How Should You Deal With The Insurance Adjuster If The Compensation Is Denied?

Now, as soon as you file your claim for compensation with the insurance company, it’s going to be distributed towards a certain adjuster who’s going to handle the investigation of your claim and the further adjustment of the amount. However, there are a few things that you need to know about those special agents.

The fact is that it’s in their best interest to make sure that you don’t get a lot of money. The more they manage to cut back off your compensation, the more profit they will be able to report and hence the larger bonuses they get. That’s right – this is how it works. Insurance companies do not have it at their best interest to pay the full amount of your compensation, even if you are legally entitled to it. This is due to the fact that this way they wouldn’t be able to report any kind of profit to their shareholders. So, naturally, they would try to cut it back or even deny it. So, how to proceed if you’ve been denied insurance that you are actually entitled to?

The first thing that you can do is hire a professional personal injury lawyer in Milton or Kitchener and have him look into the case. As a matter of fact, this is something that you should have done already. However, a lawyer could help you undertake the right trail of action. They have the skill and knowledge about how to deal and handle similar cases and have already won millions as compensation for various other companies and victims.

Furthermore, you can always threaten a lawsuit. If you are entitled to the compensation and you know it, then so does the insurance adjuster. Having two different opinions on a straightforward matter of the kind is impossible. With this in mind, as soon as you file your claim in court and the adjuster gets notified about it, you will see how his overall attitude is going to change immediately. This is due to the fact that they have absolutely no interest in pursuing the matter to court. Sure, it’s going to take a while prior to reaching a ruling but once you get there, it’s definitely not going to be in their favor and the amount of money they would have to pay would have doubled because of attorney’s fees, interest rates as well as higher compensation award.

These are just a few things that you can do in order to get a proper compensation offer from your adjuster and avoid getting ripped off. Even though it’s just business for them, you shouldn’t let insurance companies bully you into situations that are outside of the lawful frames. Make sure that you stand up for your rights and get the necessary help to do so effectively. This way you will get compensated.

How To Proceed In Complicated Product Liability Cases

So you’ve just bought your new car for which you’ve spent thousands of dollars on. It’s a brand new model, straight from the dealership. However, you take it out for a spin and your break malfunctions leading to a terrible accident. It’s clearly the manufacturer’s fault but what can you do in this case? Luckily for you, this is the perfect representation of a product liability case, which is one of the most lucrative fields of expertise in the entire law. However, filing a claim of the kind requires thorough knowledge of different laws as well as a lot of experience on handling the case itself because it would commonly include a jury which you’d have to convince.

Filing Product Liability Claims

It’s worth noting that as per the current legislation on the territory of the province of Ontario, you can file product liability claims under two separate premises – Contractual and Common law.

Filing a claim in Milton under the grounds provided to you by the Contractual law could be incredibly beneficial. The main reason for which is that you are essentially implying a breach of contract which could lead to some serious compensations. Apart from all of the injuries, you’d also be capable of getting thoroughly compensated for the vehicle itself. This is due to the fact that aside from the regular duty required by the common law, there is also an additional duty of care implied by the sales-purchase contract.

Hidden Defects

This means that the seller is legally obligated to disclose all sorts of information regarding particular defects in the object of the sale. Hidden defects, as in this case, are also grounds for compensatory claims, regardless of whether the seller knew about them or no. In the first case, the claim is going to be dully civil while in the second, depending on the particular situation it could even get to criminal prosecution. However, the case in point which is subjected to personal injury law is a part of the civil law and there aren’t going to be any criminal charges. This is due to the fact that product liability cases seek monetary compensation and not to legally punish the perpetrator through a penalty, provided by the criminal legislation.

It’s also worth noting that unlike seeking reparations under common law provisions, doing so by claiming responsibility set forth through the contractual law, you can exceed the boundaries offered by common law. In any case, the claims which are filed for product liability are going to be extremely high, especially if they involve a fatality. The main reason for this is that they are usually targeted towards influential companies with billions of dollars in capital.

However, there are plenty of personal injury lawyers that have won millions of dollars as compensation for victims of product liability cases and they will be able to help you.

How Does An Insurance Adjuster Work?

