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How Do Insurance Companies Value Catastrophic Injuries?

Oleen Law Firm Feb. 21, 2025

Catastrophic injuries can change a person's life in an instant, leading to long-term medical care, financial strain, and emotional hardship.

Whether caused by a car accident, workplace incident, or other tragic event, victims of serious injuries often face significant challenges when seeking fair compensation from insurance companies.

Reviewing how insurers determine the value of these claims is crucial for anyone pursuing a settlement. Having knowledgeable and experienced catastrophic injury lawyers by your side in Manhattan, Kansas, can make all the difference. Let’s cover some helpful information from our team at Oleen Law Firm.

What Are Catastrophic Injuries?

Catastrophic injuries refer to severe injuries that have a lasting impact on a person's life. These injuries often result in permanent disability, loss of earning capacity, and extensive medical treatment. 

Examples include traumatic brain injuries, spinal cord injuries, amputations, and severe burns. Victims in Manhattan, Kansas, and nearby areas like Junction City, often require lifelong care and support, making it essential to seek maximum compensation for their losses.

Factors Insurance Companies Consider

Insurance companies evaluate catastrophic injury claims using a variety of factors to determine the value of a settlement. Some of the primary considerations include:

Medical Expenses

Medical costs are one of the most significant factors in determining the value of a catastrophic injury claim. Insurers review past, present, and future medical expenses, including:

  • Hospital stays

  • Surgeries

  • Rehabilitation and therapy

  • Prescription medications

  • Medical equipment and home modifications

Our catastrophic injury lawyers in Manhattan, Kansas, can help make sure that all medical costs are thoroughly documented to build a strong case for fair compensation.

Lost Wages and Earning Capacity

When a catastrophic injury prevents a victim from returning to work, insurance companies consider the loss of income and future earning potential. Factors such as the individual's age, occupation, and skill level are taken into account to estimate potential lifetime earnings that have been affected by the injury.

Pain and Suffering

Beyond financial losses, catastrophic injuries often cause significant physical pain and emotional distress. Insurance companies use various methods to calculate compensation for pain and suffering, such as the multiplier method, which involves multiplying medical expenses by a number based on the severity of the injury.

Impact on Quality of Life

A catastrophic injury can severely impact a victim's ability to engage in daily activities, hobbies, and relationships. Insurance adjusters assess how the injury affects a person's overall quality of life, which can play a significant role in determining the value of a claim.

Degree of Fault

Kansas follows a comparative fault rule, meaning compensation may be reduced if the victim is found partially at fault for the accident. Insurance companies often investigate the circumstances surrounding the injury to assign a percentage of fault to each party involved.

Common Tactics Used by Insurance Companies

Insurance companies aim to minimize payouts and may use various tactics to undervalue catastrophic injury claims, such as:

  • Offering quick, low settlements to avoid paying long-term costs

  • Disputing the severity of the injury

  • Arguing that pre-existing conditions contributed to the injury

  • Delaying the claims process to pressure victims into accepting less

Our catastrophic injury lawyers are familiar with these tactics and can advocate for victims to secure a fair settlement. Call Oleen Law Firm today.

Highlighting the Importance of Legal Representation

Handling a catastrophic injury claim on your own can be overwhelming. Catastrophic injury lawyers play a critical role in gathering evidence, negotiating with insurers, and making certain that all aspects of the injury are properly valued. An experienced lawyer can:

  • Collect medical records and expert opinions

  • Calculate long-term financial impacts

  • Represent you in court if necessary

  • Advocate for your rights against insurance companies

Victims in Junction City and the greater Manhattan, Kansas area can benefit from working with an attorney who understands local laws and the challenges specific to catastrophic injury claims. Turn to our team at Oleen Law Firm.

Steps to Take After a Catastrophic Injury

If you or a loved one has suffered a catastrophic injury, taking the right steps can help protect your claim and improve your chances of receiving fair compensation:

  1. Seek immediate medical attention: Prioritize your health and obtain a full medical evaluation. Early medical intervention can not only improve outcomes but also establish a clear record of your injuries for your case.

  2. Document everything: Keep records of medical treatment, expenses, and communication with insurance companies. Thorough documentation can serve as essential evidence if disputes arise later in the claims process.

  3. Consult with a personal injury lawyer: An experienced lawyer can provide guidance and protect your interests. They can help you work through the legal challenges and make sure your rights are fully upheld throughout the process.

  4. Avoid discussing the case: Be cautious when speaking with insurance adjusters and avoid providing recorded statements without legal advice. Even seemingly innocent remarks can be used against you, so it's vital to have legal counsel before engaging.

By following these crucial steps, you can better work through the aftermath of a catastrophic injury and set the foundation for a stronger claim and a more secure future.

Frequently Asked Questions About Insurance and Catastrophic Injuries

We understand that dealing with insurance companies and the challenges of catastrophic injuries can be overwhelming, so we've compiled answers to some of the most common questions to help guide you through this challenging process:

  • How long does it take to settle a catastrophic injury claim? The timeline varies based on case details, but it can take several months to years to reach a fair settlement.

  • Can I still recover compensation if I was partially at fault? Yes, Kansas follows a comparative fault rule, meaning you may still recover compensation, but your award may be reduced based on your level of fault.

  • What if the insurance company's offer is too low? Your lawyer can negotiate on your behalf or take the case to court if necessary to fight for fair compensation.

  • Are future medical expenses covered in a settlement? Yes, settlements can include compensation for anticipated future medical costs and ongoing care.

  • What types of evidence are important for my claim? Medical records, expert opinions, accident reports, and witness statements all play a crucial role in building a strong case.

  • Do insurance companies use formulas to calculate settlements? Yes, many insurers use formulas, such as the multiplier or per diem method, to estimate settlement values based on medical expenses and pain levels.

  • Can a personal injury lawyer increase my settlement amount? A skilled lawyer can identify additional damages you may not have considered and negotiate effectively to maximize your compensation.

  • What if my injury requires lifelong care? Your settlement should account for long-term medical needs, and a lawyer can help calculate these ongoing costs.

  • How does Kansas law impact my injury claim? Kansas has specific statutes of limitations and comparative fault rules that can affect your ability to recover damages.

  • What should I do if the insurance company denies my claim? A personal injury lawyer can review the denial, gather additional evidence, and pursue legal action if needed.

We hope these answers provide clarity and support, but if you have any further questions or need personalized assistance, don't hesitate to reach out to us.

Turn to Our Catastrophic Injury Lawyers

If you're dealing with a catastrophic injury in Manhattan, Junction City, or other nearby areas, don't face the insurance companies alone. Reach out to our skilled catastrophic injury lawyers from our firm at Oleen Law Firm today to discuss your case and take the next steps toward financial recovery.