A: Sometimes, but not always, adjusters and attorneys vary greatly in their assessment of a Claimant's damages or a tortfeasor's liability. If the evaluations are too far apart, the settlement process will break down, leaving the Claimant to accept a low-ball offer (if at all) and walk away from the claim entirely or otherwise pursue one of three other means of resolution: mediation, arbitration or litigation.
Mediation: The parties could both agree upon a third party mediator to listen to both sides and try to get the insurance company to offer more money, working toward a reasonable resolution, and try to get the Claimant to compromise the demand to a lower number. This is the process of mediation. It is non-binding, so if anyone is unhappy with the results, then the process is ended without resolution. The Mediator is paid by both parties and mediation usually lasts for one-half to one full day. If the parties are successful, the case is ended and the Claimant is paid for his/her losses. If the process ends unsuccessfully then the Claimant must consider other options for resolution.
Arbitration: Again, like mediation, to present a personal injury case for arbitration requires both parties to agree. Most of the time the arbitration process is binding and the parties cannot change the results. The parties will agree upon an Arbitrator, usually an attorney or a retired judge, who will listen as the parties put on a mini-trial. Within 21 days after the arbitration hearing, the written results and an award, (if any), will be sent to Counsel. The Arbitrator will decide both the liability of the tortfeasor, if at all, and the extent of the damages sustained by the Claimant. If the Claimant wins on both the issue of liability and damages, then the tortfeasor's insurance will pay the arbitration award up to the policy limits or up to whatever other limit to which the parties may have agreed prior to arbitration.
Litigation: Litigation is the process of filing a Complaint in the District or Superior Court and proceeding through court where a judge, or more often a jury, will decide the issues of liability and damages. This process can take from one year to five years or more in complex medical malpractice cases. Litigation is appealable and so an award after a trial may not be final if either party believes that the judge presiding over the trial made a mistake regarding evidence during trial or misspoke while giving instructions to the jury after the evidence has been closed. The process of litigation is time-consuming and requires a significant amount of effort from the Claimant and Counsel. There may be several depositions in which the Claimant or some other witness is sworn in and asked a series of questions by one of the attorneys in front of a stenographer and a transcript is created for the attorneys to use at and before trial. Winning at trial is dependent upon many factors, some of which are outside of the control of Counsel and so all reasonable efforts will be made to try to settle claims without the need to proceed to court. Occasionally, insurance adjusters will become far more reasonable in settlement negotiations just prior to trial, after they have received a report from their Counsel summarizing the case and their prospects for success or failure in the trial process.
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(508) 699-5622
for necessary further clarification.