Bypassing lawyers would save £1.5bn, insurer claims

Aviva said bypassing lawyers would save £1.5bn
Thursday 14 February 2013 by John Hyde

Removing lawyers altogether from the small-claims process would save each motorist an average £60 a year on their car insurance premiums, a major insurer today claimed.

In a report into the personal injury sector Aviva called for claimants to go directly to the ‘at-fault’ insurer rather than a legal representative. The Law Society immediately dismissed the proposal.

Aviva’s report, which will be sent to the Ministry of Justice for its consultation into the small-claims limit, claims that excessive costs in the claims process have contributed to premiums rising by 80% since October 2008. Research found that if insurers handled claims directly an estimated £1.5bn could be stripped from the cost of premiums.

Dominic Clayden, claims director at Aviva, said: ‘We are campaigning for a more efficient system that removes the “interested parties” and requires people to deal directly with the insurer of the at-fault party.’

The government has already said it is minded to increase the small-claims court limit from £1,000 to £5,000 – effectively barring solicitors from the low-value claims process. The justice secretary, Chris Grayling, has since hinted he may support a further increase in the limit.

Aviva admitted in 2011 during the Legal Services Board consultation into referral fees that it received income from passing on customers’ details.

Its submission to the consultation added: ‘If Aviva did not do so the underlying cost of policies would have to rise, making Aviva insurance products uncompetitive in a market where referral fees are permissible and increasing the cost to consumers.

‘We therefore operate in line with the commercial realities of the market as it currently operates.’

Responding to Aviva’s report today, Lucy Scott-Moncrieff, president of the Law Society said: ‘Who do you trust to give you a fair deal? A lawyer working for you, or an insurer working for person or company in the wrong, whose main interest is minimising what they pay you? Would you seriously trust the other side's insurer to give you a fair deal?’

Criticising the practice of third-party capture, she said: ‘Some in the insurance industry already go directly to victims of accidents immediately after the accident to get them to sign away their rights for a cheque that is unlikely to have any relationship to what they're really entitled to. Today’s proposal seeks to take that a step further.

‘You need someone independent to make sure that you get what the law entitles you to have. It appears that Aviva wants to strip us all of our rights so they can make more profits.

‘The fact is that insurers could cut premiums now if they were willing to sacrifice some of their mighty profits and bumper dividends to their shareholders.’

Craig Budsworth, chair of the Motor Accident Solicitors Society, agreed that fraudulent whiplash claims are contributing to high insurance premiums, but said claimants must still have access to independent legal advice.

‘We must not have a system where claimants have to deal directly with insurers whose priority will be to keep their own costs down. This would restrict access to the independent legal advice essential to insuring that genuine accident victims receive the compensation they deserve.’

Comments

Can't argue with that!

"Research found that if insurers handled claims directly an estimated £1.5bn could be stripped from the cost of premiums."

Unarguable! - insurers handle claims =

1/ More valid claims repudiated

2/ Less compensation paid for the surviving claims

3/ Less legal costs paid

The only problem is this.....http://cars.uk.msn.com/news/car-insurance-costs-to-rise-again

They have already gone public to say that premiums will rise, so when all this goes through, and premiums don't drop, or even rise, they can point to this announcement and say "we told you so".

So probably a more accurate rendition would be:

"Research found that if insurers handled claims directly an estimated £1.5bn could be added to their profits."

Doesn't quite have the same ring to it though.

Insurers at it again

Even more could be saved if insurers refuse to compensate the victims of RTAs.

Good idea.

They are legally obliged to do so under the Road Traffic Act 1988, but they've already shown they can get the law changed by throwing money at the Government, so why not?

why stop there?

In a report into the personal injury sector Aviva called for legislation for the insures to be able to appoint Judges.

Come on it’s only fair !! Think of the savings to the consumer

Why not - they already run their own police force

Great ideas here!

I think maybe we ought to take it one step further - all claimant PI lawyers be sold into slavery on 1/4/13 - at least that'll solve the mass unemployment.

The tax hole may be harder to fix, but I'm sure insurers will be prepared to give the extra 1.8bn saved to the Treasury to fill the gap left by the soon-to-become-extinct personal injury industry.

PS: talking about insurers appointing Judges, I presume you mean civil and criminal, and while we're at it, how about exclusive selection of jurys from insurance company staff? Judge, jury, the lot.

After all, we can trust insurers to do what is in our interests, and not to put the interests of their shareholders first, can't we?

I sink ze government / MOJ /

I sink ze government / MOJ / insurers vill soon be sporting little moustcahes unt developing strange waves to each other, nein?

In light of Aviva's, aka

In light of Aviva's, aka Chris Grayling's, latest anouncement about the future of (low value) claims I have now decided to quit being a solicitor and open a flower shop next to each of their offices.

http://www.lawgazette.co.uk/features/say-it-with-flowers

I am sure Barry the scaffolder will be delighted to receive a bunch of lillies to compensate him for his accident.

Flower shops next to their

Flower shops next to their offices may indeed come in handy, for entirely different reasons.

Insurers squeeling about

Insurers squeeling about excessive costs arise mainly due to their own inability to

a) - deal with claims in a timely fashion
b) - make realistic proposals for settlement
c) - want to investigate every claim within an inch of it's life
d) - allow their panel sols to run cases to the doors of court before a belated attack of wisdom comes over them to settle the day before trial (what about their own sols costs which have escalated in all this time)
e) - fail to take a sensible/ pragmatic view on liability disputes and often just put their blinkers on and listen to the smelly brown stuff eminating from their policyholder
f) - the poor commerical decisions to run LVI disputes, which have at best a 5% success rate

Any more????

Well said!

Well said!

ZZzzzzzzzzzzzzzz

Lee Jones - where do you get these ridiculous ideas??

