What Qualifies as Personal Injury?

September 30, 2025 | By Shebell & Shebell
What Qualifies as Personal Injury?

You may suffer a hip fracture after slipping on a wet floor in a grocery store or suffer a burn from a car crash. Beyond the physical injury, you may endure financial strain due to hefty medical expenses and lost productivity.

You may be entitled to compensation after sustaining an injury due to someone else’s negligence. Unfortunately, pursuing compensation is rarely straightforward. Insurance companies may reject your claim or delay your settlement.

You must also demonstrate how the negligent party’s actions direcgtly contributed to your losses. You should, therefore, work with a legal professional to understand and protect your legal rights.

A personal injury lawyer can investigate your case, gather evidence, negotiate with insurers, and litigate your case for fair and just compensation.

Key Takeaway

  • A personal injury case arises when negligence, recklessness, or intentional actions cause harm, requiring proof of duty, breach, causation, and damages.
  • Common claims include car, truck, motorcycle, slip and fall, construction, medical malpractice, and dog bite cases.
  • Settlement value depends on injury severity, insurance coverage, shared fault, evidence strength, and recovery duration.
  • Most cases settle, but trials can secure fair outcomes with strong representation.
  • Settlement timelines vary, often influenced by case complexity and medical recovery.
  • Call a personal injury lawyer to protect your legal right to compensation.


What Qualifies as a Personal Injury Case

A personal injury case arises when someone suffers harm due to another party’s negligence, recklessness, or intentional actions. An injured victim can qualify for compensation if they establish these four legal elements that form the foundation of any successful personal injury claim:

Duty of Care 

Duty of care means the defendant owes you a legal obligation to act reasonably and safely. For example, drivers must operate vehicles safely, property owners must maintain safe premises for visitors, and medical professionals must provide competent care.

A personal injury lawyer can use traffic laws, expert testimony, witness statements, and official records to prove that the defendant owed a duty of care, creating a foundation for a successful claim.

Breach of Duty 

Breach of duty occurs when the responsible party fails to meet their obligation through action or inaction. Examples of breach of duty include a driver texting while driving or a doctor failing to diagnose an obvious condition.

The breach must represent a departure from reasonable standards of care.

Causation 

Causation is an element that requires an injured victim to prove that the defendant’s breach directly caused their injuries. Causation involves both factual causation and legal causation. You cannot have a valid claim without a direct link between the accident and the injuries.

Damages

Damages represent your harm, including medical expenses, loss of enjoyment of life, pain and suffering, and other losses. Without quantifiable damages, there’s no basis for compensation, regardless of how negligent the defendant’s behavior was.

Types of Personal Injury Claims

Personal injury law applies to numerous incident types where negligent or intentional actions cause harm to others. Here are incidents that give rise to personal injury claims:

  • Car Accidents: Car crashes represent the most common personal injury claims, involving rear-end collisions, intersection crashes, and side-impact accidents. These cases often stem from distracted driving, speeding, or failure to follow traffic laws, resulting in severe injuries and fatalities.
  • Truck Accidents: These crashes involve commercial vehicles and present complex liability issues due to federal regulations, multiple potentially responsible parties, or catastrophic injuries. Our personal injury lawyers can investigate driver logs, maintenance records, and company policies to protect the rights of injured victims.
  • Drunk Driving Accidents: These incidents occur when impaired motorists cause crashes, often warranting punitive damages beyond compensatory awards. 
  • Motorcycle Accidents: Bike crashes frequently result in severe injuries due to limited rider protection. These cases often involve driver negligence, such as failing to see motorcyclists or making improper turns.
  • Slip and Fall Accidents: Our personal injury lawyers can pursue legal action against negligent property owners for failing to maintain safe premises. Common causes include wet floors, uneven surfaces, inadequate lighting, or failure to address known hazards.
  • Construction Accidents: Workers in construction sites are vulnerable to injuries from falls, equipment malfunctions, or unsafe conditions. Our personal injury lawyers can explore third-party liability claims or workers’ compensation coverage.
  • Bicycle Accidents: Bicycle crashes mostly involve cyclists struck by negligent drivers who fail to share the road safely or observe traffic laws.
  • Pedestrian Accidents: These incidents occur when a vehicle strikes a pedestrian, often resulting in serious injuries.
  • Birth Injuries: These incidents occur due to medical negligence during pregnancy, labor, or delivery, causing permanent harm to mothers or infants requiring lifelong care.
  • Medical Malpractice: The incidents arise due to healthcare provider errors, including misdiagnosis, surgical mistakes, medication errors, and treatment failures that fall below accepted medical standards.
  • Dog Bites: Our personal injury lawyers can hold pet owners liable for their animals’ aggressive behavior.


How Much Money Can You Get From a Personal Injury Claim

There is no average value you can get from a personal injury claim. The outcome depends on the facts and circumstances of the incident. Here are the factors that influence the value of a personal injury claim:

Severity of Injury

The extent and impact of your injuries can determine if you’ll receive a higher or a lower settlement value. Minor injuries like bruises or short-term sprains typically result in lower settlement value because of the nature of the loss.

Catastrophic injuries command significantly higher compensation due to their life-altering consequences. Traumatic brain injuries, spinal cord damage resulting in paralysis, or permanent disabilities can warrant settlements from hundreds of thousands to several million dollars.

Severe injuries deserve a higher settlement value because they involve extensive current and future medical expenses. Injured victims with severe injuries may also endure lifetime care needs, lost earning capacity, home modifications, assistive and substantial pain and suffering.

