Tag Archives for " evidence "

5 ways to avoid the insurance run-around

Insurers can be hard work.

Why you should be writing everything down.

Notes can be essential two or six or ten months later when you when you put together all the important facts into a final demand for compensation. . 

Having notes to remind you of all of the details of what happened, and what you went through is far easier and more accurate than relying on your memory.

Start by making a word doc or writing in a journal. Alternatively, use Google Docs, so you have access to your notes wherever you are.

There are 6 types of notes your need to start making ASAP.

1. Were you hit by a reckless driver? 

As soon as your head is clear enough, write down all the details of your treatment. 


Take notes of things including:

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    What you were doing
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    Where you were going
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    Location of the accident
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    Who you were riding with
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    Who saw the accident
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    Time of accident
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    What was the weather like?

This is the bulk of your journaling. Do not skip small details. Include every detail of what you saw and heard and felt…

…all of the twists, blows and shocks to your body immediately, during and right after the accident.

Emily Billiau

PRINCIPAL

You don't know how valuable the minor details could be later down the track. Write everything you can think of down.


Be sure to include anything you remember hearing anyone – a person involved in the accident or a witness – say about the accident.

2. Has it left you a physical and emotional Wreck? 

In the first days following your accident, make daily notes of all pains and discomfort your injuries cause.


For at least the first month or two make notes daily on areas such as:

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    Any diagnosed injuries (broken bones, sprains, cuts, abrasions)
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    Any additional aches & pains and the area they are affecting
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    Any anxiety
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    Loss of sleep
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    Or any other problems

Again write down the small details. You may suffer niggling pain that seems inconsequential at the time but may become important when you trying to gain compensation.

Taking notes on your injury will make it easier for you (and possibly your lawyer) to later describe to an insurance company how much and what kind of pain you were in, and for how long.

Writing down your different injuries will also help you remember to report them to a doctor or other medical provider when you receive treatment.

A relatively small snap of the neck, for example, may not seem worth mentioning…

…but it might help:

  • the doctor; and
  • the insurance company

…understand why your bad back pain developed two to three days later, or several weeks, after the accident.

The easiest way to provide evidence of the injuries sustained in the accident is to have them documented in your medical records.


The only way to get your injuries into a medical record is tell your doctor about them and to accurately do that, you will need notes to jog your memory.

Emily Billiau

Principal

Take photographs too...

As the saying goes, a picture is worth a thousand words…and then some. Photos are useful because they…

…preserve evidence of the extent of the injury

…show the damage better than you can describe them

…are difficult to contradict. An insurer will find it harder to deny the evidence in a photograph. 

Wounds and injuries heal. Without photographs it will be difficult later to convince an insurance company in the ways and to the degree you claimed.

...And get immediate medical attention

Failing to seek immediate treatment can lead an insurance company to believe that your injuries were not that serious, or that you made them up entirely.

Emily Billiau

PRINCIPAL

Don’t be a hero. Seek medical attention or it may come back to bite you when you really need it.


The high cost of medical treatment often makes people reluctant to see a doctor or physio.


But in the case of an accident where someone else was at fault, that person or business, through it's insurance company, will be obligated to repay you for all reasonable medical expenses associated with your injury.

3. Has it drained your bank account?

You may also be entitled to compensation for economic and other losses. But you will need documentation.


Most claims for economic loss rely on you proving that you either:

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    couldn't go to work;
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    lost your job;
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    or missed work opportunities (promotions, new jobs, pay rises etc.)

...because of your injuries. 

Other important notes to make that don’t relate to your economic loss but rather cover your general loss of enjoyment of life include missed:

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    classes
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    events
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    family or social gatherings
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    holiday
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    or anything else that would have benefited you or that you would have enjoy but were unable to do because of the accident. 

Make note of these factors too. They can often be overlooked in a compensation claim and can be financially compensated for.

4. Notes about the scene of the accident

Return to the scene of the accident as soon as possible to locate any evidence and photograph any conditions you believe may have contributed to the accident.

Draw a diagram of where key things were/are located such as:

  • Your bike
  • The vehicle/pedestrian/other bike
  • Lanes
  • Skid marks
  • Traffic lights
  • Witness location (see below)

Again, take photos from a range of angles. Be sure to take them at around the same time of day as the accident to show the appropriate light and traffic conditions.

5. Why you need willing witnesses

Having a witness on your side is powerful.

Witnesses may be able to describe details that confirm what your believed happened. This backs up your story…

…and ensures that the insurer can’t dismiss your claim.

Here’s how to gather evidence from witnesses so that the insurer cannot disregard their statement. 

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    Write down the witnesses’ names, home addresses, email addresses, and home, work or mobile numbers – as many details as they are willing to provide.
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    Talk with witnesses about what they saw and ask exactly where they were when they saw it (note this on your sketch above).
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    Ask the witnesses if it would be okay for you to write up what they told you and send it to them for confirmation on its accuracy. Ask if they would be willing to sign the document and send it back.

A quick note on other conversations too.

Start taking notes about conversations (telephone, in person or emails) that you have witnesses, insurance companies, lawyers and medical personnel (such as other doctors, nurses or admin staff).

Make written notes of the:

  • date
  • time
  • people involved and
  • contents

...of every conversation you have about your treatment or complaint. 

6. How to avoid taking a knife to a gunfight

This last point is less about note-taking and more about taking an extra action that covers all your bases so no insurance company can discount you as a liar.

