of the factors that impact valuations.  Learn about valuation factors in personal injury claims;
INSURANCE INJURY CLAIM VALUATION TIPS
What about valuation of your claim?  How does one figure out what to ask for?  Quick Answer: get as much as you can.  Figure out what would make you happy, and increase that amount by at least 50%!  The value is what you and the adjuster agree it will be.  Well, if that is not scientific enough for you, let’s learn a bit more about valuation of personal injury claims.

Valuation is not like going to a drive-in for a fast food meal.  It takes time and study of many factors, including liability and medical records.  Plus, one would like to meet the claimant to see how she will “sell” to the other side and to the jury.  Those online sources that mention a "rule of thumb" is just that: a gross estimate.

So, I have a short answer and I promise to give you the full longer more detailed answer if you ask me later, when you are ready to settle.

SHORT ANSWER: A common theme among those who still think a “rule of thumb” formula will put you in the valuation ballpark is to multiply the medical specials times a number from ONE to FIVE (depending upon factors, some of which I will give you later—or all of which are fully discussed in the members' side of my website, dealing with insurance settlements www.SettlementCentral.Com  ).  Then that figure is the total value of the personal injury portion of the claim.  Of course there is a long list of factors to consider for adding or deducting from the total.

Let's take a look just two factors that put the lie to the general use of this rule of thumb.  An obvious one is that if a person with your injuries is left to rely upon the records of a general practitioner to support his claim, it will never have the same value as if one’s records were from an orthopedic surgeon.  Oh, yes, I am aware that general practitioners and chiropractors seem to be better for most soft tissue injuries than taking drugs prescribed by a surgeon, but the insurance industry does not know that.
Insurance companies give great weight to opinions of orthopedic surgeons
http://www.settlementcentral.com/page0052.htm

A second, not so obvious, but very important factor that shows how inaccurate a “rule of thumb” formula can be is just plain location of the trial.  Let's start with geography.  Values differ from state to state, and within each state.  City values are often different than rural values on claims, especially if the economy is tenuous in small towns.  And the differences can be HUGE between these areas, even if only 20 miles apart.

Here is a listing of factors that will affect both the multiplier you will use, as well as the value of the claim inasmuch as they will increase or decrease the product of your multiplication.  

1. LIABILITY DISPUTE
This is a big one because it most dramatically affects value.  .

2. Trauma suffered
The value of your claim increases with a bigger crash, and decreases with a low damage tripping wherein one catches himself. Why? Just human nature.


3. Medical special damages
Cost of medical and related health care expenses; higher costs usually equate to an increase in value (excepting, of course, cases of gross overtreatment).  

4. Type of injury
Where does the injury fall within the insurance industry's "hierarchy list" of valuing injuries?  Irrespective of which injury may cause more pain, injuries are valued according to seriousness, tendency to be persistent or permanent, and whether or not they need objective proof to be believed (e.g. a broken bone versus soft tissue strain).  

5. Type of medical care
Where does the medical care fall within the insurance industry's "hierarchy list" of valuing medical care?  Orthopedists at the top, chiropractors near the bottom.

6. Prognosis- future care—permanency of injury or pain and suffering—does your doctor recommend 6 months of care, or were you done treating 4 months ago?   Even if you are done treating, will the doctor predict future problems?

Your claim value gets a boost if your doctor specifies that you will need some future medical care.  

7. Your medical and claims history, prior accidents, prior injuries or treatment of the same area of the body.

8. Impairment of quality of life.

9. Quality and persistence of pain suffered.

10. Quality and thoroughness of your medical records.

11. Lost wages.  Here you need to document your problems—see below.


Documenting problems with job performance.  To get maximum value, these problems need to be documented in writing.  If you have a long term prognosis of long term problems doing your job, then some kind of vocational analysis needs to be done so that they can give an opinion of how much you will lose from your present job versus what you might have to accept in its place (i.e. greeter at Wal-Mart).

If your injuries really will interfere with your job for many years, then your claim has a very big value.  

I trust that my extra time here has produced some information that has been of value to you, and thus I would respectfully request that you take the time to locate the FEEDBACK FORM on this site and leave some feedback for me.

Best Wishes,

Dr. Settlement, J.D. (Juris Doctor)
http://www.SettlementCentral.Com