I think I've had every Part 36 Offer I've ever put forward accepted by an insurer and they've never once raised arguments on the level of damages, always responded on time and always taken a keen interest in my Claimants rehabilitation....and then just paid my very reasonbale costs at the end and never started negotiations at less than 50%

Sorry, I think I was dreaming just then........

a) I'll admit a bias right

a) I'll admit a bias right here - that our clients are insurers - but I can assure you that we deal with claims as quickly as possible when passed to us for litigation. And from what I've seen, prior conduct of the insurers is equally swift.

b) As for settlement proposals, we get a lot of outlandish claims that, were they to be settled in their entirety, would blow a hole in our clients' wallet (perhaps more accurately 'treasury').

c) Surely you can understand, as someone who works within the legal sector to what I'd assume was a high standard, the need to investigate all aspects of a claim or case? It's good business practice.

d) Do you think panel solicitors want to run up a huge costs bill any more than claimant solicitors? Of course not. It's a faff. Likewise, insurers won't waste time on cases they don't think have any prospect of success.

e) Amusing. It would be bad business sense to run every claim on liability. If it makes sense, it'll be defended. If it doesn't, it'll be settled. Why run a case that loses money?

f) I can only assume that insurers' are either run by monkeys, in which case there's no real concern here for claimant solicitors or their clients because their steady lack of profit will be their gradual downfall, or else you're mistaken.

TRUSTING THE INSURERS TO LOOK AFTER YOU...(UNWISE)

We deal with Insurers regularly. They dislike us more than Claimant's solicitors. They dislike paying for the trouble they get themselves into.

For example, we have a case in Court next week where "predictable costs" were ordered and the Defendant paid those with the exception of the psychological report fee. The Insurers say that the report was unnecessary and so they will not pay for it. We say that it was certainly necessary primarily because the examining GP reported that the Claimant was (on a scale of 1 - 10), no.10 and in the worst possible pyschological state as a result of the accident !

Under the predictable costs rules, it's not certain that this is a recoverable disbursement however, it's fair to say that it was necessarily incurred. Not according to our caring opponents (the Insurers) - they say that it was not reasonable to obtain a psychological report notwithstanding the significant level of psychological damage as opined by the GP.

Obviously, our opponent would have preferred to brush the significant psychological damage under the carpet.

This is the sort of thing that they will get away with if they had the power they are seeking.

Incidentally, this is just one example of many. We are regularly misled by Insurers and we know that they will not stop at much to secure the best financial settlement for themselves.

We can't afford to trust Insurers or their representatives because they too frequently prove that they abuse any trust and seek to take advantage of those who lack equivalent power.

Aviva et al need to be reminded that the consequences of accidents have to be dealt with in an adversarial manner. Disputes have at least two sides and it is bizarre to believe that fairness would be derived from a situation where one of those sides had the power to control the outcome of any particular dispute.

Straightforward logic really but the Government don't seem to listen (no change there).

While we're on the subject of insurer conduct...

And because they are managing to keep the subject out of the press.....see the "Rolled Up" thread.......

http://www.lawgazette.co.uk/news/rolled-hearing-rta-portal-challenges#comment-27126

If a QC can't do it what hope is there for the man in the street

http://amandayip.typepad.com/life_in_the_law/2013/02/minor-rta-claims-so-simple-anyone-can-bring-them.html

I hope Amanda doesn't mind me sharing this.

Aviva

Aviva have a cheek. They have made millions from referral fees. they made record profits last year. If they want to reduce premiums they can do. They just want to make increased huge profits for themselves.How much are they paying Paul Whitehouse for those irritating adverts.?

Isnt it Aviva whose senior man said a few years ago that all victims should get is an apology and a bunch of flowers.?

Every lawyer should cancel any policies with Aviva.

Is this the same AVIVA that

Is this the same AVIVA that has a call centre abroad and where you are endlessly put on hold and never speak to the same "file handler" twice? If so I can see that their business model is about to be or is in the process of being copied by lately departed CMCs who are now in business with law firms seeking outsourcing away from these shores. As a business woman I can see the logic. As a Claimant PI lawyer I can see that the most vulnerable clients will loose access to justice.

Following on from the success

Following on from the success of Cameron's hug-a-hoodie campaign - civil justice will be reformed by asking the tortfeasor politely to hug the injured party back to good health.

Have Aviva purchased Inter

Have Aviva purchased Inter Flora?

I saw this on BBC News today

Naturally, the clip was almost entirely from the Insurers' point of view. Plenty of promises and numbers were thrown at the viewer.

They did have a 10-second interview with a PI Lawyer who made very valid points, most of which have been mentioned here too.

Unfortunately, the BBC narrator completely avoided the points and simply stated "...but Aviva's argument does carry weight, as they are the UK's largest insurance company".

Yes, I suppose as the UK's largest insurance company, they stand to gain the most!

Suspicious

I'm hugely surprised at this announcement.

Aviva have admitted to the world that, in their opinion, claimant lawyers are not necessary to obtain a fair and reasonable compensation settlement.

After all these years of sneaking around, using made-up stats about fraudulent claims etc, why admit the truth now?

PI Pay

to Chris Grayling,
I would be content for my business accepting an hourly rate of pay as lawyers in other fields than PI do. The local court guideline rates are acceptable. I will find an appropriate level of lawyer to deal with a problem and client. Now how can I be fairer than that?
All lawyers do both more complex and routine work to allow the practice to work. All lawyers have cases that will have a wider impact than the individual case, a risky project with more noble aim if you will. If you take that work from us ''traditional solicitors'' no-one will take on the riskier work. Want evidence?? You could ask us but you have developed the habit of not listening..

