Claims Tips
Someone else just hit you in Georgia. Their insurance is supposed to pay, but not always quickly and not always in full. Here is a plain-language guide to what your auto policy actually pays for in a not-at-fault accident, and what to do in the first 72 hours to protect your claim.
Someone hit you. The other driver was clearly at fault. So their insurance pays for everything, right?
In Georgia, the answer is yes in theory and complicated in practice. Their carrier should pay. But the process takes longer than you expect, the offer comes in lower than you expect, and there are things their carrier will simply not cover that your own policy might.
Here is what actually happens, in plain language, when a Georgia driver is hit by another driver.
Georgia is what is called a fault state for auto accidents. The driver who caused the accident, or rather their insurance, is responsible for paying for the damage. This is different from no-fault states (Florida, Michigan, and others) where each driver's own insurance pays first regardless of who caused the crash.
What this means for you: if someone else hit you, you file a claim against their carrier. You also have the right to file a personal injury lawsuit against the at-fault driver directly. There is no waiting period or arbitration step you have to go through first.
Georgia also follows a rule called modified comparative negligence. If you are found to be 50 percent or more at fault for the accident, you cannot recover damages from the other driver. If you are 1 to 49 percent at fault, your recovery is reduced by your percentage. This rule matters in disputed-fault cases more than in clear-cut ones, but it is worth knowing.
The at-fault driver's liability insurance is supposed to cover:
In a clear-fault case with good documentation, their carrier will pay. The catches are:
Their limits may be too low. Georgia's minimum required auto liability limits are 25,000 dollars per person and 50,000 dollars per accident for bodily injury, and 25,000 dollars for property damage. If the at-fault driver carries only the state minimum and your medical bills run 60,000 dollars, their carrier pays 25,000 dollars and stops. The remaining 35,000 dollars is on you, unless your own policy fills the gap (more on that below).
Their carrier may dispute fault. Even in cases that look clear-cut to you, the at-fault driver's adjuster works for the carrier and is trained to minimize payouts. Disputed fault means a slower claim and often a lower offer.
Their carrier may lowball you. First offers on totaled vehicles or injury claims are routinely below actual cost. The carrier knows most people will accept the first offer to be done with the process.
Even though you were not at fault, several coverages on your own auto policy may pay before the other carrier does, or alongside them.
If you have collision coverage on your policy, your carrier can repair your vehicle right away and then go after the at-fault driver's carrier for reimbursement. This process is called subrogation. The advantage: you get your car fixed in days, not weeks. The trade-off: you pay your collision deductible up front, which your carrier should refund once they recover from the at-fault carrier.
This is the most important coverage most Georgia drivers do not understand. Uninsured motorist (UM) pays when the at-fault driver has no insurance at all. Underinsured motorist (UIM) pays when the at-fault driver has insurance but not enough to cover your losses. Georgia law requires carriers to offer UM and UIM, and most drivers carry it without realizing how often it actually pays out.
If you have 100,000 dollars of UIM coverage and the at-fault driver has only 25,000 dollars in liability, your UIM can pay up to 75,000 additional dollars toward your medical bills and lost wages. Without UIM, that 75,000 dollars comes out of your pocket or you sue the driver personally and hope they have assets.
Often called MedPay, this pays your medical bills regardless of fault and regardless of what the other carrier eventually pays. It is usually low limit (1,000 to 10,000 dollars) but it pays fast and without waiting for the fault investigation to resolve.
If your policy includes rental reimbursement, your carrier pays for a rental while yours is being repaired, even if the at-fault carrier eventually reimburses. This avoids the back-and-forth of waiting for the at-fault carrier to authorize a rental.
For vehicles that are totaled (repair cost more than vehicle value), the at-fault carrier offers what they call actual cash value. Their valuation tool often uses depreciated comparables that do not match your local market. Georgia drivers in Atlanta or the North Georgia suburbs frequently see initial offers 1,500 to 4,000 dollars below what they would actually pay to replace the vehicle.
You are not required to accept the first offer. Counter with comparable vehicles for sale in your zip code, your maintenance records, recent repairs, and any aftermarket equipment. A good independent agent can help you put together this counter and push back.
For property damage and minor injury claims, your agent and your carrier can usually handle the back-and-forth with the at-fault carrier. No attorney needed.
For serious injuries (anything requiring extended medical treatment, surgery, or causing missed work beyond a few days), a personal injury attorney is worth talking to. Georgia has a two-year statute of limitations on personal injury claims and a four-year limit on property damage claims, so do not delay forever, but you have time to get the right advice.
If you are a current Olive Cover client and you are in a not-at-fault accident in Georgia, call us. We will:
If you are not yet a client, the Georgia 25/50/25 minimum is almost certainly not enough coverage for the kind of crash that puts somebody in the hospital. A free coverage review will show you exactly what your current policy pays for and where the gaps are.