Now, if you’ve been involved in some sort of accident, there is a high chance that you are going to have to deal with an insurance company. Regardless of the case, in the majority of situations the opposite party is likely to have some sort of insurance coverage that will kick in if you decide to sue. On the other hand, if you’ve sustained the injury without the involvement of another person, your own insurance is going to kick in.

With this in mind, it is highly beneficial for you to understand the way that the insurance adjusters work. This is a helpful insight which would enable you to take certain advantages when it’s possible. Let’s go ahead and take a look.

What’s The Motivation of the Insurance Adjuster?

Now, there are two things which are going to get the cash flowing for the insurance adjuster. The first one is to pay you as little as it’s possible and the second one is to avoid going to a lawsuit. Even though it may sound a bit troublesome, that’s the reality – insurance companies are in the business of making money and if they paid off every single claim in full they would have went out of business long time ago. There’s nothing personal – it’s just business. The more they manage to cut off your insurance compensation, the more profit they can report to the shareholders. It’s as simple as that.

On the other hand, they don’t want to go to trial. The reason is quite common – they don’t have the upper hand while at court. The jury and the judge are quite unpredictable which puts the insurance company at a risky position. Furthermore, if they lose the claim, they would have to pay the entire amount of the compensation, the court taxes, the accumulated interest as well as the fees for your lawyer – this could far exceed the amount of the compensation itself.

Damages Taken Into Account

There are a few different categories of damages that the adjuster is going to collect data for and calculate for your compensation:

·         Pain and suffering

·         Damages for emotional distress

·         Actual loss from lost income

·         Actual expenses for medical costs

These are the categories which you need to build upon. So, in order to force his hands, there are a few things you can do.

First, you need to decline low ball offers as they are widely inappropriate and disproportional. Second, you need to show that you aren’t afraid of the court. And third, which is just as important – provide him with the necessary assistance along the way in terms of documents, evidence and calculations. Additionally, everything can smoothen out when you hire the services of an injury lawyer in Kitchener to ensure that they put forth your rights and negotiate it better with the insurance adjuster. This will help you get maximum compensation instead of being intimidated by the insurance company.

When Injuries and Liability Aren’t Enough: The Importance Of Causation

Personal injury law is particularly interesting and quite complicated. The first thing that you need to know is that there are three solid merits that your case is going to need in order to be successful – damages, liability and causation. Let’s break this down a notch.

·         Damages

Obviously, the first thing that your case is going to need is damages. They could be both pecuniary and non-pecuniary. That is to say that you could have sustained physical damages which are valued with documentation such as medical bills, for instance. Furthermore you could have sustained emotional damages in the form of pain and suffering which are assessed by the court in every different case.

·         Liability

This is the legal responsibility of a party to recover the damages. When someone has negligently caused another person wrong, he’s obligated to repair it in the amount stipulated by the legal provisions.

·         Causation

This is the third and amongst the most important requisites for your case. The causation is a legal institute which requires the damages to be direct result of the accident for which the accused is liable for. It might sound a bit complicated but it really isn’t. For instance, if your neighbor’s dog bites you and you sustain physical injuries in relation, the latter are in direct causation with the accident for which the accused is liable for.

So, if that’s the case, how can things get complicated? Well, that’s why we said that personal injury law is particularly complicated. Imagine this – you’ve been involved in a car accident. As a result, you’ve broken your leg and you sustained considerable damages that you are now filing for. However, a few months later, you begin to feel dizziness, nausea, migraines and a wide range of symptoms which might be indicative of a brain injury. Are they in direct causation with the car accident? Even if they are, it’s going to be significantly harder to prove this.

Another example with the Emotional damages is also appropriate here to demonstrate the complications that may arise. Let’s imagine you’ve been attacked by your neighbor’s vicious dog. It has caused you severe physical injuries that you file for. However, after a week, you start having nightmares, troubled sleeping, raised anxiety levels and many other emotional damages. Once again, it’s highly likely that they are caused by the stress induced by the accident but it’s going to be significantly harder for you to prove this.

In any case, all of the premises have to be existent and to be established in order for your case to be successful. These are not subjected to the slightest speculation and lacking each one of them is going to have a detrimental impact on your entire case. Most of the injury lawyers have experienced a host of different reasons for injuries that surfaced after the accident. They understand how to develop and present a case and still win compensation for their clients. That is why it is important to hire their services when you have been injured.

