Claim Settlement Estimator

Estimate your insurance claim settlement amount based on medical expenses, property damage, lost wages, pain and suffering, liability percentage, and policy limits.

Formula

1. Economic Damages = Medical Expenses + Property Damage + Lost Wages + Future Medical Costs

2. Pain & Suffering = (Medical Expenses + Future Medical Costs) × Multiplier
   Multiplier: 1–2 = minor injury, 3 = moderate, 4–5 = severe/permanent

3. Gross Damages = Economic Damages + Pain & Suffering

4. Adjusted Damages = Gross Damages × (1 − Liability% ÷ 100)
   Comparative negligence: reduces award by claimant's share of fault

5. Capped Amount = min(Adjusted Damages, Policy Limit)

6. Net Settlement = max(0, Capped Amount − Deductible)

Assumptions & References

  • Pain and suffering is calculated using the multiplier method, applied to medical expenses — the most widely used industry approach (Insurance Information Institute).
  • Comparative negligence follows the pure comparative fault model: damages are reduced proportionally by the claimant's percentage of fault, regardless of how high that percentage is.
  • Some states use modified comparative negligence (bar at 50% or 51% fault) — consult your state's laws.
  • Policy limits represent the maximum the insurer will pay per occurrence; amounts above the limit are the claimant's responsibility to pursue separately.
  • Deductibles are subtracted from the final settlement as the claimant's out-of-pocket responsibility.
  • This tool does not account for attorney fees (typically 33–40% of settlement), subrogation claims, or Medicare/Medicaid liens.
  • References: Insurance Information Institute (iii.org); NAIC Consumer Guide to Auto Insurance; Restatement (Third) of Torts: Apportionment of Liability.

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