Claims News

http://www.claimsnews.co.uk/#/d-a-i-l-y-n-e-w-s/4568926167

I am a solicitor specialising

I am a solicitor specialising in liitgation but I am not a personal injury lawyer, neither do I act for insurers. I was recently involved in an accident which was clearly the other driver's fault. I gave notice of my accident to the phone number provided by the nationally reputable entity acting as broker for my insurers. The person to whom I first spoke turned out to be employed by a firm of solicitors, which (a) unnecessarily referred me to a credit hire organisation and (b) was clearly very disappointed that I did not want to claim that I had suffered whiplash and indeed called me again two weeks later to check that I had still not developed that condition. My overwhelming feeling after the accident was that my premiums were being inflated by the activities to which I had been subjected, and I am sure I am not the only one to feel that way. Although I feel sympathy with my personal injury colleagues and have no trust in insurers' impartiality, it is a fact that my views have been coloured by what I saw as "ambulance-chasing" instigated by members of my profession. This image problem needs to be addressed somehow.
As a P.S I should add that the other driver's insurers have unreasonably failed to pay up and I am therefore now an even more fervent supporter of penal damages as an incentive for insurers to pay reasonably and promtply --- which would no doubt also put my premiums up!

TP Capture

I had a case whereby the Insurers refused to admit liability on the basis their insured had a blackout at the wheel. I requested the Defendant's medical records and the insurers refused so I made pre-action disclosure Application .. guess what ? Liability then admitted !

I acted for another client involved in a serious head on collision and the insurer, despite being aware of my involvement was visiting my client in hospital pressurising her to accept £1000 because ' your solicitor would encourage an early settlement so the case isnt dragged out ' . This particular insurer was subject to a BBC expose a few years ago whereby my client was interviewed. Luckily she had the sense to decline the offer.

In another case unfortunately my client did accept such an offer after the insurers received notification of the claim and when I requested costs on the grounds we had a valid retainer they refused to pay. Proceedings were issued citing their conduct in this and other cases and it was a case of ' how much do you want not to proceed to a hearing?? '

Im sure everyone commenting here has experienced this type of behaviour and Insurers have proven time and time again they cannot be trusted. They think that if they raise this old chestnut every few years their conduct will be forgotten.

Even after getting over all the hurdles of settling the most straight-forward of cases Insurers are outsourcing MOJ/predictive costs to their draftsmen to argue over disbursements etc. They will not be happy until they have a one way tunnel of premiums coming in and nothing going out the other end.

Could costs not be reduced by

Could costs not be reduced by insurers refusing to instruct Defendant solicitors at all ?

Judges would act to protect the insurers interests. They need not worry in being unrepresented.

Claimant's costs would be lower because they would not be dealing with delaying tactics and correspondence raising spurious points.

The savings would be more than £1.5 bn would they not ?

mmmmm - so Aviva and other

mmmmm - so Aviva and other insurers say we can trust them to be fair and pay what is due to anyone injured and who has a legitimate claim.

So what will happen if they agree to pay £x for someones injuries who has not been represented and who at a later point realises that his or her arm / back/ shoulder etc have not improved or has got worse and they really ought to have received £ xxx - will the insurer be liable for professional negligence as we would be ?

This could make PPI look small.

IPT 6%

An easy way to reduce premiums for the general public?
Abolish 6% Insurance Premium Tax.
Too easy?!

Aviva insurance policies.

I have on occasion used Aviva indemnity insurance policies for property work but no more!

Anyone who uses only them, switch to Legal & Contingency or GCS. Just as good and usually a bit cheaper. You should all mention to this to any of your conveyancing colleagues.

I am acting for a client who

I am acting for a client who was acting in person after she suffered a substantial gash to her leg, requiring 8 stitches, caused by a sharp surface on the bus she was travelling.
After investigating for 11 months the insurer denied liability but offered her £350 compensation.
The Claimant instructed us.
Given the denial we sent a letter of claim and requested disclosure.
They responded, insisting we put the claim on the Portal.
The claim was put on the Portal. They denied liability and the claim exited the Portal.
More time, more expense. No problem to the insurer.
Still no disclosure. What is the penalty to the insurer? Yes, we will issue a PAD, but what about the Claimant, still waiting for answers. How is this justice?

Aviva's Nonsense

If removing lawyers from personal injury saves money why not apply this logic to other areas?

Taking doctors out of healthcare would stop people being diagnosed and needing those expensive operations and medicines. We could save millions.

Taking away Policemen would stop all those people being arrested and costing us millions in legal aid and housing them in prison.

I started typing this as a joke but I can just see some Tory politicians nodding in agreement!

hahaha

I don't know what you're all talking about. This is surely a great idea. Can't see the need for those pesky fat cat lawyers to get involved in such trivial matters. Leave this to us jack, we'll be honest and fair. We have a reputation to risk don't you know. Anyway, we have a certain justice minister in our pocket, he'll do the necessary, and make sure our profits are extra large...we could even employ a few ex-PI solicitors to be our slaves, think that'd go down well in our next board meeting. Let them serve us the champagne and caviar!! Nobody will notice or care about the lawyers going out of business and we at Aviva will be laughing our asses off at how gullible the MoJ is. Long live democracy, long live justice...hahahahahahahahahahahahaha

Once upon a time

Once upon a time a great injustice arose.

1 Mr solicitor realised that it is very expensive to defend such alleged injuries as whiplash for companies.

2 Mr claims company smelled the money and Mr victim made lots of claims

3 Mr insurer thought, what do I care? The greater the turnover the better for me as I will just add fees to cover the whole corrupt merry go round to cover my costs and profit margin.

4 Mr consumer noticed the diseased state of the market and massive fee rises and called time.

BTE

What proportion of the injury claims (which are allegedly pushing up the price of motor insurance) is brought on the basis of BTE policies which motor insurers sold to the policyholders with the motor policy? Presumably, Aviva is one of the many motor insurers which sells its policyholders BTE cover. How many injury claims have been funded by BTE cover which was sold with Aviva motor policies?