Insurance Coverage of the Negligent Party

In most cases, the at-fault party’s insurance coverage is the source of compensation for the injured victim. The at-fault party’s insurance policy limits determine how much you can receive, regardless of your actual damages.

Many drivers in many states carry the minimum required coverage, ranging from $25,000 to $50,000 per person. If your damages exceed these limits, recovery becomes challenging unless additional coverage sources exist.

However, multiple insurance policies might provide coverage for your claim. The negligent party may have umbrella policies offering additional protection beyond standard liability limits. Your insurance coverage can supplement recovery through underinsured or uninsured motorist protection.

Alternatively, a personal injury lawyer can initiate a lawsuit to obtain compensation from the negligent party’s assets.

Shared Fault

Your level of fault in causing the accident directly reduces your compensation under shared liability laws. In states following shared fault rules, your recovery decreases by your fault percentage even if the other party is primarily responsible.

For example, if your damages total $100,000 but you are 30 percent at fault, your compensation will be reduced to $70,000.

Insurance companies aggressively argue for higher fault percentages to minimize payouts, so you should work closely with a personal injury lawyer. Defense attorneys scrutinize your actions before the accident, looking for any behavior contributing to the incident.

Even minor actions like exceeding the speed limit by five miles per hour can be used to assign partial fault and reduce your settlement. A personal injury attorney can use evidence like traffic camera footage to shield you from being blamed for the crash.

Availability of Evidence

Evidence is the foundation of all legal claims, including personal injury claims. Strong evidence increases compensation potential by establishing clear liability and documenting injury severity. Cases lacking clear evidence often settle for lower amounts.

A personal injury attorney can use the following sources of evidence to prove your case:

  • Images of the scene
  • Witness statements
  • Surveillance footage
  • Police crash reports
  • Expert Testimony


The availability of different sources of evidence makes it difficult for the insurer to dispute your claim. You can use medical records to link injuries directly to the accident or employment records to demonstrate income loss.

Conversely, weak or missing evidence substantially reduces claim values. Gaps in medical treatment, inconsistent injury documentation, or conflicting witness accounts allow insurance companies to question liability and minimize settlements.

Duration of Recovery Period

Extended recovery periods correlate with higher settlement values. Injured victims who spend months in treatment endure hefty medical expenses, longer income loss, and a reduced quality of life.

Permanent injuries with indefinite treatment needs warrant compensation for lifetime medical care, ongoing therapy, and permanent disability accommodations.

An injured victim with an extended recovery period may receive a higher settlement value due to pain and suffering. For example, they may endure chronic pain lasting months, years, or the rest of their lives.

Chances of Winning a Personal Injury Lawsuit

The chances of winning a personal injury lawsuit depend on the facts and circumstances of the case. However, most personal injury cases settle out of court, with only a small percentage proceeding to trial.

When cases reach trial, the outcome can vary. A personal injury lawsuit is an opportunity for a fair assessment before a judge or jury. Working with a personal injury attorney can enhance the chances of a positive outcome during trial.

A skilled personal injury attorney can investigate your case, gathering evidence like accident scene documentation or expert testimony to establish liability or prove your losses.

They also understand legal procedures, filing requirements, and court deadlines that inexperienced individuals often miss.

A personal injury lawyer also possesses negotiation skills that maximize settlement opportunities before trial becomes necessary. They know insurance company tactics, understand claim valuations, and leverage their courtroom reputation to secure favorable settlements.

When trials are unavoidable, a personal injury attorney can present compelling evidence, cross-examine defense witnesses, and argue persuasively to juries. A personal injury attorney levels the playing field against well-funded insurance companies with experienced defense teams.

Speak to an Experienced Personal Injury Lawyer

You’re likely to experience worsened mental health after sustaining an injury in a personal accident. For instance, you may suffer emotional distress if the events leading to a car crash were traumatic.

While you may be entitled to compensation for your losses, the negligent party’s insurer may downplay your losses by making a low settlement offer. A personal injury attorney can use evidence to demonstrate the extent of your losses and fight to maximize your settlement value.

Speak to a personal injury lawyer to understand and protect your legal rights.

Frequently Asked Questions

When Should I Hire a Personal Injury Attorney

Hire a personal injury attorney immediately after serious injuries, when liability is disputed, or for complex cases involving multiple parties. You should also hire a personal injury lawyer if insurance companies deny or undervalue claims or when medical bills exceed policy limits.

How Much Does a Personal Injury Attorney Cost?

Personal injury attorneys typically work on contingency fees, taking a percentage of your settlement with no upfront costs. Factors influencing fees include case complexity, attorney experience, geographic location, trial likelihood, and settlement timing.

You pay nothing unless you win, making quality legal representation accessible regardless of financial situation.

Will My Personal Injury Claim Go to Court

Most personal injury claims settle out of court through negotiations with insurance companies. Only a small fraction go to trial, typically when liability is heavily disputed, settlement offers are inadequate, or defendants refuse reasonable compensation.

A personal injury attorney will pursue a settlement, but prepare for trial if necessary to maximize your recovery.

How Long Does a Personal Injury Case Take to Settle

Settlement duration depends on injury severity, medical treatment completion, case complexity, insurance company cooperation, evidence gathering requirements, liability disputes, and negotiation willingness.

Complex cases with permanent injuries, multiple parties, or contested fault take longer. The experience of a personal injury lawyer and preparation influence the timeline and successful resolution.

Should I Talk to the Other Party’s Insurance

Never speak to the other party’s insurance without legal representation. Insurance adjusters seek to minimize payouts and may use your statements against you. They’re trained negotiators protecting their company’s interests, not yours.

Let a personal injury attorney handle all communications to protect your rights and maximize compensation.