What can I do if the other driver’s insurance company denies my claim and says I was partially at fault?

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What can I do if the other driver’s insurance company denies my claim and says I was partially at fault? - North Carolina

Short Answer

In North Carolina, an insurance denial based on “partial fault” often means the insurer is raising contributory negligence—an argument that can completely bar your injury claim if a jury finds you were even 1% at fault. You can still push back by gathering better evidence than what’s in the police report, making a documented demand, and (if needed) filing a lawsuit before the deadline so a court can decide fault. While the liability fight is ongoing, you can often use your own auto coverages (like Medical Payments coverage) to help with medical bills, but you should be careful about notice requirements and reimbursement issues.

Understanding the Problem

If you were hurt in a North Carolina car crash and the other driver’s insurance company denies your claim because it says you were partly at fault for failing to yield (based on the police report), you’re likely asking what steps you can take next to keep pursuing compensation while you are still treating.

Apply the Law

North Carolina follows a strict rule called contributory negligence in most negligence-based car wreck cases. In plain English: if the other side proves you were negligent and your negligence contributed to the crash, you can be barred from recovering damages from the other driver for your injuries. That is why insurers often deny claims by arguing you “failed to yield” or otherwise contributed to the collision.

Importantly, an insurance adjuster’s denial is not a court decision. It is the insurer’s position. If the claim cannot be resolved through evidence and negotiation, the formal way to force a decision is to file a civil lawsuit in the appropriate North Carolina trial court (typically Superior Court) before the statute of limitations expires.

Also, while you pursue the liability claim, your own auto policy may provide first-party benefits (such as Medical Payments coverage). Those benefits can help keep treatment moving, but using them can create follow-up issues (like reimbursement from any settlement), so it’s smart to coordinate billing carefully.

Key Requirements

  • Negligence by the other driver: You generally must show the other driver failed to use reasonable care and that failure caused the crash.
  • No contributory negligence by you (or a valid exception applies): If the defense proves you contributed to the crash (for example, by failing to yield), that can bar recovery.
  • Proof and documentation: Liability disputes often turn on objective evidence (photos, measurements, vehicle damage patterns, witness statements, scene video) rather than the adjuster’s summary.
  • Damages tied to the crash: Medical records and bills must connect your injuries and treatment to the collision.
  • Timely filing: If you cannot resolve the claim, you must file suit before the legal deadline or you can lose the right to pursue it.
  • Insurance notice and cooperation: If you use coverages under your own policy (like UM/UIM in some situations), you must follow policy notice/cooperation requirements.

What the Statutes Say

Analysis

Apply the Rule to the Facts: Here, the other driver’s insurer is denying liability and pointing to the police report to argue you failed to yield and were at least partially at fault. In North Carolina, that “partial fault” argument matters because contributory negligence can bar recovery, so the practical focus becomes (1) developing evidence that the other driver caused the crash and (2) undermining the claim that you failed to yield or that any alleged failure contributed to the collision. Because you are still treating and worried about bills, you also need a plan to keep medical care documented and paid while the liability dispute is pending, including whether to use Medical Payments coverage under your own auto policy.

Process & Timing

  1. Who files: You (the injured person) or your attorney. Where: North Carolina Superior Court in the county where the crash happened or where the defendant lives (venue can be fact-specific). What: A civil complaint alleging negligence and damages, then service of process on the at-fault driver. When: Generally, you must file within 3 years of the crash for a typical negligence-based personal injury claim.
  2. Before filing (often): Build a liability package that goes beyond the police report—request the full crash report and any supplemental materials, identify witnesses, preserve photos/video, obtain medical records, and prepare a written demand that addresses the “failed to yield” allegation directly.
  3. If the insurer still denies: Filing suit moves the dispute into a formal process (discovery, depositions, motions, and potentially mediation). Many cases resolve after key evidence is exchanged, but timelines vary by county and court scheduling.

Exceptions & Pitfalls

  • Over-relying on the police report: A crash report can be helpful, but it is not the whole case. Insurers often treat it as decisive; your job is to gather independent proof (scene evidence, witness statements, video, vehicle damage analysis) that supports your version.
  • Recorded statements and “fault” language: Be careful about casual admissions like “I didn’t see them” or “I guess I should have waited.” In a contributory negligence state, small statements can be used to argue you contributed to the crash.
  • Waiting too long while still treating: It’s normal to still be treating, but do not let treatment delay cause you to miss the three-year filing deadline. You can continue treating after a lawsuit is filed.
  • Medical bill coordination mistakes: Using your own Medical Payments coverage can help with cash flow, but it may come with reimbursement/subrogation issues depending on the policy and the recovery. Also, if you later pursue UM/UIM benefits, notice and settlement steps can matter.
  • Gaps in treatment and incomplete documentation: Long gaps can give the insurer an argument that you weren’t really hurt or that something else caused your symptoms. If you must pause care, document why and keep follow-up consistent.

Conclusion

If the other driver’s insurer denies your claim by saying you were partially at fault, that is a serious issue in North Carolina because contributory negligence can bar recovery if the defense proves your fault contributed to the crash. Your next step is to build evidence that addresses the “failed to yield” allegation and, if the insurer will not reconsider, preserve your rights by filing a negligence lawsuit in the proper North Carolina court within three years of the crash.

Talk to a Personal Injury Attorney

If you're dealing with a denied car accident claim based on alleged partial fault, our firm has experienced attorneys who can help you understand your options, gather the right evidence, and track critical deadlines while you focus on treatment. Call [CONTACT NUMBER] to talk about next steps.

Disclaimer: This article provides general information about North Carolina law based on the single question stated above. It is not legal advice for your specific situation and does not create an attorney-client relationship. Laws, procedures, and local practice can change and may vary by county. If you have a deadline, act promptly and speak with a licensed North Carolina attorney.

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