Auto Claims Process

Many drivers will be involved in a car accident at some point in their lives.
While the accident itself causes damages; either to the vehicle, person, or property; the aftermath can cause additional stress and financial strain. Philadelphians who attempt to manage their own auto claims process will be at a disadvantage and may receive a smaller settlement than those claimants represented by a savvy Philadelphia car accident lawyer.

Pennsylvania’s No-Fault Car Insurance System
The state of Pennsylvania typically operates under a no-fault auto insurance system. This means that an individual’s personal insurance policy will typically cover the cost of damages and medical bills in the event of a car accident, regardless of who is at fault. In other words, fault does not have to be determined for the insurance company to pay out related claims for the accident. The amount and type of insurance coverage a person has determines how much their insurance company will pay for a new vehicle, property damages, and any medical bills.

If, and only if, a Pennsylvania car accident meets requirements in the serious injury category, can an individual can sue the other driver for additional compensation. Pennsylvania law defines serious injury as long-term or permanent disability, disfigurement, and broken bones. Moreover, most Pennsylvania no fault policies only provide for $5,000 in medical coverage; for this reason an experienced car accident lawyer is needed to review various options to ensure the excess medical bills get paid.

Many states have similar no-fault policies, but Pennsylvania is unique in that drivers have the option of choosing between no fault and traditional insurance coverage. Tort-based or at-fault insurance gives drivers more options to file lawsuits if they were not responsible for the accident.

Suing Another Driver
If the car accident causes injuries that meet Pennsylvania’s serious injury threshold, the victim can file a lawsuit against the party at fault. Once the car accident injuries have been recognized as severe enough to cause permanent disfigurement or long-term disability, the victim must prove that the other driver was responsible for the car accident and resulting injuries, either through negligence or inaction. Specific examples include drunk driving, distracted driving, speeding, or failing to obey traffic laws.

Pennsylvania’s Comparative Fault Rules
In some cases, both drivers may be responsible for the accident. In Pennsylvania these cases are designated as modified comparative negligence cases. This designation allows the driver who is considered less at-fault to receive compensation from the individual who is more at-fault. However, the amount of compensation will be reduced by the victim’s own percentage of liability.

Pennsylvania uses this rule to help control court allotments during civil lawsuits as well as assist insurance companies with awarding the correct amount of damages. The percentages of fault are decided by either the insurance claims adjuster, or by a judge or jury if the case goes to trial.

The following is an example of a comparative fault ruling: An individual is involved in a car accident caused by another driver pulling out in front of him or her. The resulting damages add up to $10,000 for the first driver. In court, the jury determines that primary fault rests with the other driver; however, the first driver is partially responsible for the accident due to speeding. The resulting ruling splits the fault 80/20. The first driver is awarded $10,000 in damages less 20% due to the fact that some of the damages are considered his or her own fault, resulting in an $8,000 payout.