Key Stages to Making a Claim (2024)

We aim to keep our clients fully informed of the progress of their claim at all stages.

  • Initial Instructions

    We will contact you by telephone to discuss the circ*mstances of your accident and advise you whether we feel that you have a claim and reasonable prospects of success.

    If you wish to instruct our firm we will send you our welcome pack and terms of business for you to sign and return to us so that we can proceed with your claim. We cannot proceed until we receive your signed copy.

    You will be assigned a Case Handler who will deal with you throughout the life of your claim. If however, on the rare instance that your claim needs to be handled by a different Case Handler, you will be informed of this decision and introduced to your new Case Handler.

    All our communication with you will be by letter, telephone, fax or email so you do not need to be local to our offices. However, occasionally we may need to see you in person and in that case we will visit you in your area at a time to suit you.

    We will require your written instructions at key stages of your claim and for the most part we will send you appropriate mandate forms for this, which are set out in very simple tick box formats with a signature request at the bottom. Initially there may be some longer forms to complete such as our accident questionnaires, however these are a necessary part of the process and enable us to obtain full details of your accident at the outset.

  • Letter of Claim

    The first step is to prepare a "Letter of Claim" which we will send to the Third Party (TP) on your behalf. This letter will detail the circ*mstances of the accident and the injuries you have sustained, as well as giving the reasons why they are considered to be responsible for your injury.

    The TP will give this letter to their insurers, who have three months from the date of the letter to investigate the matter and reply with their opinion on where the fault lies.

  • Collating Evidence

    In the meantime, we will continue to communicate with you and collect all the evidence you have to prove your claim such as any police reports, GP and/or Hospital records, accident book records, photographs, witness statements, your statement etc.

  • If Liability is Admitted

    If the TP admits that it was responsible for the accident, then the next stage is to quantify the injuries part of your claim i.e. how much compensation you are entitled to for your injuries.

  • Obtaining Medical Evidence

    We do this by arranging for you to be seen by a medical expert in your area who will write a medical report about your injuries and how these are affecting you. This often takes time as medical experts have very busy schedules and there may be waiting lists for appointments.

    Again there may be a short delay while we wait for the medical report to arrive. Once we receive and have reviewed the report, we will send you a copy and if you are happy with the report we will ask you to sign a mandate form giving us permission to send the report to the TP’s insurers to negotiate settlement.

    If you require physiotherapy or rehabilitation, we will help you arrange this and recover the costs for you from the TP.

  • Preparing a Schedule of Financial Losses

    Whilst collecting medical evidence we will proceed to prepare a schedule of your financial losses. This is a legal document which will list all of the financial expenditure you have incurred or lost due to your accident and subsequent injuries.

    This schedule will include items such as damaged clothing, vehicle storage charges, the cost of medication, travel expenses to and from medical appointments, the cost of rehabilitation, care that you may have received from family and/or friends whilst injured and lost wages. Please keep receipts or evidence of all losses as these will be required to prove your financial losses.

    Once we have collected all of your financial losses we will send the schedule to you with a mandate form for you to sign to confirm that you are happy with the contents and to give us authority to send this schedule to the TP’s insurers to negotiate settlement.

    In some cases we can obtain an temporary payment from the TP to assist you if you are suffering from a loss of earnings or have additional costs due to your injuries.

  • Negotiating Settlement

    You will be informed of any offers we receive from the TP’s insurers to settle your claim. Your Case Handler will be able to give you advice on whether the offer is a reasonable one, or whether to negotiate for more.

    At times it may be sensible to put forward our own offer to settle and your Case Handler can advise you whether this is the case in your claim.

    Some accidents are partly the fault of the person claiming and in these circ*mstances offers on liability may be put forward on a percentage basis e.g. the Claimant is 20% responsible for their accident and the TP for the remaining 80%. Again you will be advised by your Case Handler whether this is appropriate and the reasonableness of the offer.

  • If Liability is Denied

    If the TP denies that they are responsible for your accident then we may need to pursue the claim through the Courts.

  • Protective Proceedings

    The Law states that a Claimant has 3 years from the date of their accident in which to make a claim. For minors this is extended to 3 years after their 18th birthday. This is known as the Limitation Period and after this time i.e. by the Limitation date, a claim cannot be made.

    In some cases we need to start protective proceedings because the claim is nearing the Limitation date and liability has not been established. In these cases we will file your claim with the Courts which enables us to continue to pursue your claim after the Limitation date has been reached.

  • Serving Court Proceedings

    If Liability is denied then the case may proceed to Court. We will file your claim in the Courts of Law and through this process steps to negotiate settlement are sometimes obtained.

  • Going to Trial

    Each case is unique and we will communicate with Counsel and your Legal Expense Insurers and advise you every step of the way.

    If your case does go to Trial, then you may be required to attend a Hearing and/or Counsel meeting. We will be with you every step of the way and do our best to make this as easy for you as possible.

  • Settlement

    If your claim is successful and you are offered compensation and wish to accept the offer, then we will send you a mandate form for you to tick and sign confirming this.

    Once we receive the signed form we can confirm to the TP that their offer is accepted. We then await their settlement cheque which is processed through our accounts department and your compensation is sent to you via automated bank transfer or by cheque. Please allow eight working days from the time we receive your settlement amount to the time you receive it.

