Open 24/7 | Call Today
May 12, 2025
Written by: Costa Ivone

The Role of Insurance Adjusters in Personal Injury Claims

  1. Home
  2. /
  3. Personal Injury Lawyer
  4. /
  5. The Role of Insurance...

Insurance adjusters play a vital role in personal injury cases by evaluating evidence and determining the settlement amount after an accident. At Costa Ivone, LLC, we believe that understanding how adjusters work can empower you to make informed decisions about your claim.

Whether your injury resulted from a vehicle collision or a slip-and-fall incident, the way your case is handled by an insurance adjuster can significantly affect the compensation you receive. In Chicago, where factors such as inclement weather and human error frequently contribute to accidents, knowing what to expect from these professionals is essential for protecting your rights.

a professional insurance adjuster evaluating accident evidence at a crash site in urban Chicago

Understanding the Role of Insurance Adjusters

An insurance adjuster is a professional employed by an insurance company to investigate personal injury claims and negotiate settlements. Their primary responsibility is to collect and review all available evidence — police reports, accident scene photos, medical records, and witness statements — in order to determine how much the insurer should pay.

In personal injury claims, adjusters scrutinize every detail, from the circumstances surrounding a motor vehicle accident to any potential contributory negligence on the part of the injured party. For instance, if a claimant’s actions may have played a role in the accident, the insurance adjuster will note this when calculating the final settlement.

These professionals often request a recorded statement, as well as any necessary confidential information, from the claimant to assess the claim. Every word is carefully documented.

Adjusters use this information in conjunction with physical evidence and expert analysis to form a complete picture of the incident. Their evaluation helps the insurance company decide whether the settlement offer is appropriate based on the extent of the injuries and other damages incurred.

Navigating the Legal Framework in Chicago and Illinois

In Chicago and throughout Illinois, personal injury cases are governed by well-established laws such as the Illinois Vehicle Code and the Comparative Negligence Statute. Illinois operates under a modified comparative fault system, meaning that if you share a portion of the responsibility for an accident, your compensation is reduced by your percentage of fault.

If you are found to be more than 50 percent at fault for the “proximate cause” of your own injury, you are barred from recovering any damages. This legal framework is designed to ensure fairness by holding all parties accountable in proportion to their role in the incident.

When an accident occurs under challenging conditions — such as during heavy rain or poor visibility — insurance adjusters may emphasize those factors as mitigating circumstances. However, a thorough investigation that considers every piece of evidence, from police reports to eyewitness accounts, is crucial to accurately assess fault.

In cases involving autonomous vehicles, for example, courts must determine whether human inattention or a technological malfunction contributed to the accident. Costa Ivone’s experienced attorneys work diligently to ensure that every detail is considered, thereby protecting your right to fair compensation.

Types of Insurance Policies and Adjusters’ Strategies

Understanding the different types of insurance policies is critical when you’re filing a personal injury claim. Each policy plays a specific role in covering various aspects of an accident:

  • Liability insurance: This coverage protects you by paying for damages if you are found at fault, while also covering the losses sustained by the other party
  • Collision coverage: This policy covers the cost of repairs to your vehicle regardless of fault, which is particularly important in accidents caused by factors like slippery roads
  • Comprehensive coverage: This insurance handles damages that are not related to collisions, such as those from falling debris or weather-related incidents
  • Uninsured/underinsured motorist coverage: This provides protection if the other driver lacks sufficient insurance
  • Medical Payments (MedPay) and Personal Injury Protection (PIP): These cover your medical expenses, lost wages, and rehabilitation costs following an accident

Insurance adjusters focus on analyzing these policies along with all accident-related evidence to determine the insurer’s payout. Their goal is often to minimize the amount paid, and they may highlight technical details like adverse weather or minor discrepancies in witness statements to support a lower settlement offer.

For example, an adjuster might argue that reduced visibility was the sole cause of an accident, thereby ignoring other contributing factors such as vehicle malfunction or driver inattention. This strategy is designed to protect the insurance company’s bottom line, which may result in a settlement that falls short of what you truly deserve.

Common Tactics and Practical Tips for Dealing With Adjusters

Insurance adjusters are skilled professionals whose tactics can sometimes result in settlements that do not fully cover your damages. Being aware of these common strategies can help you navigate your claim more effectively:

  • Recorded statements: Adjusters often ask for a recorded statement soon after the accident. It is important to refrain from giving one without first consulting a personal injury lawyer, as every word can be used to minimize your claim.
  • Emphasis on technical details: Insurance adjusters may focus on factors like weather conditions or minor details from accident reports to argue that your injuries are less severe than claimed.
  • Low settlement offers: Adjusters might intentionally delay negotiations in hopes of securing a quick, low settlement that does not account for all your expenses, including future medical care and lost income.
  • Selective evidence review: By highlighting certain pieces of evidence — such as adverse weather or a minor traffic violation — adjusters can shift the narrative away from significant factors like driver negligence or a product defect.

To counter these tactics, it is essential to document everything. Take photographs of the accident scene, gather witness information, secure a police report, and obtain all relevant medical records and weather reports. These steps create a robust evidentiary foundation that supports your claim and counters any attempts to undervalue your injuries.

Securing Fair Compensation in Personal Injury Cases

In Chicago, injured parties may recover both economic and non-economic damages. Economic damages typically include:

  • Medical expenses: Costs for treatment, rehabilitation, and future care
  • Lost wages: Compensation for income lost due to the accident
  • Property damage: Expenses for repairing or replacing your vehicle
  • Future losses: Long-term impacts on your ability to earn income

Non-economic damages cover aspects such as pain and suffering, emotional distress, and loss of enjoyment of life. In cases of severe negligence, punitive damages may also be awarded. Insurance adjusters, however, may present settlement offers that do not fully compensate for these losses.

This is where experienced legal representation is crucial. Skilled personal injury attorneys at Costa Ivone, LLC, ensure that every element of your claim — ranging from medical bills to emotional distress — is accurately assessed and valued. Our team meticulously reviews all documentation and negotiates assertively on your behalf to secure a settlement that truly reflects the extent of your injuries.

We serve the Chicagoland area with a team of compassionate and skilled attorneys who understand the intricacies of Chicago and Illinois law.

We recognize that insurance adjusters often use aggressive tactics to minimize your claim. By thoroughly examining all evidence — from accident reports and medical records to weather data and eyewitness accounts — we build a comprehensive case that challenges any lowball offers.

Our goal is to ensure that you receive fair compensation for lost wages, medical expenses, and emotional distress. Trust our experienced attorneys to guide you through the legal process with clarity, dedication, and a commitment to justice.

Take Control of Your Future Today

If you or a loved one has been injured in an accident, don’t wait to seek the support you need. If you have experienced an accident and feel that the settlement offered by the insurance company does not reflect the true value of your injuries, you must act now.

At Costa Ivone, LLC, our dedicated team of personal injury attorneys is here to help you navigate the complexities of your claim. We are committed to ensuring that every aspect of your case is thoroughly reviewed and that you receive the justice and compensation you deserve.

Our experienced team is ready to stand by your side and fight for the compensation you deserve. Your future depends on taking action now to hold the responsible parties accountable and to secure the resources necessary for your recovery.

Let us help you build a strong case that reflects the full value of your personal injury claim. Contact us anytime, 24/7, to get started with a free consultation with our local attorneys. Your journey to fair compensation and peace of mind begins with one decisive step — make that call now.