Most people have never watched a claim move from start to finish, so the long quiet stretches can be unsettling. For people from Higher Macdonald, we lay out what a solicitor generally does at each stage of a CTP file, what you'll be asked for, and when the key decisions arrive. It's general information, not legal advice, and our claim check is free.
Hawkesbury · How a car accident solicitor runs a claim
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Local records that end up on a file from Higher Macdonald
From rural parts of the Hawkesbury, attending meetings or assessments can mean long drives. Raise travel early with the solicitor, who can discuss arrangements with the insurer where that's reasonable. Living in The Hills Shire Council area doesn't change how a CTP file runs. The scheme is statewide, and the stages, the timing rules and the Personal Injury Commission's role are the same wherever in NSW you live. Where the crash happened is fixed on the file early. It matters for the police record, for any witnesses and, occasionally, for which scheme applies near a border.
You won't need to travel to Gosford for your file to move forward. From Higher Macdonald, each stage of a CTP file, from the first review to settlement, can generally be handled by phone, email and online.
- Region
- Hawkesbury
- Postcode
- 2775
- Local government area
- The Hills Shire Council
- Distance to Gosford
- ~45 km
The first review of your claim
Early on, the solicitor works out which stage your claim is at and what is coming next. If you're still receiving statutory benefits, the focus may be on keeping them in place. If the insurer has made a threshold decision, the focus may be whether to challenge it. If a damages claim is possible, the solicitor starts planning its timing from your accident date.
Evidence and impairment on the file
Your role in this stage is steady: keep the solicitor told about ongoing symptoms and any change in what you can do at work. The solicitor's role is to decide when the evidence is complete enough to act on. That may involve independent reports and, where impairment could exceed 10%, an assessment that can change when the damages claim is lodged.
Read next:Whole person impairment explained
How a damages file usually settles
Settlement talks often come to a head at a conference, in person or online, where the insurer and your solicitor try to close the gap. You'll usually be asked to attend or stay by the phone. The solicitor will go through the evidence with you beforehand and talk about what a reasonable result could look like. The final say on any figure is yours.
Read next:CTP settlements
Do you need a solicitor to run your CTP file?
Whether a solicitor should run your file depends on which stage it's at. Early on, you may not need one. Later, when timing rules and evidence start to shape the result, many people with a damages claim find one helpful.
Often worth talking to a lawyer
- The insurer has disputed liability for your damages claim
- A settlement conference or claims assessment is coming up
- You started the claim yourself and it has become complicated
- The insurer wants you to sign a release or deed
You may not need one
- Your questions are about lodging, not about damages
- Statutory benefits are being paid and nothing has been disputed
- Your injury has been accepted as a threshold injury and you agree with it
If you started the claim yourself, gather every letter, form and decision into one bundle, in date order, before you speak with a solicitor. A review of those dates is where a file starts. CTP claim timeline
Not quite your situation?
- If fault is still being argued, the car accident lawyer page explains how it's decided and why it matters to your claim. Car accident lawyer in Higher Macdonald
- If you're still deciding whether a lawyer is worth it for your CTP claim, start with the CTP lawyer page. CTP lawyer in Higher Macdonald
- If the big question on your file is how serious your injury is in claim terms, the injury compensation lawyer page explains impairment. Injury compensation lawyer in Higher Macdonald
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Six stages of a solicitor-run CTP claim
Every CTP file is different, but most follow the same order. Here are the six stages a solicitor generally works through, with the timing rules that apply. Some files end early, for example when no damages claim is open.
At the start
File review and costs disclosure
The solicitor reviews your accident date, when the claim was lodged, every insurer decision and any deadline already running. Before substantial work begins, you'd generally expect written information explaining how fees are worked out.
The first months
The statutory benefits stage
While the claim runs, weekly payments and treatment and care come through statutory benefits. The solicitor watches the insurer's decisions, such as whether your injury is treated as a threshold injury, and helps you challenge ones that seem wrong within the review time limits.
As injuries settle
Evidence and impairment
The evidence builds over time: records of your injuries, proof of earnings and, where needed, independent reports written for the claim. Impairment is usually assessed only once your condition has settled, so this stage can't be rushed.
From 20 months
The damages claim is lodged
A damages claim generally can't be made before 20 months after the accident, unless whole person impairment is more than 10%. It must generally be made within 3 years, and within 2 years if you want weekly payments to continue beyond 2 years.
After lodgement
Negotiation with the insurer
Negotiation usually involves offers going back and forth, sometimes over months. The solicitor explains each offer against the evidence and the risks, but the decision to accept or reject it is yours.