A more relevant question

A more relevant question is how many "whiplash" claims have Aviva sold over the last few years in exchange for referral fees? See above:-

"Aviva admitted in 2011 during the Legal Services Board consultation into referral fees that it received income from passing on customers’ details. Its submission to the consultation added: ‘If Aviva did not do so the underlying cost of policies would have to rise, making Aviva insurance products uncompetitive in a market where referral fees are permissible and increasing the cost to consumers. ‘We therefore operate in line with the commercial realities of the market as it currently operates.’"

Add that to the third party capture "industry" that they together with all other major insurers have been building for the last 20 years (I worked for an insurer 20 years ago when the concept was first tried), and they have fed the flames of their own grievance for 2 decades.

They now seek to pin the blame on us, and cash in at the same time.

AVIVA tell us that they will put the interests of the injured party first and that their only concern is to ensure they receive fair compensation.

Last December, one of my colleagues put in a call to a major Third Party Capture company to see how this system worked. They told us that they receive more than the current portal fee (I recall the figure was £1350+) for making a couple of telephone calls to the insurer on whose panel they work, to negotiate an award. They are not solicitors, but are "mediators" (their own terminology) and are employed by and paid direct by the insurer. My colleague told them in the first few minutes of the conversation that he had spoken to the third party insurer already and they had offered him £1,500 for his injury. He said the accident had not happened long ago, he hadn't been for a medical examination and the insurer had told him this was a "pre-medical offer".

The person at the Third Party Capture company told him that was a good figure, but he could ring them to maybe negotiate a small increase. My colleague told him that he hadn't yet told him what the injury was. He then told him the injury was a broken arm, at which the TPC operative said it was probably worth more, but he could still ring them and negotiate an increase, in full and final settlement, without a medical report. I heard the entire conversation and the part that I have related above took no more than 5 minutes.

No medical report. Serious injury.

This Third Party Capture company has a "charter" (contract) through which they deal directly with insurers, to keep solicitors out of the picture who they say delay settlement and charge excessive costs.

THIS, is what will happen if AVIVA and other insurers take direct control of injury claims.

Insurance industry

The incompetent insurance industry may have been able to persuade Grayling to do their bidding over reduction in RTA portal fees and raising the small claims limit, subject to the judicial review outcome. However, the insurers having set out their agenda to destroy claimant solicitors business's have 'sown the wind' and I hope that the profession make damn sure that they 'reap the whirlwind.'

If insurers thought that pre-April 2013 claimant solicitors adopted aggressive tactics and acted unreasonably, they are in for one hell of a shock post-April 2013 in my view.

save costs & save worrying

May I suggest that if any potential client identifies themselves as working for an insurance company either refuse to act or insist on a substantial retainer. That way they'll soon see what its like to be without competent legal representation

Profits

‘The fact is that insurers could cut premiums now if they were willing to sacrifice some of their mighty profits and bumper dividends to their shareholders.’

Amusing that someone who probably earns an excessive salary herself and promotes the interests of partners who earn similarly excessive amounts should come out with the above statement. Perhaps when asking shareholders to sacrifice their dividends she might also recommend a pay cut for herself and her colleagues.

The fact of the matter is that with certain safeguards in place, the majority of third party capture can work perfectly well without lawyers.

Yet again Kelly, completely

Yet again Kelly, completely blinkered to the reality of the situation. You either do not read these threads properly, or you are too stupid to understand them. Posted in these pages are dozens of examples of shoddy, underhand, and downright dishonest behaviour of insurers. And that is whilst people have the benefit of representation.

To suggest that third party capture can work is indeed correct. It will work for the insurers. Not for those captured and injured. Of course, your post is entirely expected and boringly predictable by all those who frequent these hallowed pages and so look forward to your pearls of insurer inspired wisdom.

And yes Kelly, some lawyers in PI are well paid. Not obscene, but a decent amount in return for years of study and hard work. What is wrong with that, exactly? Where is the government intervention into the earnings of accountants, doctors, vets, bankers, IT consultants, surveyors, architects, plumbers, plasterers, electricians, car detailers, etc etc?

Whatever drivel you come up with, you are unable to escape from one simple truth.

These changes benefit nobody except the insurance industry. Nobody.

Welcome to Nazi britain.

And hot off the press Kelly,

And hot off the press Kelly, another example of how the insurers own stupidity is their own worst enemy so far as costs are concerned.

Costs awarded at DA today of just over £3600. Not exactly the case of the decade therefore in terms of quantum. Due to derisory costs offers, the hearing had to proceed and of course D's offer was found by the judge to be wanting.

Costs of the DA hearing awarded? Just under £4,000.

So, D's have more than doubled their own costs liability on a straightforward case which ought to have settled months ago. Muppets.

Third party capture

Third Party Capture can work and there are advantages. I have said previously that I worked for a company and have done it myself. I used to deal with the cases where there was no injury - damage and hire. But we also dealt with injury claims too and it generally worked well for claimants.

Granted their are some disadvantages and some insurers will take advantage, particularly on more complex personal injury claims. But with the right safeguards it can work.

As for your other point - years of study and hard work should be rewarded. But I think sometimes these people forget who paid to get them through school and university. A little more appreciation of this point would be welcome rather than mouthing off about others who receive rewards for being a shareholder.

I paid to put myself through University.

I paid my own fees: undergrad, post grad and professional. I also put in the time (5 years) and the work (at times, 7 days a week including a 'full time' job and a 'full time' course).

Yes I went to a bog standard comprehensive and the state paid for it but the state did that for everyone. I am paying a lot more back to society for my education than the convicted drug dealers and thieves I went to school with (so that's not exactly 'free' either).

I fought to become a Solicitor and I am going to fight now I am a solicitor. I am not in PI but I also worked for one of the big insurers – it was one of the ways I paid my way at university.

