| Personal
Injury: Case evaluation and selection
by Todd R. Henningsen
and Hunt H. Whitehead
Every trial lawyer knows the importance of case
evaluation. This lesson is normally learned when the jury
returns a defense verdict or less than specials verdict in a
trial on which you have spent a great deal of time and anxiety
at the expense of your family, your other clients and your
health. This type of lesson stays with you and makes you
cringe at the thought of ever becoming a lawyer. While
disappointment may be unavoidable as trial lawyers stretch to
find new and creative ways to expand the law for the rights of
the injured, nevertheless, it can be minimized through sound
case evaluation and assessment.
Case selection and evaluation involves a multitude of
legal, ethical, and practical considerations that must be
thoroughly examined in order fully appreciate what you are
undertaking. It is an iterative process involving constant
evaluation and re-evaluation as the case matures. Initially,
case assessment begins with answering baseline questions to
determine whether you would be excluded (legally, practically,
ethically) from accepting representation. These
“exclusionary” questions are necessary to determine if
there is some reason you simply cannot take the case. Is there
minimal legal sufficiency in that there is a legally
recognizable cause of action that led to an injury for which
compensation is available? Am I ethically precluded from
taking on this client? Has a statutory time limitation period
already been missed? Do I have the resources to take on a case
of this magnitude or complexity? These and other preliminary
questions must be answered in order to make sure that there
are no roadblocks to your representation.
Once the exclusive variables are weighed, you must take
“inclusive” factors into account. These are numerous and
involve subtle questions that must be answered to assess the
case’s attractiveness to you, and ultimately a jury. What is
the strength of the liability? Are there aggravating factors
such as drinking and driving? What is the extent of the
injuries? Does the client have pre-existing injuries? Will I
get along with the client? What is the venue? These types of
questions will help you to begin determining the potential
value of the case and whether you are willing to actually
accept the case. Throughout this process it is important to
harness the advice of others. Ask your assistants, your
spouse, your colleagues, or any other person what they think
about the case. Research verdicts and settlements with similar
facts and injuries to get a better understanding of what the
case is worth. Once you have fully developed an understanding
of the underlying facts and law, you will be armed to begin
assessing the case.
Statutes of Limitation and Notice provisions
Prior to accepting any case, make sure that a time
limitation has not yet expired. As most every practicing
attorney knows, an injured person normally has two years from
the date of the injury, or accrual of the cause of action, to
file suit against any person, or entity, that may be
responsible.1 The
statute of limitations may be tolled due to the injured party
being incapacitated or under a legal disability.2
As a result, a minor has until his 20th birthday to file suit
in a personal injury case. The minor’s parents, or guardian,
have five years in which to file suit for medical expenses or
loss of services of a minor.3
Watch out for medical malpractice cases and the statute of
limitations. The amount of time to bring an action may vary
based upon when the injury was, or should have been discovered
if there was fraud or concealment.4
Also, minors do not benefit from having the statute of
limitations tolled until their 20th birthday. The same
two-year statute of limitation that applies to adults also
applies to minors, unless they are under the age of eight, and
then it is only tolled until their 10th birthday.5
Make sure you read the applicable statutes or talk to an
attorney who is familiar with the various time limitations on
filing medical malpractice cases prior to deciding to handle
one.
Beware of having a government entity as potential
defendant. Not only do you have to look into the possibility
of sovereign immunity, but you will also likely have different
time constraints. Under the Federal Tort Claims Act, there is
a twoyear statute of limitation for injury cases which cannot
be tolled for a legal disability.6
You have to file the claim administratively before filing
suit. Once you file the administrative claim it tolls the
statute of limitations. You have six months after the date of
the notice of the denial, or final offer, to file suit.7
Under the Virginia Tort Claims Act, you must file a Notice
of Claim within one year after the date of the injury. After
filing the Notice of Claim, you have a one year window in
which to file suit. You must wait six months from the date of
the notice before filing suit, unless the claim is denied
earlier. The claim is barred if you do not file it within 18
months from the date of the notice.8
As a result, the time in which you have to file an action
against the Commonwealth can be less than or exceed two years,
depending on when you, or your client, file the Notice of
Claim. Make sure your client, or the client’s former
attorney, did not file the Notice prior to hiring you.