In the course of your claim, you will likely be told or promised something or given some information that you want to make sure isn’t denied at a later date

…such as…

…the witness statements or

…results of tests

…when you expect to hear the result of your complaint.

Immediately after the conversation, send a letter confirming what the person told you. The letter does not have to be elaborate, just a brief restatement of what was said.

Make a copy for your files before sending it on.

A sample email or letter can be shown below

Sample Letter

Mr Smith
111 Smith Street
Brisbane QLD 4000


Dear Mr Smith,

This email is to confirm our telephone discussion on January 2, 20xx in which you informed me that you would advise me of the outcome of my claim  by no later than January 15, 20xx. 

Thank you for your attention to this matter.

Kind regards,

Julie Kim

Stay Strong

The claims process can be a battle of determination. But with these notes, you will be holding all the cards.

Cyclist proves police evidence is unreliable

The Facts (Nominal Defendant v Rooskov)

On 18 May 2005, Nigel rode his mountain bike to the local bowls club. Whilst at the bowls club he drank approximately 6 to 8 schooners of beer. Between 3.30pm and 4.30pm that afternoon he left the bowls club on his bike to ride home. He was not wearing a helmet.

It was a fine sunny day and Nigel was riding along the left-hand side of the roadway. He was riding downhill on a straight section of the road. As he was riding along, he heard a whistling noise from behind him, a screech of brakes and was then struck from behind. A vehicle hit the rear, right-hand side or back of the bike (Nigel was not sure which). This caused him to careen off the road. Nigel was thrown from his bike and landed in a ditch. He was knocked unconscious and sustained severe injuries to his back in the accident.

Nigel was found by people passing by who called the ambulance and police. He was transported to Wollongong Hospital for treatment and was subsequently diagnosed with a severe concussion and post-traumatic amnesia.

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The Decision

One of the main issues at the trial was whether Nigel had been struck by an unidentified motor vehicle. It was argued by the Nominal Defendant that he lost control of his bicycle and ran off the road.

Nigel initially reported that he was struck by a vehicle. This was noted in the ambulance records, police records and initial hospital records. However, at the hospital his memory of the accident became vague and he expressed doubt about what had happened. He reported that to nursing staff, doctors and the police.

A police officer attended the scene of the accident that evening. He examined the scene and took a number of photographs. He also took photographs of the bike and noted there was no damage sustained to the bike. He did find skid marks located at the accident scene but dismissed them as being unrelated to the accident. The officer gave evidence at the trial that he was of the view that Nigel had not been hit by a motor vehicle.

Nigel’s father, a retired police officer, attended the accident scene two days after the accident and undertook his own investigations. That included taking a detailed sketch plan of the accident site with details of all relevant measurements of the area and the skid marks located at the accident scene. He also reported that the skid marks were very dark at that time and faded over the course of the next week.

Nigel gave evidence at the trial in which he maintained he had been hit by a vehicle. This was despite the fact that he later lost his memory whilst in the hospital and became unclear on what had happened.

Despite the evidence of the police officer at the trial, the judge held the following view:

“The difficulty I have with the skid marks is that they were consistent in location and presence and time with the sworn evidence of the plaintiff and consistent with versions he had given at various times….”.

Nigel’s evidence, the records given to the various medical personnel and the skid marks, persuaded the judge that Nigel had been hit by an unidentified vehicle. The judge awarded damages to Nigel for his injuries in the sum of $586,781.24 but deducted 5% of his damages because he was not wearing a helmet.

The Nominal Defendant appealed the judge’s decision. They argued that Nigel was not hit by an unidentified vehicle. The court of appeal did not agree with the Nominal Defendant and held that the original assessment made by the trial judge was correct.

Nigel was successful despite the fact he sustained a head injury, had a poor recollection of events after the accident and the investigations undertaken by police were not favourable to his case.


Cycle Law Opinion

The trial judge did not accept the evidence of the police officer at the trial. The fact that Nigel’s father also investigated the accident scene shortly after the accident assisted Nigel to win his case.

Nigel’s loss of memory in relation to the accident whilst he was in the hospital was not enough to persuade the judge that Nigel was incorrect when he initially stated he was hit by a vehicle. There was sufficient evidence contained in the various records to show that he did initially report he was hit by a vehicle. Further, the location of the skid marks at the accident scene were consistent with Nigel’s version of events.

Head injuries in accidents are more common than you might think and memory loss can be a side effect of a head injury. However, this does not mean you will lose your case even if there are no witnesses to the accident.

The graph below is the percentage of the types of injuries sustained in accidents from 1 July 2007 to 31 December 2016, including head injuries.

When head injuries are compared with other types of injuries they actually represent the fifth most common type of injury sustained in accidents.

The  Consequences

 The trial and subsequent appeal of Nigel’s case resulted in a good outcome for Nigel.  This case could very well have been unsuccessful if the police officer’s version of events had been believed by the judge.

The important thing to take from this decision is the importance of obtaining your own evidence relating to the circumstances of the accident.  Do not rely wholly on the investigations undertaken by the police. 

The outcome of this case is proof that despite the fact you may have sustained a head injury and do not have a good recollection of the accident you can still succeed in a claim.  However, to ensure success, you need to take appropriate steps to gather all relevant evidence to support your case as early as possible.  The best way to do that is to obtain legal representation as soon as possible after the accident so that your legal representatives can undertake any necessary investigations on your behalf.