4 Insurance Company Secrets for Your Personal Injury

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By: Bill Henry
PublishedSep 15, 2020
2 minute read

If you’re going through a personal injury case, it’s important to understand the insurance company process and the adjuster’s role in your case. Civil Litigation Attorney shares some insight on four insurance company secrets.

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4 Insurance Company Secrets Revealed

1. Your case has a better chance of settling in December.

Every insurance adjuster’s performance and bonuses are based on how many cases they get resolved in any given year. By December, many adjusters have not resolved many of their cases.

That means, if you are negotiating your case in October or November you have a greater chance of receiving  larger settlement. Why? adjusters want the file of their desk and an increase on their paycheck.

2. Make sure to put your ICD codes in your demand.

ICD stands for International Classification of Diseases. These codes are in every one of your medical records. The ICD code reveals what kind of injury you suffered.

So, why should you include these codes in your settlement demand? Essentially to make the insurance adjuster’s life a little easier.

The adjuster will put your ICD code into a calculating system insurance companies use to help determine your settlement amount. If you provide the adjuster with the ICD codes, they have less work to do which could result is more money for you.

3. Keep an eye on the reserves.

The maximum amount of money an adjuster can pay out on any claim is call reserves. Adjusters are constantly setting their reserves throughout your case.

That’s why it’s important for you update your adjuster throughout your case. For instance, let’s say you were injured in a car accident, and your MRI revealed a herniated disc. You should inform the adjuster of the MRI diagnosis.

If you consistently provide updates about your test results and your treatment outcomes, the adjusters constantly increase their reserves. That will result in their being able to give you more money when it comes time to negotiate.

4. Pre-litigation adjusters have a lower reserve.

The adjusters you work with before you ever get to the lawsuit stage of the game have lower reserves. As you know, lower reserves mean less money for you. Are reserves affected if you have to file a lawsuit?

First, if you file a lawsuit, a litigation adjuster will likely be assigned to your case. This is important because litigation adjusters have higher reserves. That means litigation adjusters are more likely to pay out more.

If you receive a low offer and you file a lawsuit, you will be able to get more money from the adjuster simply due to higher reserves.


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