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What determines the value of an injury case

The factors that shape what a personal injury claim is worth — and why no one can promise a number up front.

No one can tell you what your case is worth from a single phone call. The value depends on a combination of factors that only become clear as the facts, medical records, and insurance coverage are put together. The categories below are the ones attorneys consider.

Medical bills

Past and future medical expenses are usually the foundation of the claim. This includes emergency care, surgery, hospital stays, doctor visits, physical therapy, prescriptions, medical equipment, and any future treatment projected by a doctor or life-care planner.

Lost wages and lost earning capacity

Time missed from work because of the injury. If the injury affects your ability to earn a living going forward, lost future earning capacity may also be part of the claim — this often requires an economist or vocational expert.

Pain and suffering

Physical pain and emotional distress caused by the injury. Less concrete than medical bills, but often a significant part of a claim’s value. Adjusters use several common methods to estimate this; attorneys negotiate based on comparable cases.

Permanent impairment

Scarring, amputation, loss of function, and other permanent effects. An attorney and medical expert will document the full extent of the permanent impact.

Punitive damages (in some cases)

Where the at-fault party’s conduct was especially reckless — drunk driving, knowing violation of safety rules — additional damages may be available to punish the behavior and deter similar conduct.

Insurance coverage and available assets

The practical ceiling on what can be recovered is the at-fault party’s insurance limits plus any personal assets worth going after. An attorney will identify all available sources of recovery — primary policy, umbrella policy, uninsured/underinsured motorist coverage, and others.

Related

Related resources

Types of damages

Economic, non-economic, and punitive damages.

Read more →

Comparative & contributory fault

How the at-fault percentage works in different states.

Read more →

How insurance companies handle claims

The adjuster’s playbook — and why early offers may be low.

Read more →

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