Understand the Aftermath of Public Transit Accidents

Bus Accident law is generally going to fall within the common carrier law because a large portion of the buses offer transportation services mainly as part of their own enterprise and business to ordinary people. The common carrier is regulated as an individual or a business which is going to be offering transportation services to people as well as items for a particular fee. The common carriers could also be private companies or public entities. The province of Ontario is being regulated by the Federal Government which sets forth provisions that steer the common carriers which transport regular passengers.

Ticket is important

Public transit accidents are usually going to involve one or more people who have been using the services of the public transit and they have dully and proven incurred damages as a result of a particular misconduct of the driver. There are, however, a few differentiated specifications in this particular regard that have to be taken into thorough consideration while filing a compensation claim with grounds of the kind. You would have to account for the fact that the majority of common carriers, inclusive of public transit services are going to bear a particularly higher duty of care because they would usually offer services in return for a fee. This means that they would have to adhere to the highest degree of care as well as vigilance in order to ensure the safety of everyone who is on board. Basically the ticket for the public transit that you buy is substantially your most stable ground for filing a compensatory claim.

Filing notice of intent

There is also a time term to be concerned with. Under the current legislation which is set forth in the province of Ontario, you have to file a notice of intent to sue within the next 10 days after the accident has happened. This is a mandatory requisite and failing to do so would deprive you of your rights to sue. However, after you’ve done this, the legislation allows additional two years to file your case after which you wouldn’t have these rights any more. The solution is incredibly fair.

Claim against Municipality

Furthermore, in the event in which the transit service provider is owned by a public entity, you have to file your claim against the municipality. If that’s the case, after filing the notice of intent, you would have to wait for another 60 days during which you wouldn’t be able to file your claim. This is done so that the authorities can conduct an extensive investigation of the matter. However, this particular solution is rather questionable as it skews the favors towards public entities because the waiting period in the situation of privately owned companies is practically non-existent. You might need to discuss the details with the personal injury lawyer in Milton to understand the clauses and other aspects of your specific case to get all the information.

Do Pedestrian Accidents Call For A Civil Lawsuit?

Pedestrian accidents are incredibly dangerous and they are almost always going to lead to tremendous complications. The main types of injuries which are going to occur are almost always going to be of orthopedic nature because of the essence of the accident itself. However, there are quite a few things to be considered when handling the compensation for this type of accidents. It’s worth noting that a civil lawsuit is optional but not mandatory and in the majority of cases the entire situation is going to be resolved in an out-of-the-court settlement. However, your personal injury lawyer in Kitchener can try to ensure that you get the compensation amount that covers your medical treatment and other requirements.

If we dig a little deeper in this particular settlement, we are going to find out that this is a legally binding solution which has the same enforceable power as the ruling of the court of the civil lawsuit. The enforce ability of a document means that it could be imposed onto to the liable party in the events in which he has followed through his legal obligations while the other party has failed to deliver. This is when the document becomes enforceable unless there are some other conditions included within it. Up until this moment, depending on the additional conditions, of course, the obligation under the document can’t be forced onto the one who’s responsible for it. However, when this event occurs, a public or private enforcer could start pursuing him with formal legal actions in order to deliver the necessary result.

Seeking settlement

This is, however, just one part of the overall reason for which the majority of injured people in pedestrian accidents prefer to go for a settlement. The truth is that a civil lawsuit is going to take time and the outcome can never be certain. This is due to the fact that the judge has the final word and if you fail to prove all of the circumstances and the opposite party has solid defense, you might fail in getting the protection that you are entitled to. Going to trial is always risky and that’s why the majority of personal injury attorneys are likely to advise you to settle, especially if you have solid grounds and the upper hand in the negotiations.

Expensive trials

Furthermore, it’s also worth noting that a civil lawsuit is going to be incredibly expensive. While you would likely have to pay the attorney his fee, it’s going to be reduced because a settlement requires less work. Apart from that, you would also save yourself the expenses which are due to the court. Filing a claim is going to require you to pay a significant amount of court taxes and even though you are going to get them back when you win, funding the entire thing could be quite challenging. You can discuss the details with the injury lawyer in Kitchener and get the facts straight.

Are Orthopedic Injuries Qualified For Compensation Under Tort Laws?