Assuming you have a case against a town or city where the
municipality is not immune, the Virginia Tort Claims Act is
not applicable. The action is barred if you do not provide a
written statement of the nature of the claim as well as the
place and time of the injury to city or town attorney within
six months of the accrual of the cause of action.9
Prior to deciding to take on a case, especially one where
the injury was not recent, make sure that you have time to
comply with any notice requirements or applicable statute of
limitations. Be careful of taking a case and immediately
filing suit in order to preserve the claim before you fully
investigate it. It is much more difficult to terminate
representation once suit has been filed.
Ethical considerations
Prior to accepting representation make sure that the person
who wants to hire you is competent to do so. If the potential
client is a minor, the minor cannot legally contract to hire
you. The minor’s parent or guardian must retain you on
behalf of the minor. The minor, however, is your client and it
is your duty to what is best for the minor, not the parent.
A wrongful death case is controlled by the attorney who
represents the administrator of the decedent’s estate, or
the executor in the unlikely event that the decedent has a
will. In most cases, there will not be an administrator or an
executor at the time you are retained by a family member of
the decedent. You should immediately have a relative or
someone you know appointed as administrator of the estate.
Conflicts of interest
Perform a conflict check and make sure you do not currently
represent any potential defendants in any unrelated matters.
It is improper to represent the plaintiff in a personal injury
action against a defendant, who you represented in another
unrelated matter.10 If
you previously represented the defendant in an unrelated
matter, you should get the defendant’s informed consent as
to your representation of the potential plaintiff. It is
permissible to defend the husband on a traffic charge and then
subsequently represent the plaintiff/wife in the personal
injury action against the husband, as long as full disclosure
is made to both parties and they each give their informed
consent.11
Most conflicts arise from attempting to represent multiple
clients in the same matter, usually when an attorney attempts
to represent both the driver and a passenger in the same
automobile collision. Even if you are only representing
multiple passengers, you can still have conflicts, especially
when the potential value of each case exceeds the total amount
of insurance coverage. It is probably unethical to try to
represent the best interests of two people who are potentially
entitled to recover from the same “pot” of insurance
proceeds unless you obtain each persons informed consent,
preferably in writing. Any time there are three or more
injured parties with claims, there is a good chance that a
conflict could arise due to limited amounts of insurance
coverage. It is also possible to have the same situation arise
when there are only two injured parties if the insurance
policy is written so that it provides the same amount of
coverage per person as it does per accident, (i.e. 300/300 as
opposed 100/300).
There are at least two legal ethics opinions that say it is
ethically permissible to represent a driver and a passenger,
even where the client/driver may have been at fault, if each
client consents after full disclosure of the potential
problems and the attorney is convinced he can adequately
represent the interest of each person.12
However, this is a risky undertaking. If someone changes their
mind or there is a change in the situation, then you are most
likely conflicted out of both cases. You clearly cannot
represent both the driver and the passenger and have the
passenger assert a claim against the driver.
Be careful even at the initial consultation. You should
meet with each potential client one at a time. If you meet
with everyone and there is a chance the driver may be
negligent in some way, then at most you should keep the
driver’s case. In order to do that, you should get informed
consent from the passengers. As a practical matter, you should
meet with passengers first. If you learn that the driver may
be partially at fault, then you should not meet with the
driver at all, if you want to be certain that you are not
conflicted out of representing the passenger.
The main consideration in examining potential conflicts is
that you do not want to be forced to refer multiple cases away
when you could have kept at least one had you been careful
when you initially consulted with the potential clients.
Fact gathering
Initial Client Contact: Once you have determined
that the time limitations have not expired and you are not
ethically precluded from representing the individual, the next
step is to ascertain whether there is minimal legal
sufficiency, i.e., a legally recognized, compensable claim.
Normally, the first contact with the client will be over the
telephone. This is your first level of screening the case.
During the first contact, basic facts should be obtained: (1)
name (2) phone number (3) address (4) date, time, and location
of injury (5) type and severity of injury (6) medical
treatment (7) basic events giving rise to the incident (8) if
a traffic wreck, any traffic violations that were issued (9)
basic insurance coverage information and (10) names of
responsible parties. These basic facts are necessary to answer
one single, threshold question:
Is there a cause of action for which the potential client
is entitled to recover some amount of compensation? If the
answer to this question is no, then the case should be turned
down immediately. Graciously tell the person that in your
opinion it is not the type of case that you would want to
handle and be sure to follow up the conversation with a
letter. The letter should not only thank the person for
calling, but also inform him or her that there are strict time
limitations associated with filing a lawsuit and to seek other
counsel immediately.
