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How a California Accident Claim Moves Toward Settlement

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JV

Reviewed & verified by A. Jason Velez, Esq.*

Founding Attorney, 1LAW · Last reviewed May 1, 2022

Legal Inquiry

Consumer Legal Issue

I am in the process of suing. I am an emotional wreck. I wanted to talk to a lawyer about the process, and how to get a settlement.

Attorney Answer

Most accident claims end in a settlement, not a trial, and the path there is less mysterious than it feels from the inside. It comes down to two questions: can you show the other person was at fault, and can you document what the injury actually cost you. Everything else in the process is built on those two answers.

The fault question comes from Civil Code § 1714(a): "Everyone is responsible, not only for the result of his or her willful acts, but also for an injury occasioned to another by his or her want of ordinary care or skill in the management of his or her property or person, except so far as the latter has, willfully or by want of ordinary care, brought the injury upon himself or herself." In plain terms — you show the other person failed to use ordinary care and that failure caused your harm.

The money question comes from Civil Code § 3333: "For the breach of an obligation not arising from contract, the measure of damages, except where otherwise expressly provided by this Code, is the amount which will compensate for all the detriment proximately caused thereby, whether it could have been anticipated or not." That is broader than medical bills. Lost income, time you could not use your car, and other losses that flow from the crash are part of it — if you can prove them.

Being partly at fault does not end a California claim. Section 1714(a)'s own text accounts for a claimant's want of ordinary care, and in Daly v. General Motors Corp., 20 Cal. 3d 725 (1978), the California Supreme Court reaffirmed and applied the state's pure comparative system, holding that a plaintiff's recovery is reduced only to the extent his own lack of reasonable care contributed to his injury. Reduced, not eliminated. Even a claimant who bears most of the blame can still recover a proportion.

On the insurance side, the claim runs on real clocks. Under Cal. Code Regs. tit. 10, § 2695.7(b), an insurer must accept or deny a claim within 40 calendar days of receiving proof of claim, or under § 2695.7(c)(1) tell you in writing why it needs more time and repeat that every 30 days. Once it accepts, § 2695.7(h) gives it 30 calendar days to pay. Section 2695.7(g) prohibits a settlement offer that is unreasonably low and lists the factors the Insurance Commissioner weighs. And Civil Code § 1541 is why the last step matters most: a release, once signed, extinguishes the obligation. You do not get to come back for what you found out later.

What you can do

1. Keep treating, and keep every bill, record and out-of-pocket receipt in one place. Gaps in treatment are the single most common thing used to reduce a claim's value.

2. Write down the financial losses only — days of work missed, mileage, replacement transport — as they happen. Numbers you record at the time carry more weight than numbers reconstructed later.

3. Ask your insurer in writing for the status of the claim, and keep the reply. The 40-day and 30-day duties above run against the insurer, not you.

4. Do not sign a release, or accept a final payment, before a lawyer has looked at it. Under Civil Code § 1541 that signature closes the claim.

5. Ask a local attorney to review the file before you make or answer any settlement number, and to confirm the deadline on your facts.

6. Most lawyers offer a brief initial call at no cost, and a few minutes on your specific facts is worth more than any general guidance, including this page.

⏱ Time limits apply. A personal injury claim in California runs under Code Civ. Proc. § 335.1, which gives two years for an action for injury to an individual caused by another's wrongful act or neglect. Vehicle damage runs on a different period, three years under Code Civ. Proc. § 338(c)(1). When your clock started depends on your facts, and different deadlines apply where a public entity is involved. Have a local attorney confirm the date before anything else.

Cases Cited

Published decisions relevant to this issue, provided as legal background rather than advice about any particular case.

  • Daly v. General Motors Corp., 20 Cal. 3d 725 (1978) — California Supreme Court
    The Supreme Court reaffirmed and applied California's pure comparative system, holding that a plaintiff's recovery is reduced only to the extent his own lack of reasonable care contributed to his injury. Cited for the reduced-not-eliminated proposition, which Civ. Code § 1714(a)'s text does not state.

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Courts & Legal Aid in California

Frequently Asked Questions

What does an injured person have to prove in a California accident claim?

Two things: fault and loss. Civil Code § 1714(a) makes everyone responsible for injury caused by a want of ordinary care in managing their property or person, so the claimant must show the other party failed to use ordinary care and that the failure caused the harm. Civil Code § 3333 then sets the measure of damages as the amount that compensates for all the detriment proximately caused, whether or not it could have been anticipated. Proof of loss — records, bills, wage documentation — does as much work as proof of fault.

Can you still recover in California if you were partly at fault for the accident?

Yes. California uses pure comparative fault. In *Daly v. General Motors Corp.*, 20 Cal. 3d 725 (1978), the California Supreme Court reaffirmed and applied that system, holding that a plaintiff's recovery is reduced only to the extent his own lack of reasonable care contributed to the injury. Being partly to blame reduces recovery in proportion; it does not bar it, even where the claimant carries the larger share.

How long does an insurance company have to accept or deny a claim in California?

Under Cal. Code Regs. tit. 10, § 2695.7(b), an insurer must accept or deny a claim, in whole or in part, no more than 40 calendar days after receiving proof of claim. If it needs longer, § 2695.7(c)(1) requires written notice within that window explaining what it still needs, repeated every 30 calendar days until it decides. After acceptance, § 2695.7(h) requires payment within 30 calendar days. Section 2695.7(g) separately prohibits an unreasonably low settlement offer.

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