If you're thinking about making a personal injury claim after any kind of accident, you'll need to understand what kinds of arguments and defense strategies you can anticipate from the other side. Should you be on the other side, with someone is claiming that you're at fault for causing their injuries, you'll want to understand some defense strategies that can help you avoid injury liability.
In this article, we'll focus on legal defenses and arguments that an injured person might face in response to an injury-related insurance claim or personal injury lawsuit, including a few that relate to the plaintiff's potential fault for the underlying accident, and the concept of "assumption of the risk."
When someone files an injury-related insurance claim or personal injury lawsuit, one of the first arguments usually heard from the other side is that the injured person was at fault for the accident (in whole or in part).
If there's evidence that your own negligence played a part in the accident that caused your injuries, the compensation you receive will probably be affected. Timing-wise:
The degree to which an injury settlement or court award could be affected by your share of fault—or the chance that your recovery will be barred altogether—depends on whether your state follows a "comparative negligence" or "contributory negligence" rule.
Most states follow a "comparative negligence" rule in personal injury cases, calculating damages under a formula that looks at each party's degree of fault for the accident.
Say you're in a car accident and the jury finds you were 25% at fault, while the other driver is found 75% to blame. In this situation, the court will reduce your total damages by 25%—your share of fault for the accident. For example, suppose your total damages add up to $20,000. You'll receive 75% of that amount, or $15,000.
Most states follow the comparative negligence rule in personal injury cases. But these states also fall into one of two camps:
What's the difference between the two? In a "pure" comparative negligence state, an injured plaintiff can recover damages regardless of their share of fault. For instance, a plaintiff who's 99% to blame can still recover 1% of their damages from other at-fault parties. In a "modified" comparative negligence system, an injured plaintiff can recover compensation only if they are no more than 50% at fault (or less than 50% at fault in some states).
While comparative negligence can reduce an injured person's compensation when they're partly at fault, the concept of contributory negligence isn't as forgiving. In these five contributory negligence states, claimants who share any degree of fault for their own accident or injury are usually barred from getting any compensation in court:
Let's suppose you live in one of these contributory negligence states and you're in a car accident that was 1% your fault. You can't recover any compensation for your damages through a personal injury lawsuit.
The same will be true even if you're only making a car insurance claim but haven't filed a lawsuit. Expect the insurance company's settlement offer to be very low if it looks like you share any car accident fault. After all, insurance companies settle claims with an eye toward what's likely to happen if a case makes it to court.
There's no formula for assigning a percentage to your fault—or that of the other person. During claim negotiations, you'll come up with a percentage for each at-fault party. The insurance adjuster will almost certainly arrive at different percentages, and will try to explain why you bear greater responsibility for the accident. To decide how much your claim is worth, you and the insurance company will negotiate over percentages of fault and many other factors.
In some personal injury cases, a defendant faced with a lawsuit will argue that the injured person "assumed the risk" of getting injured by willfully participating in an activity that the injured person knew (or should have known) was dangerous. This kind of defense is raised most often in lawsuits that stem from contact sports (like football and basketball) and spectator injuries (when a foul ball hits a spectator in the stands at a baseball game, for example).
One key aspect of a successful "assumption of the risk" defense is that the harm suffered must relate closely to the risk that's inherent in the activity. So if you're playing a game of organized basketball at the local gym, you've probably assumed the risk of getting elbowed inadvertently—since that's a common occurrence in a game of basketball. A lawsuit over any resulting injuries probably wouldn't fly, because you assumed the risk of injury by deciding to play in the game.
On the other hand, if you got injured playing basketball when the backboard broke and fell on you, the defendant (the gym owner, for example) couldn't rightly argue that you assumed the risk of such a thing happening, because a falling backboard isn't a danger that's inherent in the game of basketball.
An insurance company or lawsuit defendant might also argue that, while it's clear that the claimant was injured, some other event, circumstance, or conduct was the actual cause of the injury. This kind of legal argument can get complex, but it boils down to this: A successful personal injury case requires proof that:
If something else entirely—either occurring before or after the defendant's negligent act—may have been the actual cause of your injuries, the defendant might have a valid "causation" defense.
Learn more about causation and "intervening" and "superseding" causes.
Another argument that an injured person is likely to hear is that they have a preexisting condition (an injury or illness) that partially or completely explains the medical issues they're currently claiming. This is another variation of the causation argument discussed above. You'll want an experienced personal injury lawyer to navigate this issue should it come up in your case.
Learn more about how a preexisting condition can affect a personal injury case.
In every state, a law called a "statute of limitations" sets a strict time limit on the right to file a lawsuit. Different deadlines apply to different kinds of cases. If you miss the filing deadline set by law for your case, you'll almost certainly lose the right to file your lawsuit.
In the context of a personal injury case, missing the statute of limitations deadline means you'll no longer have the chance to ask a court for a legal remedy for the harm you've suffered. In other words, the person you're trying to sue will be off the legal hook.
Learn more about the statute of limitations in a personal injury case.
If you're making an injury claim and the other side has raised any of the defenses we've discussed here, things can get complicated pretty quickly. It might make sense to discuss your situation with an experienced legal professional. Here's how to find a lawyer who's right for your case.