Alternative Dispute Resolution and the Personal Injury Case

2:28 pm Auto Accidents, Lawsuits, Most Popular Posts, NY Courts, Practice Tips

Alternative dispute resolution (or ADR for short) is being increasingly pushed by the judiciary and insurance companies involved in civil litigation. The Federal courts even have pilot programs where ADR is mandated before a case can proceed to trial. The question for the personal injury attorney and client is whether ADR is a good thing.

There are three different methods of ADR presently in use in New York. They are mediation, arbitration and summary jury trials. Mediation and arbitration are by far the two most common, but summary jury trials are also increasing in frequency. Mediation is a process by which all parties agree to meet with a mediator. The mediator does not have authority to determine any issues, but merely tries to foster agreement among the parties and broker a settlement. The mediator has no interest in the outcome of the case, and acts as a neutral third party who looks at the potential evidence with the clear eye of someone not personally involved in the litigation. A skilled mediator can help each side to see their potential problem areas, and arrive at a reasonable settlement figure in light of the strengths and weaknesses of their case. If at the end of the mediation no agreement is reached, the case proceeds to trial.

Arbitration is a process whereby the case is heard by a neutral third party who DOES have the power to decide issues and render a judgment. Arbitrations can be held before a single arbitrator or a panel of three. The parties may agree to have a particular arbitrator apppointed, or an arbitrator may be appointed for the parties should they choose to go through an organization like the American Arbitration Association.

The summary jury trial is the most complex form of ADR. It is conducted through the court system, and as its name suggests, involves the use of a jury. It is essentially a non-binding mini-trial, where each party’s time to present their case is limited, the foundation requirements for evidence are waived, and the ability to call multiple witnesses is severely curtailed. While the form of a summary jury trial varies from place to place, the Plaintiff is often the only witness called, and medical evidence is presented through medical records only. Based upon the limited amount of evidence presented, the jury then renders a non-binding decision on both liability and damages.

Each form of ADR has its good and bad points. Mediations are often effective where each side comes to the table honestly working to settle the case, they are much cheaper than conducting a trial, and you can always proceed to trial if an agreement is not reached. Arbitrations are also much cheaper than a trial, but the result is binding on the parties except in very rare circumstances, and an appeal to address any legal errors made by the arbitrator is generally unavailable. Summary jury trials are an effective tool to help a party guage how receptive a jury will be to their arguments, and can help a party get a feel for the value of their case, but at the end of the day there isn’t necessarily an agreement and certainly no binding judgment.

All three methods of ADR can be useful in the right case. Here’s how I utilize the various methods. I will mediate almost any case so long as I agree to the mediator. Some mediators are great, with a 90% or greater success rate. But for every good mediator, there are three more who have little experience/skill at the job. I have had a good deal of success mediating cases of all sizes, and they are particularly effective in a case with multiple defendants.

I will only agree to arbitrate smaller cases where I have some say in who the arbitrator will be. I will not participate in arbitrations before a panel. The most frequent type of case I arbitrate is one in which there is a threshold issue (such as the serious injury threshold in an auto case) or where liability will be very difficult to prove. My view is that it is better to lose the case at an arbitration that won’t cost much than to spend thousands of dollars on a trial only to receive the same result.

I have to admit that I have little experience with summary jury trials, as they are used infrequently in the Southern Tier of New York. My philosophy, though, is similar to arbitration. There is little sense in submitting a good case with substantial value to a summary jury trial, as nothing good can come of it. I only agree to this form of ADR in a case with limited value or difficult liability issues, though I would also shy away from the difficult liability issue as a negative verdict would only hurt your position with the insurance carrier and make settlement that much more difficult.

Those are my thought on ADR, for what they are worth. Other attorneys’ experience may vary, but I think I am likely in the majority. The great unknown is always the individual case you are handling and the skill of the attorney handling the case. Difficult cases prepared effectively and meticulously can still result in a good outcome, and insurance companies are understandably wary of any case in the hands of a skilled attorney. The key is to show the insurance company that they run the risk of significant exposure by forcing the case to trial. Show them that risk, and odds are that the insurance company will show YOU the money!

Thanks for reading,

Adam M. Gee, Esq.
Personal Injury and Malpractice Attorney
Ziff, Weiermiller, Hayden & Mustico, LLP
303 William Street
Elmira, NY 14901
Phone: (607)733-8866
Fax: (607)732-6062
Email: agee@zifflaw.com
www.zifflaw.com

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4 Responses

  1. Louis Schepp Says:

    At

    http://www.nycourts.gov/courts.....ml#summary

    is the Summary Jury Trial Program (SJT) Information Sheet for Bronx Supreme Court. The first entry is the following: “An SJT is a binding one day jury trial with relaxed rules of evidence.” So it would appear that a SJT is a binding mini-trial, at least in the Supreme Court 12th Judicial District, Bronx County, NY site says it is?

  2. AdamGee Says:

    Louis is correct in noting that the Summary Jury Trial Process in Bronx County is binding. This is different than the way it is generally run upstate. Chautaqua County (in the southwest corner of New York) is generally credited with starting the SJT process in New York, and it is and generally remains a non-binding process. It remains that way in Chautaqua County, here in Chemung County where our firm is based, and to my knowledge remains that way in the upstate cities where it is starting to gain a foot hold. Personally, I like the idea of a binding SJT process better, as the biggest downside of SJT’s is that there is no agreement at the end of the day, and little to be gained from the Plaintiff’s perspective.
    Thanks for the information and link, Louis!

  3. Daniel Eisenberg, D.C. Says:

    Hi,
    I am the clinical administrator of a very large mulitispecialty medical center in the Bronx. I found your last post very informative. Can you comment on which direction you advise for providers fighting with the insurance company.

  4. AdamGee Says:

    Dr. Eisenberg – my answer depends on the circumstances giving rise to the treatment. In a case where the injuries you are treating arise out of an automobile accident, I believe that disputes with the no-fault carrier are required to be arbitrated with the American Arbitration Association (AAA). The injured party also has the right to arbitration, but we refuse to arbitrate denials of care for our personal injury clients as a finding that the medical care recieved was not necessary and appropriate, or worse, that the injury for which treatment was rendered is not causally related to the motor vehicle accident, is binding on the Plaintiff in the personal injury case. In all other cases you will need to look at your contract language to determine the rights that you have. Very often, you will have the right to sue. When you have that right, my recommendation would be to sue whenever possible, as a judge is far more likely to be sympathetic to your cause and skeptical of the insurance company trying to shirk its obligation to pay for medical care than an arbitrator will be. Depending on the amount of the bill, you may be able to bring your claim in Small Claims Court or New York City’s Civil Court. Your attorney’s fees will be much less in Civil Court, and you can proceed in Small Claims Court without an attorney at all. The insurance companies really dislike the court system, because they are deathly afraid of creating binding precedent that can be used against them in future cases. You may find that once a case is sued, they are more willing to amicably discuss the matter. I wish you the best of luck.

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