Personal Injury News

How Do Adjusters Determine Who is at Fault?

Written by MARIO PALERMO | Jul 18, 2024 5:57:37 PM

 

When a car crash occurs, one of the most crucial steps following the incident is determining who is at fault. This determination affects insurance claims, liability, and potential legal actions. In Illinois, like in many states, insurance adjusters play a vital role in this process. They analyze the evidence, investigate the circumstances, and ultimately decide the proportion of fault for each party involved. This article delves into how insurance companies determine fault, the legal frameworks guiding their decisions, and real-life examples to illustrate these processes.

Understanding the Role of Insurance Adjusters

Insurance adjusters are professionals employed by insurance companies to evaluate claims and determine the extent of the insurer’s liability. Their primary responsibilities include:

  1. Investigating Claims: Gathering facts and evidence about the accident.
  2. Assessing Damage: Evaluating the extent of property damage and injuries.
  3. Determining Fault: Analyzing evidence to decide who is responsible for the car crash.
  4. Negotiating Settlements: Discussing compensation amounts with accident victims.

The Legal Framework in Illinois

Illinois follows a modified comparative negligence rule, which means that a party can recover damages only if they are less than 50% at fault for the accident. If they are found to be 50% or more at fault, they cannot recover any damages. This rule directly influences how adjusters determine fault, as they must assess each party’s actions and assign a percentage of fault accordingly.

Steps Adjusters Take for Determination of Fault

  1. Collecting Initial Information
    Immediately after an auto accident is reported, adjusters start gathering information. This includes:
    • Police Reports: Official accident reports provide a detailed account of the incident, witness statements, and sometimes, the police officer’s opinion on fault.
    • Statements from Drivers and Passengers: Adjusters interview all parties involved to get their perspectives.
    • Witness Statements: Eyewitness accounts can provide an unbiased view of the incident.
    • Photographs and Videos: Images and videos from the scene can offer crucial visual evidence.
  2. Examining Physical Evidence
    Physical evidence from the accident scene helps in reconstructing the event. This includes:
    • Vehicle Damage: The location and extent of damage on the vehicles can indicate the point of impact and the sequence of events.
    • Skid Marks and Debris: Skid marks can reveal braking patterns, while debris distribution can show the collision dynamics.
    • Traffic Signals and Signs: The position and state of traffic signals and signs at the accident scene are crucial in determining compliance with state laws.
  3. Analyzing Police Reports
    Police reports are often the starting point for adjusters. These reports typically include:
    • Narrative Description: A detailed description of the accident from the responding officer’s perspective.
    • Diagram of the Scene: A visual representation of the accident scene, showing the positions of the vehicles before and after the collision.
    • Citations Issued: Any traffic citations issued at the scene can indicate violations and potential fault.
  4. Interviewing Witnesses
    Witnesses can provide independent accounts of the accident. Adjusters look for:
    • Consistency: Comparing witness statements with other evidence to ensure consistency.
    • Credibility: Evaluating the reliability of the witness based on their vantage point and potential biases.
  5. Consulting Experts
    In complex accident cases, adjusters might consult with experts such as:
    • Accident Reconstruction Specialists: These experts use physical evidence and mathematical models to reconstruct the accident.
    • Medical Professionals: Doctors can provide insights into the nature and extent of injuries, which can correlate with the accident’s mechanics.
  6. Reviewing Traffic Laws
    Adjusters review applicable traffic laws to determine if any violations occurred. Key considerations include:
    • Right of Way Rules: Understanding which driver had the right of way can be critical in intersection accidents.
    • Speed Limits: Determining if any driver was speeding at the time of the accident.
    • Signage Compliance: Checking if drivers complied with traffic signals and signs.
  7. Determining Comparative Fault
    Using all gathered information, adjusters assign a percentage of fault to each party to determine the at-fault driver, or if the drivers were equally at fault. Factors influencing this decision include:
    • Negligence: Evaluating if a driver’s negligence contributed to the accident.
    • Driver Behavior: Analyzing if any reckless or aggressive driving behaviors were involved.
    • External Conditions: Considering weather, road conditions, and other external factors.