I would not trust third party capture if it turned out that the Pope was retiring to work in one of the call centres.

And I used to have monthly

And I used to have monthly meetings with the representatives from all the major insurers to discuss cases. All very civilised, settling (or dumping) cases over tea and biscuits and friendly chit chat. The world has moved on Kelly since you did bent metal. Insurers are no longer reasonable, as the stories you ignore amply demonstrate. And not just on more complex cases. Far from it. If anything, more complex cases tend to be handled better by defendants, perhaps because more senior claims handlers, or in-house legal tend to have brains. It is the exception rather than the rule that lower value claims are dealt with reasonably, and efficiently.

What are these "safeguards" you keep mentioning exactly? And who would police them?

Years of study and hard work of thousands will indeed being rewarded. With redundancy.

I completely fail to understand your question about who paid for my education. Are you saying I don't phone my mother often enough? I paid for my education myself Kelly, scrimping through part time study whilst earning £6,500 per year in my first photocopying job in a law firm. In any event, I don't think you'll find anyone's education was paid for by insurers. Do you actually have a point?

Oh, and it bears repeating:-

Whatever drivel you come up with, you are unable to escape from one simple truth.

These changes benefit nobody except the insurance industry. Nobody.

And.....now stop annoying me

And.....now stop annoying me by posting nonsense.

It is 11.15pm and I am preparing a case summary for a forthcoming CMC. I'm just doing the bit explaining that I have heard nothing from D's solicitors for 3 months, despite 7 reminders, and that they have not complied with an order to disclose their own medical report, having previously refused to provide funding for a procedure required, on the basis that they had grave causation concerns and required their own medical to address.

Doubtless my costs in explaining this conduct will bag me a new AMG.

Can we stop slinging mud at the Government. . . .

I remember Geoff Hoon saying 'we need a public debate about lawyers pay' or words to that effect in 1998 (obviously he'd of used the Shakespeare but didn't want to appear posh).

Removing the party political aspects from the debate, I've worked in both claimant and defendant firms and the insurers are incompetent to a degree that is truly shocking, obstructive to a point that leads to one banging one's head against a wall and illogical to the degree that I think I'm dealing with some post modernist conceptual artist.

Of course in insurers were staffed with educated, reasoned, critical, rationale people then there would be limited merit in the proposals but that's Alice through the looking glass stuff.

I have repeatedly seen correspondence from insurers when we've sent letters before claim that tell us that they can't deal with the matter because we don't have the policy number. . . because the registration number of the vehicle and driver isn't enough.

I've also had tried to explain to an insurer that the fact that their client has been convicted of s.3 and excess alc means that we're not really that keen on their 50/50. In fact f--k it, first thing tomorrow we're going to issue.

Change

Well, you may well be right. Things may have changed since my day but it seems one thing will never change.

The solicitors I dealt with then are still arrogant, rude, unreasonable and have a one dimensional mindset. It really is quite a revelation reading some of the stuff posted here.

Thid Party Capture

Anyone who thinks Third Party Capture is a good idea and can work is deluded.

I too have worked on both sides. I am claimant now but worked many years ago for insurers and I remember the calls from management to reach more claimants before they got to lawyers. I remember the orders from on high to ensure that injury claims were not settled above a certain level ( I seem to recall this was £2000, but certainly thereabouts), whatever they were. I remember the begrudging instruction to tell claimants they should get independent legal advice, but only after managers thought they may be in trouble without it. We were all aware that with spinal injuries, serious injuries start out as small ones.

This was when third party capture was first coming out. I was not involved, thankfully, as I was at that time dealing with serious injuries, but I left because of practices like this, and getting tax disc refunds after writing their own customers' cars off, and getting a total loss engineer's report in on their customer's car, halving the car value, and offering the customer that. A colleague told me the other day, that when he worked for an insurance company many years ago, that's exactly what he was instructed to do also.

How many of those here have had their car written off by their insurer?

Agree with the insurer's value did you?

The British Insurance Broker's Association recently published a report (can't find the link but someone on this site posted it) that insurers are fighting claims from their own policyholders harder than ever - really? What a surprise!

A senior QC blogged yesterday that she recently suffered a minor whiplash injury in a car accident, and decided to approach the insurer to make a claim.

http://amandayip.typepad.com/life_in_the_law/2013/02/minor-rta-claims-so-simple-anyone-can-bring-them.html

To summarise, she said:

"However, knowing what I know, I didn’t want to write off a potential claim until I had recovered. I have had several clients who suffered apparently trivial injuries only to find they were left with long term disability. Vestibular problems are uncommon but not unheard of following whiplash and can cause misery. I hoped I would recover quickly but knew I had to wait and see."

The experience however was not as easy as AVIVA appear to suggest:

"I thought there was a very simple solution. I would deal with the other party’s insurers directly. I would ask them to cover the cost of the repairs and my expenses and let them know that I had suffered a whiplash injury but was waiting to see how that developed. How straightforward – I wouldn’t run up unnecessary costs but neither would I be left out of pocket for something that wasn’t my fault.

The flaw in that plan was that the insurers didn’t want me to contact them. I tried looking up the contact details – no number for third parties to get in touch. The other party was able to supply me with the number he had been given. I went through a long automated menu, finally getting to the option of “Press 2 if you are a Third Party”. The message? “In order to maintain our high standards of service for our customers we do not accept calls from Third Parties. Thank you. Goodbye”!"

Anyone who works on the claimant side will tell you that this is typical. I would add that the experience is limited to insurers, not defendant solicitors, who are not in the least bit difficult to contact. Even if you get through to someone at insurer offices, actually getting something done is frustratingly difficult, usually due to case handler's absence/backlog/post not received (numerous times - a colleague yesterday told me about a costs draftsmen ringing him up asking whether the insurers REALLY did nothing until after judgement and almost up to the assessment of damages hearing and then said they didn't receive any of the papers - they did - that too is not that uncommon) - or just being passed from recorded message to recorded message until you run out of patience.

