Most adjusters function like Henry Hard-Nose of Rock Solid Insurance
Corporation. They're thick skinned and difficult to deal with. Below is a
typical verbal exchange a month or so after you and Hard-Nose had last
met in an attempt to settle. At that time he had taken the position that
the injury to your shoulder was not as serious as your attending
physicians Medical Report stated it was. (Question: Do they fight what
your attending physician wrote in their report? Answer: Yes, absolutely!
Take it from Dan, who was on that firing line for over 30 years).
The
following is a typical verbal settlement exchange after your last
meeting had ended "up in the air" - - slowing floating around out there
in outer space.
You first - - and here's the counter argument you
should make: "Look, with all due respect, you are not a doctor. You're
no medical expert who has the know-how to second-guess my doctor. When
we last met you said my shoulder was 'only a bruise' as opposed to a
dislocation. I have again talked to my doctor and he remains firm about
the accuracy of his original diagnosis. He states that I absolutely
suffered a dislocation of my shoulder. But, even apart from his
analysis, I'm the best judge of my own injury - - that is, how painful
my life has been, and the suffering I've had to endure".
At that
point Hard-Nose will always attempt his usual tactic of interrupting
your logic but stiffen up, wave him off and say, "Look, let me finish.
You owe me that because it was your insured who flew through a Stop Sign
and bashed into me. You and I both know he's one hundred percent at
fault and if this talk about settling for my "pain and discomfort" gets
any more one-sided I'm gonna be left with no choice but to hire myself a
lawyer."
Hard-Nose will stiffen up! Now, you proceed, "How is it
sir, that its been over three months since this accident and there are
times when I still suffer excruciating pains? How is it that I can't
lift things like I used to? The truth is it hurts, it bothers me and it
has disabled me. I've been enduring it but it's been awful and it has
disrupted my life terribly. My shoulder is not a 'mere bruise' to me
sir. Neither does my doctor say it is. He states that my shoulder was
definitely dislocated and it will take several more months to clear up"!
All
of the above is an example of your central approach to the predictably
belligerent, difficult-to-deal-with adjuster. You should be firm and
aggressive but not hostile. Yours should be a thoughtful presentation
that relies on the power and persuasiveness of a sound demand adequately
documented and properly communicated.
The three crucial questions
you must ask Hard-Nose are:(#1) How much will you pay me for the damage
to my motor vehicle and all other provable property damage? (#2) How
much will you pay me as a fair settlement for my provable lost wages and
medical expenses? (#3) How much will you pay me for my disability and
my "Pain and Suffering"?
In most instances Hard-Nose will head for
the hills - - unwilling to give you a straight answer. He'll sidestep
and do a slow waltz by asking you a loaded question like, "Okay, what do
you think your claim is worth?"
Such a question is predictable
because Hard-Nose prefers that you're the one who makes the settlement
demand first. Why? Because you may ask for less than what he was
preparing to offer! And also because, if you make an excessive demand,
he won't have committed himself to an offer which will have left no room
for further negotiations. In other words, Hard-Nose is in his best
position to exercise "command and control" over the manipulation (and
setting) of the dollar amount to be paid when it's you that makes the
settlement demand first, rather than he making the settlement offer.
Don't provide him with this advantage!
To win this crucial "game"
he must suspect you're close to obtaining a lawyer to handle your case
so you should insist on the offer (one that's realistic and made in good
faith) to come from him before you make your demand. Why? Because at
that point it's all about who gets to control the value of your claim - -
you or Hard-Nose?
It's not sufficient for Hard-Nose to merely
come up with a phony offer. You must insist upon, and hold out, until he
makes the first offer and that it's a realistic one. Then, and only
then, is when you should respond with your own first counter-demand. Up
until that point never let him know what you'd be willing to settle for.
If you do you'll lose control and that could cost you big bucks!
To
learn more about how to handle and evaluate your motor vehicle accident
claim, read Dan Baldyga's latest book AUTO ACCIDENT PERSONAL INJURY
INSURANCE CLAIM (How To Evaluate And Settle Your Loss). It can be found
on the internet at http://www.autoaccidentclaims.com or your favorite bookstore.
Dealing With Henry Hard-Nose: The Typical Insurance Adjuster
Posted by CB Blogger
Blog, Updated at: 5:54 PM
