Insurance Claim Settlement Estimator
Estimate your expected insurance claim settlement by entering your damages, policy details, and liability percentage. Results are estimates only and do not constitute a guarantee of payment.
Enter the percentage of fault attributed to you (0 = not at fault, 100 = fully at fault).
Multiplier applied to medical damages to estimate pain & suffering.
Used only when a pain & suffering multiplier is selected.
Formula
Step 1 — Pain & Suffering Add-on
P&S = Medical Damages × Pain & Suffering Multiplier
Step 2 — Gross Claim Value
Gross Claim = Total Claimed Damages + P&S
Step 3 — Comparative Negligence Reduction
Claim After Negligence = Gross Claim × (1 − Liability% ÷ 100)
Step 4 — Policy Limit Cap
Capped Claim = min(Claim After Negligence, Policy Limit)
Step 5 — Deductible
After Deductible = max(0, Capped Claim − Deductible)
Step 6 — Prior Payments
Estimated Settlement = max(0, After Deductible − Prior Payments)
Assumptions & References
- Comparative negligence follows the pure comparative fault model, where your recovery is reduced proportionally by your percentage of fault (used in CA, NY, FL, and others). Some states use modified comparative fault (50% or 51% bar rules).
- Pain & suffering multipliers (1.5×–5×) reflect common industry practice for general damages estimation. Actual multipliers vary by insurer, jurisdiction, and case specifics. Source: Insurance Information Institute (III).
- The policy limit cap reflects that insurers are not obligated to pay beyond the coverage limit stated in the policy.
- Deductibles are subtracted from the adjusted claim before settlement is paid to the claimant.
- Prior payments (e.g., advance payments, medical payments coverage) are offset against the final settlement to avoid double recovery.
- This tool does not account for subrogation, attorney fees, liens (e.g., Medicare/Medicaid), structured settlements, or bad-faith damages.
- References: Insurance Information Institute (iii.org); National Association of Insurance Commissioners (NAIC); standard ISO claim settlement guidelines.