Should the conversation lead you to believe that this is
something that you may pursue, immediately tell the client to
preserve any evidence that is available. If there are visible
injuries, tell the client to take photographs of them. It is
essential in auto cases to get pictures of the damage to the
car, sooner rather than later. Many times if the damage is
significant, the car will be a total loss and towed to a
salvage yard before you have had an opportunity to take
photographs. If the client cannot take pictures, find out
where the car is located and get yourself or someone else to
that location immediately. Do not rely on the insurance
company to take pictures for you to later obtain in discovery.
This is a bad practice for two reasons. First, you need to see
the pictures to better evaluate the case. Second, it seems
that insurance companies conveniently only take pictures of
the cars with minimal damage and rarely admit to taking
pictures of the cars with more severe damage.
Client Meeting: If the case has not been initially
declined, arrange a meeting with the potential client and
obtain all the information necessary to investigate in more
detail and get a better understanding of what happened. Be
sure to tell the potential client to bring any documentation
that he or she may have regarding the incident, including:
medical bills, health insurance information, prescription
receipts, photographs, property damage estimates,
correspondence from insurance companies, etc. The more
information you have, the easier it will be to investigate and
evaluate the claim. The initial interview should, at a
minimum, cover the following items contained in the sample
intake interview questionnaire at the end of this article. In
addition to the information garnered in the interview, be sure
to have the client sign a medical release that complies with
the Health Insurance Portability and Accountability Act of
1996 (HIPAA).13 This
will allow you to obtain all past and future medical records,
which is an obvious necessity in any injury case.
Of particular importance during the interview is to make
sure that you get as much information as possible about the
incident. In auto cases, it is imperative from the outset that
you discern automobile insurance coverage. It is extremely
rare to make any recovery when there is no insurance for
either party. Also be sure to ascertain the availability of
collateral sources, such as medical expense coverage and
health insurance. The availability of medical expense coverage
and health insurance means that you have more leeway in
negotiating a settlement or trying the case (especially on
more modest cases), since ultimately more money will be going
directly to the client.
It is also important during the course of your interview to
ascertain whether this is a client that you will be able to
get along with during the course of representation. Ascertain
the potential client’s expectations to make sure they do not
exceed what you are able to offer. If hopes for the case are
too high, it is time to take a hard look at whether you can
achieve what he or she expects. Most times if you simply
explain the process and what you can and cannot do, the
expectations will fall in line with what you can accomplish.
As others have said before, “Ten percent of your clients
take up eighty percent of your time.” Try to spot the ten
percent early on and minimize their impact on the rest of your
case load.
Investigation: A decision regarding representation
is usually made during the initial interview. In some
instances you may still want to do further investigation to
better understand the nature of the case. Regardless of
whether you have decided to accept the case or simply want
gather more information, the factual investigation is
essential to understanding the circumstances of the injury,
and the potential value of the case.
Much of what you have learned in your initial meeting will
be used as the starting point for your investigation. In your
typical auto case you want to make sure that you obtain
pictures of the vehicle. If you are not quite sure how the
wreck occurred, obtain pictures of the scene or go out and
examine it for yourself. If a police report has been prepared,
obtain a copy and have an investigator interview the police
officer to see what the officer knows that is not included in
the accident report. You will learn very quickly whether the
officer is supportive of your client’s injury claim. If
there is an upcoming traffic hearing, attend it yourself, or
send a court reporter to transcribe the testimony. If
insurance coverage is an issue, there are many companies who
will seek out coverage and only charge a fee if coverage is
found. Interview all the people who witnessed the incident;
regardless of what you believe they saw, you will be surprised
at the information you develop. On premises liability cases,
obtain a copy of the incident report; it can provide a wealth
of information about potential witnesses and give you a
glimpse of how the defense will play out. In general, thorough
investigations are the key to effectively preparing and
ultimately winning your personal injury case.
