How do insurance companies evaluate spinal injury claims?
Insurance companies evaluate spinal injury claims by looking at the severity of the injury and how it was sustained. Generally, they will review medical records to determine the extent of the injury and the long-term impact it could have on the individual’s health and quality of life. They will also look at any property damage that occurred due to the injury, and assess liability in cases of negligence or recklessness. In Wisconsin, insurance companies are obligated to fairly assess the claim and take into consideration any “non-economic” damages, such as pain and suffering. Additionally, the insurance company must review the number of medical treatments that are necessary for the injury and evaluate the likelihood of future medical treatments or costs. In some cases, insurance companies may also use outside experts to evaluate the severity of the injury. Insurance companies may also use methods such as in-person interviews or third-party medical test evaluations to come to an accurate assessment. If there is evidence of negligence or recklessness, they may also look into these matters to determine if any legal action may be necessary. Ultimately, the goal of the insurance companies is to provide fair compensation for the spinal injury claim, and ensure that all necessary treatments and therapies are covered. They will evaluate the claim based on all of the evidence available and try to provide a suitable resolution.
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