Real Life Illinois Examples of Fault Determination

To provide a more detailed understanding of how auto insurance adjusters determine fault in Illinois, we will explore several real-life cases. These examples illustrate the complexities and methodologies involved in fault determination.

Case 1: Highway Rear-End Collision

Incident: Sarah Miller was driving on Interstate 55 near Springfield when she was rear-ended by James Carter. Sarah was slowing down due to a traffic jam ahead, but James failed to notice in time and collided with her vehicle.

Investigation and Evidence:

  • Police Report: The police report indicated that Sarah was driving within the speed limit and had slowed down gradually. James admitted he was momentarily distracted by adjusting his car radio.
  • Witness Statements: Multiple witnesses corroborated that Sarah had signaled and slowed down appropriately.
  • Vehicle Damage: Significant rear-end damage to Sarah’s car and front-end damage to James’s vehicle.

Fault Determination: The adjuster reviewed the evidence, focusing on the police report, witness statements, and physical evidence of vehicle damage. Given that James admitted to being distracted and the corroboration from witnesses that Sarah slowed down appropriately, the adjuster determined that James was 100% at fault.

Outcome: James’s insurance company paid for all damages to Sarah’s vehicle and her medical expenses resulting from the collision.

Case 2: Intersection Collision

Incident: At an intersection in downtown Chicago, Mike Anderson and Rebecca Jones collided. Mike claimed he had the green light and was proceeding straight, while Rebecca, making a left turn, insisted she had the green arrow.

Investigation and Evidence:

  • Police Report: The police report did not clearly indicate who had the green light but noted conflicting statements from both drivers.
  • Witness Statements: One witness supported Mike’s claim, while two others supported Rebecca’s account.
  • Traffic Camera Footage: Footage from a nearby traffic camera showed Rebecca entering the intersection on a yellow arrow and Mike proceeding through a red light.

Fault Determination: The adjuster analyzed the traffic camera footage, which showed Rebecca had almost completed her turn when Mike entered the intersection on a red light. Despite the conflicting witness statements, the footage provided clear evidence of the sequence of events.

Outcome: The adjuster determined Mike was 70% at fault for running the red light, while Rebecca was 30% at fault for not ensuring the intersection was clear before completing her turn. Mike’s insurance company covered a larger portion of the damages, with Rebecca’s insurance covering the remainder.

Case 3: Multi-Vehicle Pileup

Incident: During a winter snowstorm on Interstate 80 near Joliet, a multi-vehicle pileup occurred. The chain-reaction crash involved over a dozen vehicles, with several drivers claiming others were driving too fast for the conditions.

Investigation and Evidence:

  • Police Report: The police report detailed the hazardous road conditions and noted that several drivers appeared to be traveling at speeds inappropriate for the icy roads.
  • Driver Statements: Many drivers blamed others for driving recklessly or too fast. Some admitted to losing control of their vehicles.
  • Skid Marks and Debris: The positions of the vehicles and skid marks were analyzed to understand the sequence of impacts.

Fault Determination: The adjuster considered the challenging weather conditions, drivers’ statements, and the physical evidence of vehicle positions and skid marks. The investigation revealed that the initial collision was caused by a truck driver who lost control due to excessive speed on the icy road. Subsequent collisions were attributed to drivers following too closely and not adjusting their speed for the conditions.

Outcome: Fault was distributed among several drivers, with the truck driver being found 50% at fault for initiating the pileup and other drivers sharing the remaining fault based on their individual actions. The truck driver’s insurance company covered a significant portion of the damages, with other insurers contributing based on their clients’ percentage of fault.

Case 4: Pedestrian Accident

Incident: In a suburban neighborhood in Naperville, Lisa Davis was crossing the street at a marked crosswalk when she was struck by a car driven by Tom Williams. Tom claimed he did not see Lisa until it was too late due to poor visibility at dusk.

Investigation and Evidence:

  • Police Report: The police report indicated that Lisa was crossing at a designated crosswalk and that Tom was not speeding but failed to yield.
  • Witness Statements: Several witnesses confirmed that Lisa was in the crosswalk and that Tom did not appear to be paying attention to the pedestrian crossing.
  • Traffic Camera Footage: Footage from a nearby security camera showed Lisa clearly in the crosswalk before Tom’s car approached and struck her.