| CLIENT
INTERVIEW CHECKLIST |
Personal
Information
- Name
- Address
- Date of birth
- Social Security Number
- Phone Numbers (home, work,
mobile)
- Email Address
- Marital Status / Spouse’s name
- Names and ages of Children
- Name and address of relative to
contact in client’s absence
- Bankruptcy
- Felony or misdemeanor involving
lying cheating or stealing
- Name of Employer
- Address of Employer
- Immediate Supervisor
- Rate of Pay
- Amount of time missed from work
Medical Information
- List of the injuries
- Name of the ambulance service
- Name and address of the emergency
room
- Admission to hospital or
overnight stay
- Names and addresses of the
treating physicians
- Health insurance/Medicare
- Names and addresses of the family
physicians
- Prescriptions
- Medical equipment or appliances
- Prior injuries/health problems
- Prior treating physicians
- Prior claims
|
Incident
Information
- Date and Time of Incident
- Location of Incident
- Did the incident occur within the
course and scope of employment for either
defendant or plaintiff
- Names, addresses, and telephone
numbers of any witnesses
- Description of circumstances
underlying the incident
- Photographs/video
(Auto Cases)
- Types of vehicles involved
- Client’s location in vehicle
- Name and department of
investigating Officer
- Issuance of traffic citation
- Road conditions
- Accident report
- Drinking involved
- Insurance on plaintiff vehicle
- Insurance on defendant vehicle
- Resident relative insurance
coverage
- Name address telephone number of
defendant
- Defendant vehicle information
(Premises Liability Cases)
- To whom the incident was reported
- Type of footwear
- Inside or outside
- Exact location
|
Practical considerations
After you have gathered all of the initial information,
decided if you can ethically represent the person and made
sure that the person has a valid claim, you still must
determine if you want to actually handle the case. Do not base
your determination solely on the fact that you think liability
is clear and there is insurance coverage. Clearly, the
likelihood that you will win on liability is a huge factor in
deciding whether you will take a case. However, there are
cases you may want to accept even if liability is weak, and
there are clear liability cases you want to avoid. Even though
legally it should not matter, the severity of the injuries
clearly has an effect on the determination of liability made
by a jury. Insurance companies are often willing to settle
cases where there may be a good chance of a defense verdict if
the damages are severe enough to lead to a large verdict for
the plaintiff. On the other hand, clear liability cases may go
to trial where there is minor vehicle damage or little
evidence of a mechanism of injury.
Do a cost/benefit analysis. Is the amount of time you are
going to spend on the case worth the possible outcome? How
likely are you to be successful and what is the probable
value? Make sure you are willing to put in the time that is
required to handle the case. Do not just factor in how much
money you are likely to earn on the case. Clients are the best
source of referrals. If a client feels you did a great job for
them, they are likely to return to you again and also refer
others to you.
The Client: The most important part of any case is
your client. In personal injury cases, your representation of
that person usually lasts a number of months and often years.
Remember you will be involved with this person for a long
time. If you dislike the person you are representing it will
seem like a lot longer. If you ultimately end up in front of a
jury, and they do not like your client, you will end up
regretting your decision to accept the case.
The first time you meet the client in person is the best
opportunity to do an overall evaluation of the case and the
client. Trust your intuition. Your impression of your client
from this first meeting is likely to be very similar to the
reaction a jury would have to that person if the case should
go to trial. After you represent someone for a long period of
time, your initial impression may change. You have very little
chance of changing a juror’s first impression at trial. Make
sure you strongly consider your initial reaction when you meet
with the potential client.
Watch out for clients who have made a number of prior
claims. No matter how legitimate each one was, it is a factor
that the insurance adjuster is going to consider. You need to
also consider whether the person has prior injuries to same
area that he or she claims to have injured in the accident.
Prior injuries may well explain why your client was hurt in a
minor collision when other people may not have been injured,
but it can also create doubt as to whether the injuries really
came from this accident. Make sure you ask your client about
the prior problems or treatment on more than one occasion. It
is amazing how often the client will not tell you about
something, or does not remember the treatment, until after the
defense attorney pulls out a prior medical record in
depositions. Ideally, you want to obtain all of your
client’s prior medical records, and actually read them,
prior to filing suit.
Be wary of taking a case that other attorneys have turned
down. Often, there is a good reason. Be very wary of taking a
case where the person has fired a prior attorney, unless you
are willing to spend an extraordinary amount of time dealing
with that client. You are much better turning down a case
initially than ending up with an unhappy exclient who tells
everyone they know or meet that he or she was displeased with
your representation.