This message is going on a bit because all of this is common, and it is very easy to find examples of behaviour that make AVIVA's proposal lunacy, for claimants - obviously great news for insurers if they get it through.

Anyone who argues that insurers will look after third parties who approach them direct is ignoring the obvious, which (obviously) is that it is not in their interests, OR IN THE INTERESTS OF THEIR CUSTOMERS, for them to do so.

One dimensional indeed. I am

One dimensional indeed.

I am not sure why standard payouts of £1000-1500 for MOST cases wouldn't work. It is after all self limiting neck and back pain.

I was interested to read the "why is the government interfering in commercial arrangements" argument. This argument maybe erroneous as we all(drivers) have to pay insurance as a legal requirement and it ends up subsidising as well as profits for insurance companies the whole whiplash bandwagon (lawyers, doctors, physios etc etc). Sometimes I presume the associated costs are more than the payout. With 1500 claims a day it is excessive given that most people exaggerate/lie for gain.(Human nature, just look at the benefits system and that is policed by far tougher doctors and admindroids).

It is the equivalent of 1500 home insurance claims a day with 1000+ people claiming for the Samsung flatscreen they never had. Imagine if you had to pay £2500 for home insurance.

Dr Anon

Dr Anon

Dr Anon

It is interesting that after some absence from these threads, you return last week, only a matter of days before the AXA report comparing the French experience of whiplash (3% of accidents?? - completely different marketing and legal environment but then never mind), talking about the contents of the AXA report, and now about recommendations of the AVIVA report.

The statistics that you have been giving appear in both reports, and yet we are to understand from the producers of the reports that this is new research. Of course you were talking about this last week, before both reports were released.

As I said, interesting.

LR I see your "interesting",

LR

I see your "interesting", and raise you to "suspicious"

Nice to have the dynamic tag team back again.

Dr. Anus, liking your idea for a standard payout. Really, it is genius. You have really cut through all the spin and bs. Simple solutions are the best huh. Lets take it a a stage further and have standard tarrif premiums. No more need for advertising at £1m per prime time second, so with that and the extinction of PI at the hands of the gestapo govt, our premiums should come down by at least 80%.

The figures were from the

The figures were from the Government consultation paper which in turn were from a study carried out by committees of experts. Here is the link. To be fairit was focusing more on the medical assessment.

http://www.svv.ch/sites/default/files/document/file/CEA_HWS-Studie_englisch.pdf

However you fail to answer the question why would a standard graded payout system no be more equitable for the majority of cases. The variation in payout say for example below £3000 surely cannot be that high therefore why the need for lawyers, doctors, physios. These are self limiting soft tissue injuries in the vast majority of cases.

???

Dr Anon

"standard graded payout system" - anyone remember Colossus?

Another idea from the AIVIVA report. Really getting the plugs in, aren't we?

The answer is probably more straight forward than you think, and is twofold.

It has already been utilised in 2 different forms for years and doesn't work because those that apply it exploit it. This probably comes as news to you so I will explain.

Colossus: anyone in PI 10-15 years ago (on both sides) will remember the "Colossus Wars". They weren't called that then, but the term conveniently describes the conflict caused by the insurer injury valuation package of choice, and the way it valued injuries. For years (probably late 90s to around 2005) most major insurers (AVIVA, or Norwich Union, then, included) adopted a policy of "1 offer, see you in Court". This was on straightforward liability admitted claims: the sort of claim that you are suggesting should be put in the hands of insurers.

After a while it got boring and we were amazed that insurers didn't change their approach as they just didn't win (as were defendant solicitors from the numerous conversations I had at the time with these poor people who had to go to Court and argue indefensible cases). Nevertheless, 1 offer, and no increase. Now that's perfectly fair, if the offer is fair, but it never was.

I try not to use the word "never" but in this case there is no difficulty as I have NEVER had or come across a case in which a court has awarded the insurer's figure, or less. In fact someone mentioned to me earlier this week that a Judge had only this week said the same thing.

Insurers still use Colossus and other similar "programs" for valuing injuries, and they are still calibrated low - still - after at least 15 years - and whilst their approach has moved on (they are now prepared to negotiate, so the "fixed offer" approach worked well, didn't it?) their offers are still low. How do we know they are low - because they always settle either in negotiation or at final hearing for higher figures.

CICA: anyone deal with CICA claims? Yes I know they are Government funded and driven, but if you had, you would know that the "standard graded payout system" would not work.

Leaving aside the fact that the valuations are low, the role of the CICA case handlers, aside from finding a way to defeat claims, is to fit the injury into the next bracket down, or lower.

A good example is a CICA claim I dealt with where the CICA offered my client £2000. Having gone through the paper and oral appeal systems, he ended up with £8000.

Standard tariffs applied by insurers with no representation for the claimant, will not work because;

1/ There would be an imbalance of arms and expertise
2/ Insurers have behaved unreasonably and made unreasonable offers for years, using similar tools, and that behaviour (as one of the posters above points out) is only getting worse.

Dr Suspicious Presence, A

Dr Suspicious Presence,
A standard graded payout system? To be determined by the insurer, based on reports prepared by a panel of your clones? Where it is left to litigants in person to fight legally represented multi billion pound insurers who will deny liability for the most strightforward cases?

As I said, pure genius. Nothing wrong with that system at all.

Now let me ask you a question.

Whatever drivel you come up with, you are unable to escape from one simple truth.

These changes benefit nobody except the insurance industry. If you disagree, explain yourself.

another example

Another example of daft insurer tricks:

I have a claimant who was involved in a minor RTA. Liability was not formally admitted, but the def solicitor agreed to pay up "on a without prejudice basis". Great. However the def insurer has simultaneously instructed another firm of sols to claim against my client, blaming him for the accident.

