Wednesday, July 1, 2009

Lesson from an Anonymous Insurer


It's no secret that plaintiff's attorneys struggle in an ongoing battle with insurance companies to get as much money as possible to line their wallets. Sorry, I meant to say to compensate their clients for all sustained injuries and to better society and make people less litigious.

Before the insurer decides to refer to defense counsel, the plaintiff's attorney will most likely deal with a fierce representative of the insurer who will have no mercy. One of my dear Delta Nu sisters is a litigation coordinator for an insurer in a far away land. She forwarded the story below and it is simply too important and full of life lessons not to share with my fellow attorneys.

I had a low impact accident that happened in a parking lot. MINOR DAMAGE. Two people were injured and racked up over $5k a piece in chiro from a certain well known chiro in that area. For some unknown reason counsel convinced his clients it was time to file suit. This crap lands on my desk and I decide it is one to quickly move. I called and cut to the chase. Two thousand over meds.

Plaintiff's counsel says he will need to discuss with the chiro and figure out the DAS lien and call me back. Twenty minutes later the assistant calls me to "patch me through." I was on hold and annoyed. He says he needs $10k a piece to close it out for settlement. I tell him no, $2k over meds or I pull the offer and hire defense.

I go to lunch and bring back a fancy salad and am enjoying every morsel when the assistant calls me again to put him on the line with me. More hold time and I have a mouth full of salad when he comes on the line. He needs to know my best offer....
um, $2k over meds and I need to pay the DAS lien direct to the state. He will call me back and see what he can do.

At this point my boss is questioning counsel's understanding, since I have to keep telling him the same thing. At the end of the day the assistant calls me back to put me through again and wants $3,500 over meds to make it work. I offer to call the chiro and negotiate the meds and called his bluff.

I then asked him why he is coming back with anything other than a simple accept or reject response. He asked again what my offer is. I asked him if he recalled the multiple conversations we have had where I have told him $2,000 over meds, take it or leave it.

No, he does not recall this as he confesses he has a brain injury! Seriously.

I then told him again, $2k over meds, take it or leave it and I am pulling the offer and defending. He was not sure and would have to call me back. I asked him to stop with the calling back and then the assistant is going to help him crunch the numbers on the divvy up math. He says he cannot do it.

I went for the jugular: Counsel, I will fax you release I expect returned in 24 hours as you and I both know you could not make it through depo. Releases were on my desk the next morning.

10 comments:

  1. Wow, thank you for providing a perfect illustration of an insurance companies blatant refusal to compromise or negotiate. $2k over meds? Please, that is insulting. When are people going to realize that insurance companies are not our friends? Your own insurance company will throw you under the bus the first time they get the chance. If you think otherwise, you are delusional.

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  2. Would you want your insurer to pay someone more than that for a minor bumper tap? Heck no! It is not the auto lotto.

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  3. I agree with @ 3:14. If the Plaitiff's attorney wasn't so weak, he should have just litigated it. If he would have driven up the cost of defense, he would have gotten a better result. (I'm a defense attorney, I should know.)

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  4. All of the insrance defense attorneys and adjustors always claim people are not really hurt, but remember the person is being hit by a vehicle - it hurts. How about you let me run as fast as I can and hit you when you are not looking. Would that feel good? Could that cause injuries? Now let me do it with a car. The fact is, people get hurt and they deserve compensation.

    As for litigating the issue. It sounds easy when it is not your dime, but it is hard to justify putting $10,000 into a case that is only worth $10,000. When you are just collecting a paycheck you can litigate shit cases, but when it is your money you think twice.

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  5. However, it wasn't an unprotected individual being hit by a car in this scenario. It was a car making contact with another car in a parking lot where all passengers are likely restrained and protected and the car absorbs most of the force. People may get hurt in these minor accidents, but $5000 worth of chiropractic care is a lot treatment for a likely minimal soft tissue injury.

    Furthermore, the force of a minor accident is not comparable to when two individuals run into each which is far greater, especially since you are unprotected. Having collided in the outfield with another fielder while running at full speed, I can attest to the fact. So lets use a little common sense in our arguments people and not compare apples to oranges.

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  6. "Your apple's an orange!"

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  7. Any bio-mechanical engineer would tell you that the car does absorb all the impact, but you probably think he is talking about plums. The fact is g forces have to go somewhere and much of it goes to the body causing damages.

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  8. Some of the comments here are appalling! This was a MINOR accident! Good job on the insurance company! More ballsy actions like that are what is needed.

    The stupid plaintiff's attorney couldn't even figure out the numbers. He should close down. Loser.

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