Originally Posted by
Kris
Insurers very rarely roll over and pay a claim simply because it's easier. It's a question of economics. Litigation is won and lost based on what you can prove happened, not what it has been said has happened.
They are asking if the OP is prepared to go to court, as quite often, if an insured (or claimant) has to stand in court, in front of a "Judge" and swear under oath their version of events, it can alter that individuals recollection of what actually happened, sometimes to the extent that they decide that going to court is no longer a good idea.
If you are not prepared to give evidence in court, then there is no point in them trying to defend it further.
If it comes down to one persons word against another then its luck of the draw on who the "judge" believes or what the judge feels most likely to have happened, which is influenced by pretty much anything.
In the OP's case, he agrees an incident took place where the claimant hit his head on the car boot (for what ever reason).
The causation of the injury is one persons word against another. so unless there were any witnesses to exactly what happened, the judge will have to decide who they believe and which account is likely to be correct based on "the balance of probabilities". (note that is different from Criminal Law where the onus of proof is "Beyond all reasonable doubt".) The onus of proof is on the claimant to prove what he said happened
If the claimant goes to court with evidence from a medical expert that he suffered a head injury as a result of hitting his head on the boot and that this impact is now causing his dizzy spells etc, then unless there is equal or greater expert evidence that the head injuries are not accident related, the judge will believe the qualified medical expert.
The fact that the claimant didn't seek medical treatment immediately does not in itself mean he can't claim, although it may weaken his case. A claimant has 3 years after an injury becomes apparent to bring a claim.
In this case he may not been intending to make a claim, but then started suffering symptoms so changed his mind, or simply is being a grumpy so and so, didn't appreciate the "mind your head" comment so decided to have a go, or more likely has seen or been approached by a "No win, no fee" ambulance chaser and talked into bringing a claim to get some cash.