The insurer has instructed 2 firms - one to defend the other to claim. They can't seem to decide whether to accept liability or deny it, so they've done both and incurred double the costs.

This statement from Aviva is so ludicrous that it deserves to be ignored.

Insurers v Lawyers or Predators v Aliens?

I don't rate either but on balance I went for the Predators as they seemed less reptilian.

Which are we?

Which are we?

Message from the President

Dear All,

Last night I was interviewed on Radio 5 Live, which is listened to by many commuters and professional drivers. A report of the interview, put out by the Law Society, is below.

In an interview on BBC 5 live drive yesterday at 6pm Lucy told listeners: "I don't like the sound of an insurance company trying to pull the wool over people's eyes...their interest is in making sure that payments are as low as possible, because their interest is in looking after their shareholders."

She pointed out that: "Solicitors' interest is in looking after the interest of their clients, that's what they focus on. They focus on making sure that people who are the innocent victims of accidents are compensated for their pain and suffering, are compensated for their loss of earnings, and receive the right level of compensation, because they have the expertise."

The presenter then raised the subject of insurance premiums for motorists.

Lucy responded: "Well, you say, if we believe in the figures from Aviva, we haven't had the opportunity to test their figures, but it [the current system] is even less efficient as far as the individual driver is concerned if they are the victim of an accident and the compensation they get is much lower than it would otherwise be, because the people who they are dealing with are these huge businesses like Aviva, very experienced negotiators, and the poor old motorist or passenger will be completely at sea in relation to that, they need their own independent advice."

The print coverage also includes quotes from Lucy, who said: "Who do you trust to give you a fair deal? A lawyer working for you, or an insurer working for the person or company in the wrong whose main interest is minimising what they pay you?"

She added: "You need someone independent to make sure that you get what the law entitles you to have.

"It appears that Aviva want to strip us all of our rights so they can make more profits."

This is just our opening shot. The Law Society will campaign against this attempt to stack the deck against the victims of other people's negligence.

I have been very impressed by many of the examples of insurers' egregious behaviour that have been given in response to this story and it would be great to be able to use some of these examples in our campaign, but we would need to validate them. If you are willing for us to use your examples please email them to me at
President@lawsociety.org.uk

All the best,

Lucy

I would suggest a system

I would suggest a system similar to Canada or New Zealand, i.e non fault with graded payouts from your own insurance company rather than third party where you can decide the level of cover similar to home insurance. In Canada they have standard payouts for straight forward injuries and lawyers etc get involved more for catastrophic/serious injuries.These systems can be state run or through the insurance companies.

I have yet to see a convincing reason why we need such a complex system when the payout is in most cases is 1500-3000. I don't see any reason for medicals on most of the straight forward cases which are more or less a 2 min rubber stamp with a random prognosis.

No system is perfect however the current system is a complete sham and disproportionate both in terms of involvement of so many interested partys and cost for what is essentially a self limiting sprained neck in "most" cases

Dr Anon

Dear Dr. Anon, It may not

Dear Dr. Anon,

It may not have come to your attention (perhaps given the length of time that you spend writing on a solicitors' forum). But I can spell it out for you, in nice, easy, understandable terms.

NO LAW REQUIRES ANY PERSON TO USE A SOLICITOR TO PURSUE INJURY CLAIMS

Perhaps that is not understandable for you. Let me explain.

IF A PERSON WISHES TO PURSUE A CLAIM WITHOUT A SOLICITOR, THERE IS NOTHING WHATSOEVER TO STOP THEM

It is entirely their choice.

So your system could operate now, today, with no legislative change whatsoever.

Also, unless proceedings are issued in a court (which is a rarity for small value claims where liability is admitted - which are the claims you are talking about) THERE IS NO COMPULSION TO UNDERTAKE OR PROVIDE A MEDICAL REPORT. Indeed "pre-medical offers" are not uncommon.

That being so, perhaps you may wish to consider why it is that most claimant's do use a solicitor, and most solicitors do obtain medical reports.

I'll leave you to use your analytical abilities to answer those questions.

This falls flat for 2 reasons:

1/ Premiums would have to rise substantially to cover policyholders' injuries - reduction of premiums is the very reason given by the Government for backing insurers in the first place.

2/ What do passengers do? What do cyclists do? What do pedestrians do? That's just RTAs. If it's spread out to all accidents, what about PL victims? That's also assuming this is paid for by "your own insurers".

If it was Government backed and run - we already know what will happen - see comments by LR re; the CICA above. Oh by the way in November last year, the Government changed the rules so that victims of minor criminal injuries get NO compensation. http://www.bbc.co.uk/news/uk-20506141

That's the part that was made public. What wasn't made public was that they didn't just exclude compensation for minor injuries, they dramatically reduced compensation for all injuries.

THAT is the system that you are advocating. Run either by the UK Government, or by insurers, for victims of injury, it will be a disaster.

Finally, did you read the post by LR above concerning Colossus and the CICA? Every word is true. The same system in a different form has already been/is already being tried and it is only because claimants have independent representation that their cases succeed. You continue arguing a cause which insurers have proved through long years does not work, because of their inefficiecy and greed.

PS:

That was directed at Dr Anon's comments.

To describe the whole process

To describe the whole process of litigation as a 'sham' is wholly without foundation, the process of litigation has the capacity to expose fraudulent cases in a way that a no fault system would not.

To belittle injuries as a 'self limiting sprained neck' and therefore not meriting proper examination and compensation is ignorance at it's highest.

If Dr Anon is a medical doctor then he will be familiar with the potential for non linear progression of soft tissue inuries, and the potential for chronic pain syndrome, complex regional pain syndrome & etc. While these are at the extreme end it is not unheard of for rotator cuff injuries and shoulder injuries to have complex factors which require a clinical evaluation.