Fault Determination: The adjuster reviewed all available evidence, including the police report, witness statements, and traffic camera footage. Given the clear indication that Lisa was legally crossing the street and that Tom failed to yield the right of way, the adjuster determined that Tom was 100% at fault for the accident.

Outcome: Tom’s insurance company was held responsible for covering Lisa’s medical expenses, lost wages, and pain and suffering. Lisa was able to secure a substantial settlement to compensate for her injuries and the impact on her daily life.

Case 5: Parking Lot Collision

Incident: In a crowded parking lot at a shopping center in Peoria, Jenny Smith and Robert Taylor collided while both were backing out of their parking spaces. Each driver claimed that the other was at fault for not checking their surroundings before reversing.

Investigation and Evidence:

  • Police Report: The police report noted that both drivers were backing out at the same time and collided in the middle of the aisle.
  • Witness Statements: Witnesses provided conflicting accounts, with some saying Jenny started backing out first and others claiming Robert did.
  • Security Camera Footage: Footage from the shopping center’s security cameras showed both vehicles beginning to reverse almost simultaneously, but Jenny’s car appeared to start moving slightly before Robert’s.

Fault Determination: The adjuster analyzed the security camera footage and the statements provided. While both drivers shared some responsibility for not fully checking their surroundings, the footage indicated that Jenny had a slight advantage in backing out first.

Outcome: The adjuster determined a 60/40 fault split, with Robert being 60% at fault and Jenny 40% at fault. Both insurance companies negotiated settlements based on this fault distribution, covering the respective damages to the vehicles.

Case 6: Sideswipe on a Two-Lane Road

Incident: On a two-lane rural road near Rockford, David Lee attempted to pass Carla Morris when his vehicle sideswiped Carla’s car. David claimed that Carla drifted into his lane, while Carla insisted she was maintaining her lane and that David misjudged the space needed to pass.

Investigation and Evidence:

  • Police Report: The police report documented the collision but could not definitively state who was at fault based on the physical evidence alone.
  • Witness Statements: A nearby driver supported Carla’s claim that she was in her lane, while another witness was unsure.
  • Vehicle Damage: The damage to the vehicles indicated a sideswipe but did not clearly indicate lane positions.

Fault Determination: The adjuster relied heavily on the witness who corroborated Carla’s version of events, along with the typical expectations of lane discipline in such scenarios. Given the lack of concrete evidence to the contrary, the adjuster leaned towards Carla’s account of maintaining her lane.

Outcome: David was found 70% at fault for the collision due to failing to safely pass Carla’s vehicle, while Carla was assigned 30% of the fault for potentially not noticing David’s passing attempt sooner. The insurance settlements were adjusted accordingly, with David’s insurance covering a larger portion of the damages.

These real-life examples from Illinois highlight the various factors that adjusters consider when determining fault in car accidents. The process is meticulous and involves a combination of gathering evidence, analyzing physical damage, reviewing traffic laws, and consulting witnesses. Understanding these methodologies helps in comprehending how fault is assigned and the subsequent impact on insurance claims and liability.

For anyone involved in an accident, it’s crucial to provide detailed and accurate information to adjusters, as their findings will significantly influence the resolution of the claim. As an Illinois accident attorney, being well-versed in these procedures is essential for advocating effectively on behalf of clients and ensuring they receive fair compensation for their injuries and losses.

Working With Palermo Law Group

Navigating the complexities of determining fault in a car accident can be challenging. The meticulous process involves gathering and analyzing evidence, reviewing traffic laws, and consulting with experts to ensure fair and accurate outcomes. If you've been involved in a car crash, having a knowledgeable car accident lawyer by your side is crucial.

At Palermo Law Group, our experienced personal injury lawyers are dedicated to providing comprehensive legal support. We offer a free case evaluation to discuss your case, provide expert legal advice, and evaluate the best course of action. Our law firm is committed to ensuring you receive the compensation you deserve.

Don't navigate this process alone. For a free consultation with Palermo Law Group, contact our law firm by calling (630) 684-2332 or visit our website at https://www.palermolawgroup.com/.