Accident Q&A series

Can an insurer deny my entire injury claim by finding me even slightly at fault?

· Wallace Pierce Law

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Short Answer

Yes, an insurer may deny a North Carolina negligence claim by alleging that your own negligence helped cause the accident, even to a small degree. However, an adjuster’s finding is not a court judgment, and simply assigning you a percentage of fault does not prove contributory negligence. The alleged conduct must have been negligent and must have contributed to causing the collision or injury.

Why Slight Fault Can Matter in North Carolina

North Carolina follows a contributory negligence rule rather than the comparative negligence system used in many states. In a car accident claim, the other driver and that driver’s insurer may argue that you failed to act with reasonable care and that your conduct contributed to the crash.

If that defense is established, it can prevent recovery on a negligence claim. This is why an insurer may issue a complete liability denial instead of merely reducing a settlement by an assigned percentage.

But “slightly at fault” must mean more than being present, making an immaterial mistake, or receiving an unsupported percentage from an adjuster. The insurer’s position should identify what you allegedly did wrong and how that conduct helped cause the accident. Conduct that had no causal connection to the collision should not establish contributory negligence.

Who Must Prove Contributory Negligence?

The party raising contributory negligence generally has the burden of proving it. N.C. Gen. Stat. § 1-139 places that burden on the party asserting the defense.

In practical terms, the defense ordinarily must show both of the following:

  • You failed to use reasonable care under the circumstances.
  • Your failure was a cause of your injury or damage, not merely an unrelated detail.

You still have the responsibility to prove that the other driver was negligent and caused the crash. Useful evidence should therefore address both sides of the dispute: what the other driver did and why your own actions were reasonable.

An Insurer’s Denial Is Not the Final Word on Fault

A liability insurer investigates the claim and makes its own business decision about whether to accept or deny liability. The investigation may include driver statements, witness interviews, photographs, vehicle damage, a crash report, available video, and information about traffic signals or lane positions.

An insurer is allowed to dispute fault when there is a genuine disagreement. At the same time, North Carolina’s claim-handling statute identifies practices such as failing to conduct a reasonable investigation or failing to provide a reasonable explanation for a denial. N.C. Gen. Stat. § 58-63-15 describes these and other insurance practices.

A claimant can ask the adjuster for a written explanation that identifies:

  • The specific conduct claimed to be negligent.
  • The evidence supporting that conclusion.
  • How the alleged conduct contributed to the collision.
  • What additional evidence the insurer says it still needs.
  • Whether the denial is final or remains under review.

Providing organized, relevant evidence may support a request for reconsideration. It does not guarantee that the insurer will change its position.

Evidence to Preserve When Fault Is Disputed

Collision evidence can disappear quickly. Memories fade, vehicles are repaired or disposed of, video may be overwritten, and roadway conditions change. Preserve what is available rather than relying only on repeated conversations with an adjuster.

Helpful items may include:

  • The crash report and any report number.
  • Photographs or video of the vehicles, impact areas, roadway, signs, signals, and visible conditions.
  • Names and contact information for witnesses.
  • Written or recorded communications containing the other driver’s account.
  • Notes identifying any inconsistent statements, including when and to whom each statement was made.
  • Dash-camera, business-security, doorbell-camera, or traffic-camera information, if available.
  • Repair estimates, total-loss documents, towing records, and photographs taken before the vehicle was repaired or released.
  • The denial letter, adjuster emails, claim number, and a dated log of communications.
  • Medical records, bills, visit summaries, wage records, and receipts related to the claimed injuries and losses.

Inconsistent accounts can be important, but they do not automatically establish fault. The statements should be compared with physical damage, independent witnesses, video, and other objective evidence.

How This Applies to the Disputed Durham Car Accident Claim

When an injured person says the other driver struck their vehicle and later gave inconsistent accounts, the central issue is not simply whether the insurer has used the phrase “contributory negligence.” The issue is what evidence supports each version of the collision and whether any conduct attributed to the injured person actually helped cause it.

If the insurer keeps requesting information, it may be useful to respond in writing, provide available relevant materials, and ask for a precise list of anything still missing. Keep copies of every submission. Avoid guessing about speeds, distances, or events that you do not clearly remember.

The loss of a vehicle and the effect of the accident on a family can create serious practical strain. Those circumstances should be documented when related to the collision, but financial hardship by itself does not decide who caused the crash. Funeral expenses for a parent whose death was unrelated to the accident ordinarily do not become damages caused by the collision, even though the financial burden may be significant.

Reconsideration, a Regulatory Complaint, and Litigation

A written reconsideration request can point out factual errors, identify inconsistent statements, and connect the physical evidence to the collision sequence. It should focus on fault evidence rather than only the hardship caused by the denial.

A regulatory complaint may raise concerns about investigation, communication, or the explanation provided for a denial. It generally should not be treated as a substitute for proving the injury claim or filing a lawsuit. A court—not the liability adjuster—can ultimately resolve disputed negligence and contributory negligence if litigation is properly filed.

Timing remains important. N.C. Gen. Stat. § 1-52 provides a three-year period for many North Carolina personal injury and property-damage actions, although the correct deadline depends on the claim and facts. Negotiations, requests for reconsideration, additional document submissions, and regulatory complaints do not automatically extend the deadline for filing suit.

This contributory negligence discussion primarily concerns a claim against another driver based on negligence. Possible benefits under your own policy may involve different coverage terms, duties, and defenses. Save the policy, declarations page, coverage letters, and denial notices for review rather than assuming that one liability decision resolves every possible claim.

Practical Steps After a Contributory Negligence Denial

  1. Request the complete reason for the denial in writing.
  2. Ask what specific act the insurer attributes to you and how it allegedly caused the crash.
  3. Collect and preserve objective evidence before it disappears.
  4. Create a timeline of the collision, medical care, insurer requests, and your responses.
  5. Keep injury and property-damage records organized separately.
  6. Check the possible filing deadline rather than waiting indefinitely for reconsideration.
  7. Have the evidence and denial reviewed before providing another detailed recorded statement or signing a broad release.

When Wallace Pierce Law May Be Able to Help

Wallace Pierce Law may be able to review the insurer’s stated basis for contributory negligence, compare the competing driver accounts with the physical evidence, and identify information that may support a reconsideration request. The firm can also help organize medical and loss documentation, communicate with insurers, evaluate possible coverage sources, and assess whether filing a lawsuit may be appropriate before the applicable deadline.

A review does not guarantee that an insurer will reverse its decision or that a claim will succeed. The available evidence, the cause of the collision, insurance terms, injuries, and filing deadlines all matter.

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