Orthopedic injuries are a basis of personal injury law. The truth is that, unlike criminal law which aims to seek criminal prosecution and punishment of the one who committed the crime, personal injury law’s aim is to reimburse the victim in full. This is the core difference between both practice areas and it’s one that has to be considered thoroughly as it poses fundamental differentiations.

Strong reason to file a case

However, when it comes to orthopedic injuries, it’s important to point out that this is the cornerstone of personal injury law. They are at the bottom of every single accident and, even though some would claim that pain and suffering could be the basis of a personal injury claim – it would be associated with an orthopedic injury. With this in mind, it’s also worth noting that there are quite a few different types as an orthopedic injury would stand for a broken bone, ripped tendon and everything in between – the area is quite extensive but it’s more of a medical conversation.

In any case, the orthopedic injuries are viewed differently from the various types of personal injury areas. For instance, an orthopedic injury in a dog bite claim would be governed by the Dog Owner’s Liability Act. This means that all of the responsibility deriving from the infliction of said injury would derive from this particular piece of legislation.

Apart from that, we have orthopedic injuries which are resulting from car accidents, which are likely to be the most common type of accidents that are concerning personal injury law. This is solely because of the fact that they are so many of them happening on a per annum basis.

Now, it’s also worth mentioning that pain and suffering is a different type of claim and even though it’s always accompanied by a claim for orthopedic injuries, sometimes it might not derive from them. For instance, a car accident could leave you unharmed in any way but you may have experienced severe stress which could have caused emotional trauma which is also subjected to compensation on behalf of the person who’s at fault.

Insurance covers expenses

Of course, the majority of the expenses which are associated with orthopedic injuries would be covered by the insurance company. However, the possibility for a civil lawsuit is always there and you could sue the other party if you believe that your damages exceed the amount that has been forwarded by the insurance company. However, you need to know that the court procedure is expensive, time-consuming and would require a lot of effort. Furthermore, you need to know that it’s not a done deal and the case could always go the other way around if you don’t manage to prove your point.

If you are suffering with chronic pain or other effects of orthopedic injuries, it is time to seek an experienced personal injury lawyer in Ontario that can help you get justice.

What Is the“No Fault” Rule In Automobile Accidents?

Like it or not, accidents happen. Unfortunately, when it comes to car accidents the results are most commonly incredibly severe. The truth is that they often tend to end in grave mutilations, serious orthopedic injuries and in some cases, even in death. However, this is why the regulations which govern this particular field of the law are so stringent and they offer little to no room for maneuvering on behalf of those involved in the accident. In any case, the province of Ontario is without a doubt one of the leaders in car accidents in Canada and the reasons for this remain unknown. Following the legislation in situations of the kind is crucial for the proper development of the events.

The “No fault” insurance policy means that the insurance company is always going to have to pay your benefits under the policy that you’ve agreed upon regardless of whether you are the driver who was responsible for the accident in the first place. While the lawful regulations which govern car accidents might be incredibly stringent, this particular provision could be considered rather lenient as it liberates the driver partially from the responsibility that he has to carry as a result of his action. However, on the other hand, he is dully paying for this insurance as he is obligated to do so by state laws.

There is one differentiation that has to be made in this particular event. The “no fault” automobile insurance system in the province of Ontario is only going to apply to bodily injuries and it’s not going to cover any kinds of property damage and if such had occurred you are going to have to pay them yourself.

However, the “no fault” system poses a lot of different benefits for both the injured and the one who caused the accident. The latter could direct his claim straight towards the insurance company and he’s going to know that if something happens he would have a claim towards a prosperous debtor who’s going to have money to pay him off. This is not always the case if you have directed your claims towards a regular person because the latter might not have sufficient funds to pay off the damages.

Now, it’s also worth noting that this doesn’t necessarily mean that fault isn’t assigned at all. The insurance company is going to conduct their own research in order to determine which one of the vehicles involved in the car accident was at fault. This is going to have a deep impact on your down-payments for your insurance as you have officially become a risk driver in the eyes of the insurance company and you’d have to provide a better insurance. However, it is essential to have an experienced lawyer in Toronto in your corner so that the insurance company’s legal team cannot lowball you.

Are there Alternatives to Suing in Court?

