One way to understand a car accident claim is to follow the file. It opens with a review of dates and decisions, moves through statutory benefits and medical evidence, and, if a damages claim is open to you, ends in settlement or assessment. We're not a law firm. For people in Orchard Hills, we explain the path and can introduce you to an independent solicitor if it would help.
Penrith & the Nepean · How a car accident solicitor runs a claim
Car accident solicitor Orchard Hills: the file, start to finish
The stages of a NSW CTP file, the rules that set its pace, and what you do along the way.
Postcode: 2748
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Running a claim from Orchard Hills: the practical side
Nepean Hospital in Kingswood treats many people injured on the M4 and The Northern Road. Its records, with later GP and specialist notes, form the backbone of the medical evidence on the file. For people in Penrith City Council, as anywhere else, the file follows the dates of the crash, not where you live. The accident date sets which rules apply and when the damages claim can, and must, be lodged.
- Region
- Penrith & the Nepean
- Postcode
- 2748
- Local government area
- Penrith City Council
- Main roads
- The Northern Road · Wentworth Road
- Nearest public hospital
- Nepean Hospital
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.
Claims assessment at the Personal Injury Commission
Some claims can go to court rather than, or after, claims assessment, for example where a claim is exempt from assessment or a party is entitled to take it further. This is less common in CTP files and depends on the facts. If it's possible in your case, the solicitor will explain the costs, the risks and the timing before any decision is made.
Read next:The Personal Injury Commission
While benefits are being paid
Weekly payments generally stop after 104 weeks unless a damages claim is pending. That is one reason a solicitor keeps an eye on the calendar from the start. Decisions about weekly payments and treatment can be reviewed, generally within 28 days of receiving the decision, and the solicitor tracks each of those windows as it opens.
Solicitor-run or self-run: which suits your claim?
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
- A threshold decision could close off the damages stage
- A settlement conference or claims assessment is coming up
- Your impairment may be more than 10% and that could change the timing
- Your earnings are irregular and proving lost income will take work
You may not need one
- Statutory benefits are being paid and nothing has been disputed
- What you need most right now is medical care, not a file review
- Your questions are about lodging, not about damages
The medical evidence on a file starts with your treating doctors. We can point you to doctors and allied health experienced with CTP claims, including the Certificate of Fitness the insurer relies on.
Not quite your situation?
- If your main question is who caused the crash and what a fault finding means, the car accident lawyer page covers it. Car accident lawyer in Orchard Hills
- If you haven't decided whether you need a lawyer at all, the CTP lawyer page helps you weigh it up first. CTP lawyer in Orchard Hills
- If you want to understand how impairment is assessed and what a serious injury means for your claim, see the injury compensation lawyer page. Injury compensation lawyer in Orchard Hills
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Call (02) 7238 7379 or leave a few details online. The check is free with no obligation, and we'll help you see what comes next on your file.
How a CTP file runs: six stages
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
First comes a review: what happened, which insurer has the claim, what it has decided and which dates matter. You should also be given written information about costs before significant work starts, and you can ask questions about it.
The first months
The statutory benefits stage
Statutory benefits run from early in the claim. For threshold injuries they generally end at 52 weeks, for accidents from 1 April 2023; otherwise weekly payments can generally continue for up to 104 weeks. The solicitor tracks these limits and the decisions that affect them.
As injuries settle
Medical evidence and impairment
Once your injuries have stabilised, the solicitor may arrange medico-legal reports from independent doctors, and the insurer may ask you to attend its own examination. Whole person impairment may be assessed, which matters if it could be more than 10%.
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
The insurer considers the damages claim and may accept or dispute parts of it. The solicitor exchanges evidence and offers with the insurer, and may take part in a settlement conference. You decide whether to accept any offer.
Resolution
Settlement, or assessment at the PIC
A file ends with a settlement you agree to, a claims assessment at the Personal Injury Commission or, less often, court proceedings. Settling in the first 2 years after the crash generally isn't allowed unless impairment is above 10%.
General information, not legal advice. Every file is different, and the timing rules depend on your accident date. Time limits apply.
Building the medical side of the file
As your injuries settle, the medical side of the file takes shape. Your treating doctors' records come first. Reports written for the claim itself, by independent specialists the solicitor instructs, may follow, and the insurer can ask you to see a doctor of its choosing. If your whole person impairment could be more than 10%, it will be assessed once your condition has stabilised, which affects both timing and what can be claimed.
Negotiation and settlement
When a claim settles, you'll usually sign a release or deed that ends the claim in exchange for the agreed amount. Read it carefully and ask what it covers before you sign, including what happens to any benefits still being paid. A signed settlement is very hard to undo, which is why solicitors generally advise against settling before your injuries have stabilised.
Read next:CTP settlements
Lodging the damages claim
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.
Once lodged, the insurer considers the claim and decides whether it accepts liability for damages. It may accept, dispute some parts, or deny liability altogether, for example if it says you were mostly at fault. The solicitor responds to each position with evidence. Your part is mainly to keep up treatment and tell the solicitor about any change in your work or health.
Read next:CTP damages claims
Already lodged your claim? How a solicitor steps in
If you've been dealing with the insurer on your own, keep doing what the claim needs until the solicitor confirms they've taken it on. Gather your claim number, every letter and decision, your Certificates of Fitness and any statements you've given. The solicitor uses them to rebuild the history of the claim and check whether anything needs urgent attention.
Read next:Free claim check
Frequently asked questions
Yes, a solicitor can generally take over a claim at any stage. They'll tell the insurer they're now handling it, obtain the claim file and review what has happened so far, including any decisions that can still be reviewed. Keep dealing with the insurer as usual until the solicitor confirms they've taken over. Bringing someone in earlier leaves more options open, because the time limits keep running either way.
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.
You may. A medico-legal report is written by an independent doctor for the claim itself, not for treatment. 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 different from your treating doctors' records, which remain important. Ask your solicitor who is being asked for a report and why.
Insurers commonly ask claimants to attend an independent medical examination, and refusing without a good reason can hold up your claim. Tell your solicitor as soon as you're asked. They can check the arrangements and tell you what to expect. At the examination, be accurate and consistent about your symptoms, neither understating nor overstating them. Afterwards, note how long it lasted and what you were asked.
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.
The file shifts to proving the points the insurer disputes. That may be who caused the crash, whether you were mostly at fault, or whether your injury is more than a threshold injury. The solicitor gathers evidence on each point and responds to the insurer. If the dispute can't be resolved by negotiation, it may go to the Personal Injury Commission. Statutory benefits you're already receiving are a separate question and may continue meanwhile.
Car accident solicitor: suburbs near Orchard Hills
Related reading
- CTP lump sum and damages claims
- CTP settlement: what to expect
- 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
- Penrith & the Nepean: 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.