[WA] Can an insurance claim be closed if the other party claims an aggravated injury after a car accident?
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I understand that you need legal assistance, and I'm here to help. What specific legal issue are you facing?
Question about a vehicle collision.
Have you already consulted with any other attorneys regarding this matter?
No.
Is there anything else the Lawyer should know before I connect you? Rest assured they'll be able to help with your vehicle collision.
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Hello. My name is Richard and I have been a licensed attorney for over 25 years and hope to be of assistance. Please be advised that no attorney-client relationship is formed from our conversation and this is for general legal information only. I understand you have a question about a vehicle collision. Could you tell me more about any steps you've taken so far regarding this situation?
I haven't really taken any action so far. This took place last year on July 22, in Tukwila, Washington. Since then, the individual involved in the collision with me has been receiving benefits from my insurance so I wanted to see what my options might be as far as closing the claim out?
Thanks for sharing those details. Could you let me know if you've had any communication with your insurance company about closing the claim? If so, what have they advised?
So since I'm under my parent's insurance, I don't know the exact information but we've been trying to close out the claim, and are unable to since she's been saying she's injured. However, when the collision occurred, she told the dispatcher she was not injured, and the officer, so they didn't do a police report on it.
I remember right when it happened, she was saying that it might have aggravated an existing injury, so I'm not sure if that does anything.
Got it, thanks for explaining. It sounds like the situation is a bit complicated with her claiming an aggravated injury. Could you tell me if there have been any written communications or documents exchanged between your insurance and the other party? This might help in understanding the current status of the claim.
I would probably have to get those from my parent. I know I was able to sort out the claim with my rental, but I need to get the information for the injury. Am I able to message later when I get that information back?
Based on your situation, there are several legal considerations in Washington that could potentially support your case:
Insurance Claims: In Washington, insurance companies are required to act in good faith and deal fairly with claimants. This means they must thoroughly investigate claims and not delay or deny benefits without a reasonable basis.
Pre-existing Conditions: If the other party is claiming that the collision aggravated a pre-existing injury, they would typically need to provide medical evidence to support this claim. The burden of proof is on them to show that the accident caused or worsened their condition.
Statute of Limitations: In Washington, the statute of limitations for personal injury claims is generally three years from the date of the accident (RCW 4.16.080). This means that the other party has a limited time to file a lawsuit if they choose to pursue legal action.
Let me know if you have any questions or clarifications, if not I'll move forward with guidance.
Does anything change if I am from New Mexico? This occurred during a trip like I mentioned. Sorry, I forgot to mention. I'm working on getting the written communication from my parent.
I think the only information we received from our insurance was, "The injury portion of the other party's claim remains open at this time."
Since you're from New Mexico and the accident happened in Washington, here's how things might work:
- Jurisdiction and Applicable Law — The laws of Washington will generally apply to the accident since it occurred there. This means that any claims or legal actions related to the accident will likely be governed by Washington state law.
- Insurance Communication — It's important to keep open communication with your insurance company. Since the injury claim is still open, you might want to ask them for more details about what is needed to close it. They can provide guidance on whether additional documentation or actions are required. Washington's Insurance Fair Conduct Act (RCW 48.30.015) and the related Unfair Claims Settlement Practices regulation (WAC 284-30-330) require insurers to promptly investigate claims and communicate their status in good faith, which is relevant context for how long the injury portion of a claim can reasonably stay open.
- Handling the Injury Claim — If the other party is claiming an aggravated injury, they need to provide medical evidence. Your insurance company should be handling this aspect, but you can ask them about the status and any potential next steps.
- Gathering Documentation — Since you're working on getting the written communication, make sure to collect all relevant documents, including any correspondence from the insurance company and any medical reports related to the other party's claim.
- Consulting Legal Advice — If the situation becomes more complex or if you're unsure about the next steps, consulting with a local attorney in Washington might be beneficial. They can provide specific advice based on Washington law, including the three-year statute of limitations for personal injury claims (RCW 4.16.080), and help you understand your rights and obligations.
Please let me know if you have further questions.
Thank you for the information. Just one last question, at what point would you suggest that I might need to "escalate" the situation towards contacting an attorney and possibly moving forward with legal action?
Your insurance company would provide an attorney free of charge if you are ever sued.
Okay, thank you for your help!
I hope I was able to help resolve your issue! If you have any other questions, feel free to ask. Just a friendly reminder, don't hesitate to reach out whenever you need assistance!
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