There are two well-known alternatives to starting a lawsuit when two parties want to settle a disagreement or other sorts of legal arguments: arbitration and mediation. The procedures are completely different but they are combined by the same idea – avoiding trial. Of course, you can, and as a matter of fact, it’s highly advisable that you hire an attorney to represent you and to protect your legal rights, especially if the opposite party has already done so in advance.


This is the procedure under which both parties have the same goal and they are looking forward to achieving it – they want to reach an agreement. This means that there isn’t going to be any kind of outside ruling and that the agreement is going to be reached through negotiations and mutual compromises. Mediation is the dull process in which an outside mediator is going to try and facilitate the discussion without having a say in the final decision. All of the agreements and conclusions which are reached are going to originate from the arguing parties in the first place. Mediation is a procedure which is incredibly beneficial and it might turn out to be amongst the best options if both parties are willing to negotiate a way out of the argument. However only a personal injury lawyer in Kitchener can do it.

It’s worth noting that this is the far less expensive procedure as opposed to traditional litigation because there are no legal fees and you are only going to have to pay the outside and independent mediator for his services of facilitating the entire process.

Understanding the terms under arbitration

Arbitration, on the other hand, is the process where both parties are going to come to an agreement with arbitration. There is an arbitrator involved who is going to be making the final decision. This is much like the judge’s ruling as an outside party is going to be settling the case. In fact, the similarities are far too many so it’s worth pointing out that arbitration is a lot less expensive and much faster than the regular trial procedure.

This is the main reason for which a lot of agreements are going to include the arbitration clause – the parties are obligated under the agreement to seek to resolve the argument through arbitration instead of taking the case to court.

There is a lot of merit to both solutions but it is worth finding out which one would work better in the particular situation. If the parties aren’t inclined to reaching a mutually beneficial agreement they should certainly overlook mediation and go straight for arbitration. Of course, if they are willing to compromise and want to reach the final decision on their own, without relying and depending on a third party – the solution would be mediation.

However, it is essential that if you intend to opt for mediation or arbitration before filing a case, consult a personal injury lawyer in Toronto.

Various Acts Covering Orthopedic Injuries

Orthopedic injuries are incredibly common as they occur as a result of almost any accident which is regulated by the personal injury law. In any case, there are various acts such as the Contractual law, Medical normative legislation, Dog Owner’s Liability Act, Occupier’s Liability Act amongst many other Governmental as well as Provincial legislation which sets forth responsibility for causing an orthopedic injury. However, it’s also incredibly important to stress out that orthopedic injuries are usually the cause of different disabilities which are entitled to a different form of prolonged compensation. In some cases, the victims are even going to get disability benefits in the form of a pension, provided that the disability is very long term and there are no foreseeable chances of quick recovery.

Compensations for long term disabilities caused by orthopedic injuries require thorough compliance with a variety of different legal and other procedures. You are going to have to prove the event of the injury in order to seek the compensation. After all, your claim has to be directed towards the at-fault party. At the same time, you are going to have to prove that your particular injury has resulted from the particular accident which occurred. This is the so called causality link and if it’s missing or it’s somehow broken your case is going to lose its merit. After this you are going to have to link the injury with the long term disability. This is done through a medical expertise which determines that the injury is capable and in fact has caused the disability. Only then will you be able to physically claim your benefits and compensations. And your personal injury lawyer in Kitchener plays an important role in ensuring that the

In any case, orthopedic injuries in Kitchener or even in Milton pose great threat. The labor legislation in Ontario even goes so far to define liability for orthopedic injuries sustained by the workers on the workplaces while in working hours as owed by the employer. This is incredibly protective but the main intention behind this particular legislation is fully justified – the employer is considered to be far more economically stable and secure than the employee and thus he should be responsible if something happens to the latter.

Orthopedic injuries can also arise from car accidents, all sorts of motor vehicle accidents, pedestrian accidents, slip and fall, dog bites and many more. This is due to the fact that every broken ligament and bone or dislocated joint is going to be considered to be an orthopedic injury. However, it’s also important to understand that filing for compensatory claims in this particular regard would require the claimant to comply with a specifically designated medical procedure which sets forth whether or not there is an actually sustained injury and how sever the consequences are. Consulting with a personal injury lawyer in Kitchener can help you get more clarity on your case and how much compensation you become eligible for.