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Insurance Claims

How Insurance Companies Handle Your Personal Injury Claim

By Jessie Dogan • Dogan Law Firm • New Jersey

Insurance companies are businesses. Their profit comes from collecting premiums and paying out as little as possible on claims. That's not cynicism. It's how the industry works. Understanding their process helps you avoid common traps.

The Adjuster's Job

The claims adjuster assigned to your case has one goal: resolve your claim for the lowest amount possible. They're trained to do this politely. They'll sound sympathetic. But their performance is measured by how effectively they control claim costs. If an insurer crosses the line into bad faith conduct, the New Jersey Department of Banking and Insurance handles consumer complaints against insurance companies.

The Recorded Statement Trap

You're under no obligation to give a recorded statement to the other driver's insurance company. When you do, the adjuster listens for inconsistencies. "How are you feeling today?" asked three days after the accident creates a record that you were "feeling okay" when your injuries might not have fully manifested. Read our guide on what to do after a car accident for more on protecting yourself early.

How They Calculate Offers

Most large insurers use claims evaluation software (Colossus is the most common) that takes your injury diagnosis, treatment duration, and other factors and generates a settlement range. The initial offer is almost always on the low end. It's a starting point, not a final number. Understanding what damages you're entitled to gives you leverage.

Delay as a Strategy

Some companies deliberately drag out the process because they know injured people get desperate. Bills pile up, savings get depleted, and eventually the claimant accepts less just to get some money. Having an attorney handles this pressure because bills can often be deferred while the case is pending. They also use comparative negligence arguments to reduce payouts.

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