Settlement math · Part 4
What the adjuster is really doing
The adjuster is polite, sympathetic, and professionally trained to close your claim for as little as possible. That's not cynicism — it's their job description. Here's the playbook.
Play 1: The friendly recorded statement
Days after the crash, the other driver's insurer calls "to get your side." It's recorded. You're asked how you're feeling ("I'm okay, just sore") and to walk through the crash while you're still rattled. Months later, "I'm okay" is Exhibit A against your injury claim, and any innocent inconsistency becomes a credibility attack. You have no legal obligation to give the opposing insurer a recorded statement. Decline politely, or better, let your lawyer handle every communication — that's included in what representation means.
Play 2: The fast, friendly lowball
A quick offer — sometimes within days — with a check practically attached. It arrives before anyone knows what your treatment will cost, which is precisely the point: the release you sign is final, even if you need surgery next year. A fast offer is a signal that liability is clear and the insurer wants out cheap. Treat it as the floor, not the deal.
Play 3: Software-driven valuation
Most large insurers run injury claims through claim-evaluation software. Inputs like diagnosis codes, treatment type, and gaps in care produce an authorized range — and unrepresented claimants tend to be offered the bottom of it. Two things move that range: complete, well-documented medicals, and the file being flagged as one that a trial lawyer may actually try. This is the unglamorous reason representation can change an offer.
Play 4: Delay, gaps, and blame
Slow-walking a claim pressures people with rent due into taking less. "Gaps in treatment" — the weeks you toughed it out instead of seeing a doctor — get spun as proof you weren't hurt. And in comparative-negligence California, expect a percentage of fault to be assigned to you as an opening position, whatever the facts. Each of these has a counter: documented treatment, consistent records, and evidence gathered before it disappears — cameras get overwritten and witnesses move within weeks.
How not to help them
Get medical care promptly and follow the plan. Don't give the opposing insurer a recorded statement. Don't post about the crash or your activities on social media — claims departments look. Don't sign medical authorizations that hand over your lifetime records. And before accepting any offer, know your case's realistic range and the lien math — that's a free conversation with any credible injury lawyer, including me.
Educational only. Insurers and adjusters vary, and none of this is legal advice about your claim.
Already dealing with an adjuster?
Jake reviews every case submission. If it looks like one he may be able to help with, he or a member of his team will contact you.