  • Failed Claims

    Sadly not all claims are successful. If the TP continues to deny liability and Counsel advise that there are low prospects of success if the claim goes to Trial, and/or your Legal Expense Insurers withdraw indemnity then the case will fail. Alternatively claims can go to Trial and the case may be lost at that stage.

    The good news in these cases, is that you are not responsible to pay any of our costs or disbursem*nts if your claim fails.

  • Feedback

    We are very grateful to all of our clients who take the time to complete our feedback forms, which we send out at the end of the claim. We welcome feedback from our clients - good or bad, as through this we can improve on our already strong reputation.

  • Key Stages to Making a Claim (2024)

    FAQs

    Key Stages to Making a Claim? ›

    The insurance claim life cycle has four phases: adjudication, submission, payment, and processing. It can be difficult to remember what needs to happen at each phase of the insurance claims process.

    What are the 4 steps in making a claim? ›

    The 4 Main Steps of an Insurance Claim Process
    1. Notification. The first step is to notify: advising your insurance company that you want to file a claim. ...
    2. Investigation. During the investigation process, the insurance company will gather information about the incident to determine coverage and liability. ...
    3. Repair. ...
    4. Settlement.

    What are the stages of a claim? ›

    Your insurance claim, step-by-step
    • Connect with your broker. Your broker is your primary contact when it comes to your insurance policy – they should understand your situation and how to proceed. ...
    • Claim investigation begins. ...
    • Your policy is reviewed. ...
    • Damage evaluation is conducted. ...
    • Payment is arranged.

    What are the 4 steps of the claims life cycle? ›

    The insurance claim life cycle has four phases: adjudication, submission, payment, and processing. It can be difficult to remember what needs to happen at each phase of the insurance claims process.

    What are the six important steps to follow before submitting a claim? ›

    There are six steps in making a claim.
    1. Step 1: Contact Your Agent Immediately. ...
    2. Step 2: Carefully Document Your Losses. ...
    3. Step 3: Protect Your Property from Further Damage or Theft. ...
    4. Step 4: Working With the Adjuster. ...
    5. Step 5: Settling Your Claim. ...
    6. Step 6: Repairing Your Home.

    What are the steps to make a claim? ›

    Six Steps in Making an Insurance Claim
    1. Step One: Contact Your Agent Immediately. ...
    2. Step Two: Carefully Document Your Losses. ...
    3. Step Three: Protect Your Property from Further Damage or Theft. ...
    4. Step Four: Working with Adjustor. ...
    5. Step Five: Settling Your Claim. ...
    6. Step Six: Repairing Your Home.

    What are the 3 parts of claim? ›

    • PARTS OF A CLAIM.
    • a. THE PREAMBLE.
    • b. TRANSITIONAL PHRASE.
    • c. THE BODY.

    What are the 4 elements of a claim? ›

    In order to establish negligence, you must be able to prove four “elements”: a duty, a breach of that duty, causation and damages. Duty: You must first prove that the person against whom your claim is made owed a duty to you.

    What are the four parts of a claim? ›

    The 4 essential elements to include in a good claim or response are:
    • Cause – What happened?
    • Effect – What effect did the cause have on the project in terms or time/and or money?
    • Entitlement – Does the contract or the law provide entitlement to compensation?
    Dec 31, 2014

    What is the claim process? ›

    The first step of claim process is to contact your insurer and intimate about the claim. Fill your claim form and attach the relevant documents. A surveyor conducts damage evaluation. Acceptance of your claim. Get the claim amount.

    What is the first step in processing a claim? ›

    The first part of the process is to file a claim. This can be done in person, online, over the phone, or via mail. It is important to provide as much information as possible, including the names of any parties involved in the incident, the date, details about the incident, and the amount of the claim.

    What are the stages of the 4 stage life cycle? ›

    The four-stage life cycle consists of the egg, the larva, the pupa and the adult stages.

    What are the 4 life cycles? ›

    There are four stages in a product's life cycle—introduction, growth, maturity, and decline. A company often incurs higher marketing costs when introducing a product to the market but experiences higher sales as product adoption grows.

    What is a claim checklist? ›

    It functions as a to-do list, giving you an overview of the tasks required for each claim, along with labels, the due date, the assigned person and the action required.

    What are 3 important things to do when you file a claim? ›

    Here are some important steps to take in order to file your insurance claim.
    • Step 1: Call the Police if Necessary. ...
    • Step 2: Document Everything and Exchange Information. ...
    • Step 3: Contact Your Insurance Company. ...
    • Step 4: Filing Your Insurance Claim.

    What are the three essential elements of a claim? ›

    The basics of personal injury claims include aspects such as legal liability, damages and evidence.

    What are the 4 ways to test a claim? ›

    The four claim testers are intuition, authority, logic, and evidence. Before we use the claim testers, we need to understand what they are! Look at the claim testing poster on the wall, and get ready to review each claim tester as a class. Now, you'll practice with a claim.

    What 4 things do you need to write a strong claim? ›

    What Is a Main Claim Statement:
    • A claim must be arguable but stated as a fact. It must be debatable with inquiry and evidence; it is not a personal opinion or feeling.
    • A claim defines your writing's goals, direction, and scope.
    • A good claim is specific and asserts a focused argument.
    Mar 13, 2018

    What are the four criteria for a claim? ›

    The existence of a legal duty to the plaintiff; The defendant breached that duty; The plaintiff was injured; and, The defendant's breach of duty caused the injury.

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