Accident Q&A series

What can I do if an insurance company is creating problems after a fatal car accident?

· Wallace Pierce Law

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Short Answer

You can ask the insurer to explain its position in writing, preserve the available evidence, identify every potentially applicable policy, and have the claim reviewed promptly. In North Carolina, a wrongful death claim generally must be pursued by the deceased person’s court-appointed personal representative, and strict deadlines apply. Insurance negotiations do not automatically extend the time to file a lawsuit.

Start by Identifying the Insurance Problem

After a fatal car accident, an insurer may delay its investigation, dispute fault, deny coverage, request repeated documents, refuse to disclose its position, or offer conflicting explanations. The right response depends on what the company is actually contesting.

Ask the adjuster for the following information in writing:

  • The claim number and the name and contact information of the assigned adjuster.
  • Whether the company is investigating fault, coverage, damages, or all three.
  • A written explanation of any denial or reservation of rights.
  • A specific list of documents or information the company says it still needs.
  • Confirmation of whether it insures the other vehicle, the deceased spouse, or both.

Keep a log of every telephone call, letter, email, document request, and response. Record the date, the person involved, and what was said. A clear timeline can reveal whether the insurer is waiting for legitimate information or repeatedly changing its position.

Who Can Bring a North Carolina Wrongful Death Claim?

A surviving spouse does not necessarily file a wrongful death lawsuit in an individual capacity. Under N.C. Gen. Stat. § 28A-18-2, the claim is generally brought by the deceased person’s personal representative or collector. This is usually the executor named in a will or an administrator appointed through the estate process.

If no estate has been opened, that may be an important early step. The appointment documents allow the personal representative to act for the estate, request information, communicate about the wrongful death claim, and pursue litigation when appropriate.

Because the other driver also died, the claim may need to be directed against that driver’s estate as well as presented to the liability insurer. Estate claim procedures can create additional timing and notice issues. The death of the other driver does not automatically end a potential claim, but it can make the procedure more complicated.

The Police Report Helps, but It May Not Resolve the Dispute

A police report reportedly supports the position that the other driver was traveling the wrong way. That is important evidence, but an insurer may still conduct its own investigation or raise questions about fault, causation, coverage, or damages. A report also may not contain every photograph, witness statement, diagram, recording, or investigative supplement.

Evidence should address both what the other driver did and whether the deceased driver acted reasonably. North Carolina permits a contributory negligence defense. If the defense proves that the injured person’s own negligence helped cause the collision, the claim can face serious difficulty. The party raising that defense generally has the burden of proving it under N.C. Gen. Stat. § 1-139.

For that reason, do not rely on the crash report alone. Preserve evidence showing the direction of travel, lane markings, lighting, visibility, vehicle positions, road conditions, and any efforts the deceased driver may have made to avoid the collision.

Check Every Potential Source of Insurance

The other driver’s liability policy is only one possible source of coverage. The deceased spouse’s own automobile policy may include uninsured or underinsured motorist coverage. Other household automobile policies may also require review, depending on their terms and the circumstances.

North Carolina’s motor vehicle insurance law addresses uninsured and underinsured motorist protection in N.C. Gen. Stat. § 20-279.21. Whether any particular policy applies depends on its language, the insured persons and vehicles, the date of the policy, the available liability coverage, and compliance with notice requirements.

Before signing a release or final settlement document with one insurer, determine whether doing so could affect another potential claim. Underinsured motorist claims may involve advance written notice and other procedural requirements. A policy review should occur before rights against another driver, estate, or insurer are released.

Documents and Evidence to Gather Now

Organize copies rather than sending away the only original. Useful materials may include:

  • The complete crash report and any supplemental reports.
  • Crash-scene photographs, vehicle photographs, video, and available electronic vehicle data.
  • Witness names and contact information.
  • All automobile insurance policies and declarations pages for the deceased spouse and household.
  • Letters, emails, claim forms, recorded-statement requests, denial letters, and settlement papers from insurers.
  • The death certificate, will, and estate appointment documents.
  • Funeral and burial invoices.
  • Medical records and bills related to care provided between the collision and death, if any.
  • Employment records, tax records, and benefit information relevant to lost financial support.
  • Family photographs, videos, and information about the spouse’s household services, care, guidance, and companionship.

North Carolina wrongful death damages may include qualifying medical expenses, pain and suffering before death when supported by evidence, reasonable funeral expenses, and the monetary value of the deceased person to the next of kin. That value can involve expected income and services as well as society, companionship, comfort, guidance, and advice. The available categories depend on the evidence and circumstances.

Do Not Let Insurance Discussions Hide the Deadline

North Carolina generally provides a two-year filing period for a wrongful death action, measured from the date of death. N.C. Gen. Stat. § 1-53 contains this general deadline.

Opening a claim, exchanging documents, negotiating with an adjuster, or waiting for a coverage decision usually does not stop that period from running. Other deadlines may also apply to claims involving the other driver’s estate or uninsured and underinsured motorist coverage. Prompt review is especially important when the insurer has delayed, denied coverage, or stopped responding.

Practical Steps When the Insurer Will Not Cooperate

  1. Move communications into writing. Confirm telephone conversations by email or letter and request a written coverage or liability position.
  2. Answer reasonable requests carefully. Provide accurate documents, but do not guess about facts you did not witness. Consider obtaining legal guidance before giving a detailed recorded statement or signing broad authorizations.
  3. Request the basis for a denial. Ask the insurer to identify the facts and policy provisions on which it relies.
  4. Preserve all possible claims. Notify potentially applicable insurers and avoid signing releases until their effect is understood.
  5. Track every deadline. Do not assume the insurer will warn the personal representative when the filing period is approaching.
  6. Have settlement paperwork reviewed. A release may affect claims against the other driver’s estate, additional insured parties, or an uninsured or underinsured motorist carrier.

How This Applies

Here, the police report reportedly supports the deceased spouse’s position that another driver traveled the wrong way. That gives the estate a meaningful starting point, but the underlying report, scene evidence, insurance policies, and any insurer objections still need review.

Because both drivers died, the proper parties matter on each side of the claim. The spouse’s estate needs an authorized personal representative, and a claim against the other driver may involve that driver’s estate and liability carrier. The personal representative should also examine the deceased spouse’s automobile coverage in case uninsured or underinsured motorist benefits may be relevant.

When Wallace Pierce Law May Be Able to Help

Wallace Pierce Law may be able to review the crash report, insurer correspondence, estate appointment documents, and available automobile policies to identify the source of the dispute. The firm can also help organize evidence, communicate with adjusters, evaluate potential coverage sources, and monitor the filing deadline.

When both drivers have died, legal assistance may also be useful in determining the proper estate parties and coordinating the wrongful death and insurance procedures. Any assessment will depend on the evidence, policy language, available coverage, and North Carolina law.

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