Resolution
Settlement, or assessment at the PIC
A damages claim generally can't settle within 2 years of the accident unless impairment is more than 10%. If negotiation doesn't produce an agreement, the Personal Injury Commission can assess the claim, and some claims go to court instead.
General information, not legal advice. Every file is different, and the timing rules depend on your accident date. Time limits apply.
If the claim doesn't settle: the PIC
If the insurer and the solicitor can't agree, the damages claim can generally go to claims assessment at the Personal Injury Commission, the independent tribunal that has handled CTP disputes since 1 March 2021. An assessor considers the evidence and submissions from both sides and assesses the damages. The solicitor prepares the application and the material the assessor will rely on.
Read next:The Personal Injury Commission
The statutory benefits stage
A key decision in this stage is whether the insurer treats your injury as a threshold injury. For accidents from 1 April 2023, threshold injuries generally have statutory benefits for up to 52 weeks, and they don't lead to damages. A solicitor looks closely at that decision, because a wrong threshold finding can close off the second half of the file.
When the damages claim goes in
A damages claim is separate from the statutory benefits claim. It can generally be made only if another driver was at fault, you weren't mostly at fault and your injury is more than a threshold injury. It generally can't be made before 20 months after the accident unless whole person impairment is more than 10%, and must generally be made within 3 years.
After the damages claim goes in, there can be long stretches with little visible progress while evidence is exchanged. The insurer may request further information or arrange another examination. Keep the solicitor told of any change in your work, income or symptoms, and answer requests promptly, because an up-to-date file is easier to resolve.
Read next:CTP damages claims
Taking over a claim you started yourself
Many people lodge a CTP claim themselves and only look for a solicitor later, often after a decision goes against them or when a damages claim comes into view. That's common and generally not a problem. The solicitor notifies the insurer, obtains your claim file and reviews what has happened so far. The time limits keep running throughout, so earlier is better than later.
Read next:Free claim check
Frequently asked questions
Early on, everything you already have: the claim number, the insurer's letters and decisions, Certificates of Fitness and any statements. During the benefits stage, updates on work, income and symptoms. Before the damages claim, proof of earnings such as payslips, tax returns or business records. Near settlement, your instructions on offers. Throughout, prompt replies and honest updates, including about anything that has improved.
In order: reviews the dates, decisions and deadlines already on your claim; watches the statutory benefits stage and challenges decisions that seem wrong; builds the evidence as your injuries settle; times and lodges the damages claim; negotiates with the insurer; and resolves the claim by settlement or claims assessment. Throughout, the solicitor tracks the time limits and explains each decision, while you keep them informed and give instructions.
You may. A medico-legal report is written by an independent expert for the claim itself. Your solicitor may arrange one or more, often once your injuries have stabilised, to give an opinion on your injuries, their cause and your capacity to work. They're separate from the records made since the crash, which remain important. Ask your solicitor who is being asked for a report and why.
It's the usual way a CTP damages claim is decided if it doesn't settle. The Personal Injury Commission, an independent tribunal that has handled CTP disputes since 1 March 2021, appoints an assessor to consider the evidence from both sides and assess the damages. Your solicitor prepares the application and the supporting material. The process is generally less formal than court, and what follows an assessment depends on the circumstances.
Usually a release or deed of settlement. In exchange for the agreed amount, it generally ends your damages claim and stops you bringing it again. It may also deal with other matters, such as what happens to any statutory benefits still being paid. Read it carefully and ask your solicitor to explain each part before you sign, because a signed settlement is very hard to undo.
Generally, the insurer and your solicitor meet, in person or online, to try to agree on a settlement figure. You'll usually be asked to attend or be available by phone, because any offer needs your instructions. Beforehand, the solicitor will prepare you by going through the evidence and the likely arguments. Offers may go back and forth during the conference. Nothing is settled unless you agree to it.
Car accident solicitor: suburbs near Higher Macdonald
Related reading
- CTP lump sum and damages claims
- CTP settlement: what to expect
- Independent medical examinations
- CTP claim timeline in NSW
- CTP claim time limits
- Car accident lawyer help
- Neck Injury
- Lower Back Pain After a Car Accident
- Headaches After a Car Accident
- Pre-Existing Condition Aggravation
- CTP claims for drivers
- Hawkesbury: area guide
- Car Accident Lawyer Help in Sydney
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CTP Lawyer is not a law firm. This page is general information, not legal advice; the independent lawyer you speak with can advise on your own situation.