Accident Q&A series

Can missed work caused by a fractured sternum be included in my car-accident claim?

· Wallace Pierce Law

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Short Answer

Yes. A North Carolina car-accident claim may include income lost because a fractured sternum prevented you from working, but you must connect the missed time to the collision and document the financial loss. Medical payments coverage generally addresses medical expenses rather than lost wages, so the wage claim is usually presented separately to the at-fault driver’s insurer. Fault disputes, incomplete work records, and unsupported time away from work can affect recovery.

When Missed Work Becomes Part of an Injury Claim

Lost income is a form of personal injury damages. It is different from medical expenses, property damage, and compensation for physical pain. To include missed work in a Durham car-accident claim, the available evidence generally must show:

  • The other driver was legally responsible for the collision.
  • The collision caused the fractured sternum or made an existing condition worse.
  • The injury reasonably prevented you from performing your job for a specific period.
  • You experienced a measurable financial loss because of that absence.

A nondisplaced fracture and conservative treatment do not automatically prevent a lost-income claim. The important issue is how the injury affected the person’s ability to perform the actual duties of the job. Chest pain or physical restrictions may affect a labor-intensive position differently from work that can be performed remotely or with temporary adjustments.

An extended absence may receive closer review from an adjuster. Medical records should accurately reflect symptoms, follow-up care, activity restrictions, and any return-to-work instructions. A statement that someone missed work is usually less persuasive than records showing why the injury prevented particular job duties.

What Employment Losses May Be Considered?

Depending on the evidence, a claim may address more than completely unpaid days. Relevant losses can include:

  • Regular wages or salary lost during the period away from work.
  • Reduced hours or temporary light-duty pay.
  • Overtime, commissions, or bonuses that can be shown with a reliable work history.
  • Used sick leave or vacation time, although how paid leave is treated depends on the facts and proof of an actual loss.
  • Reduced earning ability if lasting limitations are medically supported and affect future work.

Occasional continuing pain does not, by itself, establish a future wage loss. A claim for future earning effects generally requires evidence connecting ongoing limitations to the person’s ability to work. The person’s occupation, prior earnings, physical duties, and supported restrictions all matter.

Documents That Can Support Missed Work

Lost-income claims often turn on documentation. Preserve and gather the following when available:

  • A letter or wage-verification form completed by the employer.
  • Pay stubs from before and after the collision.
  • Timecards, attendance records, work schedules, and leave records.
  • Records showing the dates missed, normal hours, rate of pay, and benefits used.
  • Medical visit summaries and written work restrictions.
  • Job descriptions identifying lifting, driving, reaching, or other physical duties.
  • Records of regular overtime, commissions, or bonuses if those amounts are claimed.
  • Tax returns, invoices, calendars, and business records for a self-employed person.

An employer’s letter is more useful when it identifies the precise dates missed, the employee’s normal schedule, the rate of compensation, and whether the absence was paid or unpaid. Self-employed individuals usually need records from before and after the crash because their own estimate may not be enough to establish lost income.

Keep copies of communications with supervisors and insurers, but avoid asking an employer to offer a medical opinion. The employer can document job requirements and attendance, while medical providers document the injury and work limitations.

How Medical Payments Coverage and the Liability Claim Differ

Medical payments coverage, often called MedPay, is first-party coverage under the injured person’s own auto policy. It generally concerns covered accident-related medical expenses without deciding who caused the crash. The policy language and submitted bills determine how that coverage operates.

A bodily injury claim against the at-fault driver’s insurer is different. That claim may include supported lost income along with other legally recoverable losses, such as medical expenses, pain and suffering, and certain out-of-pocket costs. Using available MedPay for medical bills does not automatically establish fault or prove the separate wage claim.

When medical bills exceed the available MedPay coverage, careful accounting becomes important. The claim file should track which bills were submitted, which were paid, what remains outstanding, and whether a health plan or medical provider may assert repayment rights. This accounting is separate from proving the number of workdays and amount of income lost.

Fault Still Matters Under North Carolina Law

Even well-documented lost wages do not establish that the other driver is responsible. The evidence must also support negligence and show that the negligence caused the collision and injury.

North Carolina permits contributory negligence as a defense. If the defense proves that the injured person’s own negligence helped cause the crash, it can create serious problems for the entire claim, including the lost-income portion. Under N.C. Gen. Stat. § 1-139, the party raising contributory negligence generally has the burden of proving it. Evidence should therefore address both the other driver’s conduct and why the injured person acted reasonably.

How This Applies to a Fractured Sternum and Extended Absence

In the stated circumstances, the fractured sternum is documented, treatment was conservative, work was missed for an extended period, and occasional pain continues. The missed-work portion may be included if medical and employment records connect the fracture to the period away from work and show an actual financial loss.

The length of the absence should be compared with the medical record, job duties, and any restrictions or return-to-work instructions. Gaps between the medical documentation and the claimed absence may lead the liability insurer to question whether every missed day resulted from the crash. Consistent records can help clarify that issue without overstating the injury.

The claims involving the individual’s insurer and the at-fault driver’s insurer should be documented separately. MedPay submissions should identify covered medical charges, while the liability claim should include a clear wage calculation and the records supporting it. A claimant should not assume that submitting medical bills to one insurer automatically places the other insurer on notice of lost wages.

Do Not Let Insurance Discussions Replace Deadline Planning

Many North Carolina personal injury actions are subject to a three-year filing period under N.C. Gen. Stat. § 1-52. The correct deadline depends on the claim and facts. Negotiations, document requests, and ongoing discussions with either insurer do not automatically extend the time for filing a lawsuit.

That does not mean every claim requires litigation. It means the deadline should be identified independently while the medical, employment, and insurance records are being collected.

When Wallace Pierce Law May Be Able to Help

Wallace Pierce Law may be able to review how the fractured sternum, work absence, and financial records fit together in a North Carolina personal injury claim. This can include organizing medical records, requesting employer wage verification, calculating supported income loss, and keeping MedPay submissions separate from the bodily injury claim.

The firm may also evaluate fault evidence, insurer communications, possible repayment issues, and the applicable filing deadline. No attorney can promise that an insurer will accept every missed day or a particular wage calculation, but a documented presentation can make the basis of the claim easier to understand and evaluate.

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