If you do not believe what your client is telling you and
feel the person is exaggerating or being untruthful, it is
difficult to be an advocate for that person in court. Remember
that the credibility of your client is virtually everything at
trial. If either you or your client lose credibility in the
eyes of the jury, the rest of your evidence will not matter.
As a result, you have to look out for anything that may be
used to attack credibility, including prior claims, criminal
convictions, greed and untruthfulness.
If you decide to take a case when your instincts are
telling you not to do so, you will almost always regret it. Do
not take a case based only on the hope of settling it. From
the outset, you should be willing to take the client and the
case to a jury. If you are not willing to ultimately try a
case, then you should not agree to represent the person. The
more you hope a case settles, the more likely you will be
sitting in a courtroom asking yourself why you are there.
Expenses: As a general rule, the more severe the
injuries and potential value of the case, the more money you
will have to advance in pursuit of the claim. In pursuing a
case, especially one that is potentially worth a significant
amount of money, the attorney has to be willing and able to
advance the necessary costs to bring the case to verdict. The
insurance company is very unlikely to offer what the case is
worth if you do not convince them that you will spend what it
takes to try the case effectively.
On medical malpractice, product liability or large
automobile accident cases, the costs advanced will often
exceed $50,000, or even $100,000 by the time the case goes to
trial. That can be a scary proposition, especially on cases of
less than clear liability. The attorney needs to make sure
that he is not put in a position where he is urging a client
to accept an offer that is not in the client’s best interest
because of the fear of not getting the expenses reimbursed.
If you are not willing to advance a significant amount of
money on a case, you should consider referring the case to
someone who is willing to do so, especially now that it is
permissible in Virginia to be paid a referral fee. Consider
referring out cases that you feel are beyond your expertise,
especially medical malpractice or product liability cases.
You also have the option to associate another attorney, or
law firm, and work together on the case. Make whatever
agreement you want as far as advancing costs and splitting the
fee. It is almost always better to have another person help
evaluate the case and determine strategy. After representing
someone for a long period of time, it is difficult to be
objective in assessing the case and nearly impossible to look
at the case in a new light without someone else’s input.
There is no better way to learn how to handle a certain type
of case than to work with someone else who has done so
numerous times before. Having another person to share the
responsibility will relieve a great deal of stress and
apprehension.
Conclusion
Case evaluation and selection is probably the single most
important element in the representation of the injured.
Effective personal injury attorneys have developed the
foresight not only to accept those cases that will be
successful, but to promptly decline those cases that hold
little promise. If you are not legally or ethically precluded
from representation, then the ultimate decision boils down to
your subjective decision-making. If you trust your instincts,
you will usually avoid those cases and clients that make
lawyers wish they had chosen another profession.
Endnotes
1. Va. Code §8.01-243(A)
2. See Va. Code §8.01-229.
Va. Code §8.01-243(B).
See Va. Code §243 (C).
See Va. Code §243.1.
28 U.S.C. 2401(b)
Id.
Va. Code §8.01-195-7.
See Va. Code §8.01-195.2 & 195.3.
LEO 975
LEO 566
See LEO 218 and 620
45 C.F.R. 160-164. Public Law No. 104-191. To
obtain a copy of a sample HIPAA compliant medical
authorization and to get a quick overview of the new HIPAA
requirements go to www.chartone.com
and click on the “Download new Requestor form” link at the
top right of the webpage. [Editor’s Note: be sure to also
review the Practice Pointer in this issue of The Journal.]
Todd R. Henningsen is an attorney with Marks &
Harrison, P.C., in Richmond. A graduate of Wake Forest
University, he went on to attend the dual degree program at
the University of Richmond where he received both his Juris
Doctor and Masters of Business Administration degrees. Mr.
Henningsen is a member of VTLA’s Young Trial Lawyers section
and limits his practice to personal injury matters.
Hunt H. Whitehead is an attorney with the law firm of Marks
& Harrison where his practice focuses on plaintiff’s
personal injury litigation. He received his B.S. in finance
from the University of Virginia in 1992 and graduated cum
laude from the University of Richmond School of Law in 1996.
He has served on several VTLA committees the past few years. |