Further individuals are often unable to access physiotherapy privately and giventhe delays in the provision of NHS treatment delayed treatment would tend to result in delayed recovery whereas the process of litigation tends to allow private referral at no cost to the client and without significant delay.

Dr Anon might also take 5 minutes to review the JSB guidelines in respect of injuries and see the relatively narrow bands for injuries and that these are sufficient to provide an operating framework within which to assess general damages.

Finally there is one sham that I think the good doctor and I can agree on, and that is clinicians referring patients to quack thereapies which are no more effective than placebo.

Good idea to me,

I fail to see that any of these arguments are in the claimant's interest. We all know that Claiant's fake injuries, or exaggerate their symptoms for a quick gain, and if they do not get the iead in their heads then their will be goaded by law firms. The reality is that fee earners are by majority not qualified, have no contact other than a few calls and letters, and the medical examiner spends about 5 minutes before reaching the same prognosis whether old, young, comes in with a walkng stick. I know that firms ship Claimant's to preferred experts who provide favourable outcomes. At the end of the day if the insurer pays £2,000 to a claimant on the day of accident and they are prepared to accept it what is the issue? The genuine would reject and use solicitors and otherwise it is better that costs are not claimed on the back of a injury that amounted from nothing. It seems from this forum that solicitors firms who have an interest are trying to control the claimant who at the end of the day can do what they want and have the freedom of expression to do so without pressure of an ATE, referral fee, quick fee in costs etc.

Bypassing lawyers

The truth is that like marriage death and taxes - no liability for personal injury should be the norm. Modern living causes harm. MV accidents, household and industrial accidents, tripping over the cat at home. fault cases, lawyers, and for profit insurance are stupid ways of dealing with these inevitable social harms. There should be a single taxable levy say 2.5% and doctors then decide how long you need off work and you get paid out by government. No lump sums, no lawyers no greedy insurers. Disability and rehabilitation could be properly funded and the seriously injured could be treated properly for life.

It is coming - NZ has had it since 1974. I am an old enough UK Kiwi lawyer to remember all the PI lawyers out of work and the screaming of the insurance companies but if I am going to trip over the cat and break a leg please let it be in Auckland and not London.

PS if taking out the lawyers would save 1.5 billion you will save another 3 billion if you eliminate the insurance companies.........overall savings huge. Add to that the huge social benefit of no fault universal accident coverage and you are one step closer to Jerusalem.

@DomCoop No the law does not

@DomCoop

No the law does not require/obligate people to claim but the degree to which they are cajoled cold called have their details passed on by the police, garages, etc means there are 1500 claims a day for what is in most cases a sprained neck/back which is self limiting. The whole solicitor, dr, physio is I think not "necessary" for most cases if we had a standardised payout system. It should be remembered that there is a large cohort of people including myself who have had an accident suffered a self limiting injury for a few weeks and that was that and never claimed. I do not feel I have have somehow been "denied" justice because of that. The current system allows for medical reports, I am suggesting for a selflimiting injury it really isn't necessary especially when most reports are just a rubber stamp and completed in a few minutes on electronic software.

@DT

I think if your own insurance was paying, many people would only claim what was necessary e.g loss of earnings and few weeks of more pronounced symptoms if this would in turn keep premiums low and reduce costs with no lawyers or doctors involved. New Zealand Insurance for an average car is about £300 fully comp. In Canada except Ontario it is quite reasonable as well £600/year. Manitoba has a state run compensation scheme and insurance is cheaper than a lot of the other states. Do you have evidence that such a system necessitates massive rises in premiums?? That would be interesting. Passengers, cuclists and pedestrians would also be covered by your insurance the third party driver would be covered by his own.

I suppose fundamentally we need to decide as a society if we want to head down the American route of an over litginous society or not. Wider question should be why does a minor self limiting injury "HAVE" to have a monetary payout. Why not just physio, loss of earnings etc. A lot of people don't claim at all for a few weeks of neck pain, no big deal.

Like I said no system is perfect, but the current one is complete BS a riddled with fraud exaggeration, not disimilar to large parts of the benefits system

Dr Anon

"Do you have evidence that

"Do you have evidence that such a system necessitates massive rises in premiums?? That would be interesting."

What evidence do you need? The average comprehensive policy in this country is £1000. That covers the vehicle damage, theft and third party liability. All of those risks would still have to be covered if you add in the policyholder's risk of injury. Are you saying insurers would throw that in for free?

"Passengers, cyclists and pedestrians would also be covered by your insurance" - whose insurance? remember under your suggested system there is no third party liability. So now cyclists and pedestrians have to pay for injury policies? I thought the justification for all this chaos was to REDUCE premiums, not increase them?

"New Zealand Insurance for an average car is about £300 fully comp" - how can you possibly compare New Zealand and the UK:

NZ: Area: 267,710 sq km: Roads 93,911 km

UK: Area: 243,610 sq km: Roads 394,428 km

There is no basis for comparison.

Well said

Totally agree.

Seconded

Seconded

You are yet to provide

You are yet to provide evidence from any country where an non fault system has meant a massive rise in premiums. Remember your insurance pays for you the third party(at fault) gets paid by his own insurance and his premium rises not yours.

A good example is America where 12 states have non fault/capped systems and the rest do not. New York (capped system) average insurance $1600. Michigan unlimited payouts for PI $2500 average insurance. Now New York has plebty of roads and loads of cars.

Dr Anon

Evidence

"What evidence do you need? The average comprehensive policy in this country is £1000. That covers the vehicle damage, theft and third party liability. All of those risks would still have to be covered if you add in the policyholder's risk of injury. Are you saying insurers would throw that in for free?"

I think it's you that's avoiding the question.