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By Michael Kawi
Attorney

Navigating the aftermath of a car accident can be a stressful and confusing experience. One of the crucial decisions you’ll face is whether to file a third-party insurance claim. This blog post will delve into the pros and cons of pursuing this option, providing clear examples to help you understand the most important points.

Understanding Third-Party Insurance Claims

Before we dive into the advantages and disadvantages, let’s clarify what a third-party insurance claim is. When you’re involved in a car accident that wasn’t your fault, you have the option to file a claim with the at-fault driver’s insurance company. This is known as a third-party claim because you’re not a party to the insurance contract between the other driver and their insurer.

Pros of Filing a Third-Party Insurance Claim

  1. No Deductible Payment

One of the most significant advantages of filing a third-party claim is that you don’t have to pay a deductible. 

Example: Let’s say you’re involved in a fender bender where another driver rear-ends your car, causing $2,000 in damage. If you file a claim with your own insurance company, you might have to pay a $500 deductible before your insurance covers the remaining $1,500. However, if you file a third-party claim with the at-fault driver’s insurance, you could potentially recover the full $2,000 without paying any deductible.

2. Preserving Your Insurance Record

By filing a third-party claim, you can avoid making a claim on your own insurance policy. This can be beneficial in maintaining a clean claims history, which may help keep your insurance premiums from increasing.

Example: Imagine you’ve had a spotless driving record for the past five years, which has earned you a significant discount on your auto insurance. If you file a claim with your own insurance company, even for an accident that wasn’t your fault, you might lose this discount. By filing a third-party claim instead, you can maintain your clean record and continue to enjoy lower premiums.

3. Comprehensive Coverage

In many cases, the other party’s liability insurance should cover damages to your car and property, as well as your medical bills, up to the policy limit.

Example: Suppose you’re in an accident where the other driver runs a red light and T-bones your car. The collision results in $10,000 in vehicle damage and $25,000 in medical bills for your injuries. If the at-fault driver has sufficient liability coverage, their insurance should cover both your property damage and medical expenses, providing you with comprehensive protection.

4. Legal Protection

If the accident wasn’t your fault, filing a third-party claim allows you to seek compensation without potentially admitting fault or liability. This can be crucial if legal issues arise from the accident.

Example: Consider a scenario where you’re involved in a complex multi-car pileup. By filing a third-party claim against the driver you believe to be at fault, you’re asserting your position that you weren’t responsible for the accident. This can be important if other parties involved decide to pursue legal action, as you’ve already established your stance on the matter.

Cons of Filing a Third-Party Insurance Claim

  1. Longer Processing Time

Third-party claims typically take longer to process compared to first-party claims. This is because the other driver’s insurance company needs to investigate the accident and determine fault before approving the claim.

Example: Let’s say you file a third-party claim for a straightforward rear-end collision. While your own insurance company might process a claim in a week or two, the third-party insurer could take months or more to complete their investigation, gather statements, and review police reports before making a decision on your claim.

2. Potential for Claim Denial

There’s always a risk that the other driver’s insurance company might deny your claim or dispute the extent of damages. In such cases, you may need to pursue legal action, which can be time-consuming and costly.

Example: Imagine you’re in an accident where the other driver claims you were partially at fault. Their insurance company might use this as grounds to deny your claim or offer a settlement that’s much lower than your actual damages. In this case, you might need to go to court to recover your losses, which could take months or even years to resolve.

3. Limited Control Over the Process

When filing a third-party claim, you have less control over the claims process compared to dealing with your own insurance company. You may face challenges in communication or experience delays in responses.  However, having a lawyer of your own can reduce or eliminate these disadvantages.

Example: Suppose you’re trying to get updates on your claim. While your own insurance company might have a dedicated claims representative you can easily contact, dealing with a third-party insurer might involve long hold times, difficulty reaching the right person, or delays in getting responses to your inquiries.

4. Possible Coverage Limitations

The at-fault driver’s insurance policy may have limits that don’t fully cover your damages or medical expenses. In such cases, you might need to file an additional claim with your own insurance company or pursue legal action to recover the remaining costs.

Example: Consider a severe accident where you suffer significant injuries requiring extensive medical treatment and long-term rehabilitation. If the at-fault driver only has the minimum required liability coverage ($25,000 in Illinois), it may not be enough to cover all your medical expenses and lost wages. In this case, you might need to use your own underinsured motorist coverage or file a lawsuit against the at-fault driver to recover the full amount of your damages.

Making the Decision: Consult an Attorney

Consulting an attorney is crucial when considering a third-party insurance claim after a car accident. An experienced lawyer can provide invaluable guidance, evaluating your case’s strength by examining evidence such as police reports and medical records. They can accurately assess the full extent of your damages, including immediate and long-term consequences, ensuring you understand the true value of your claim.

An attorney can navigate the complex legal landscape surrounding third-party claims, including state-specific laws and insurance policy intricacies. They’ll help you understand your rights and potential outcomes and can represent you in court if negotiations fail.

By seeking legal counsel, you gain access to professional expertise that can significantly impact your case’s outcome. An attorney’s guidance can help you avoid costly mistakes, protect your rights, and maximize your chances of receiving fair compensation for your injuries and losses. This professional insight is invaluable in making an informed decision about pursuing a third-party insurance claim.

Conclusion

Filing a third-party insurance claim after a car accident can offer several benefits, including avoiding deductible payments and preserving your insurance record. However, it’s essential to weigh these advantages against potential drawbacks such as longer processing times and limited control over the claims process.

Remember, every accident is unique, and what works best in one scenario may not be ideal in another. By understanding the pros and cons of third-party claims and considering the specific circumstances of your accident, you can make a more informed decision that protects your interests and helps you navigate the often complex world of insurance claims.

In any case where you were injured, consult with a legal professional to ensure you’re taking the best course of action for your specific situation.  Our firm provides free case evaluations, does not charge anything unless we win your case, and we charge a lower fee than the industry standard.

Ultimately, the goal is to recover from the accident with minimal financial burden and stress. Whether you choose to file a third-party claim or pursue other options, being well-informed about your choices can help you achieve the best possible outcome.

About the Author

Michael Kawi has devoted his entire career to fighting for the rights and freedoms of individuals in court. Since 2012, he has successfully represented clients in both state and federal courts nationwide. Michael Kawi understands that when you or a loved one is injured it can be an overwhelming, life-altering experience, and he is committed to being a formidable advocate who will fight for your rights and freedom.

Recognized as a highly skilled and accomplished trial attorney, Mr. Kawi has a proven track record of achieving favorable outcomes.