Is My Settlement Offer Fair?

How to evaluate insurance settlement offers and know when to negotiate

7 min read
Updated January 2025

Quick Answer: Is Your Offer Fair?

First settlement offers are almost always unfair. Insurance companies typically offer 30-50% of a case's actual value as their opening position, expecting you to negotiate. If you received an offer quickly (within days or weeks), it's likely a lowball.

A fair settlement should cover:

  • 100% of your medical bills (past and future)
  • 100% of your lost wages and reduced earning capacity
  • Pain and suffering (typically 1.5-5x your medical bills)
  • Property damage

Find Out What Your Case Is Actually Worth

Compare your offer to what your case is worth based on injury type, location, and similar settlements.
Calculate My Fair Settlement Value

Red Flags: Signs of an Unfair Offer

Watch for these warning signs that your offer is too low:

Offer came within days of accident

Before you know the full extent of injuries

Offer doesn't cover all medical bills

You should never pay out of pocket for accident-related care

No compensation for pain and suffering

Only covers "out of pocket" expenses

Pressure to accept quickly

"This offer expires in 48 hours" is a manipulation tactic

Adjuster discourages getting a lawyer

A sign they know the offer is low

Offer is a round number with no explanation

"$5,000" without itemized breakdown is suspicious

Never Accept the First Offer

Studies show that people who negotiate receive 40%+ more than those who accept initial offers. The insurance company's first number is designed to be rejected.

Signs of a Fair Settlement Offer

A fair offer typically includes these elements:

Covers all medical expenses

Past treatment AND estimated future care

Includes lost wages and future earning loss

Especially if you can't return to your previous job

Pain and suffering is 2-4x medical bills

For moderate to severe injuries

Came after you reached maximum medical improvement

You know the full extent of your injuries

Itemized breakdown provided

Shows how they calculated each component

How to Evaluate Your Settlement Offer

Follow these steps to determine if your offer is fair:

Step 1: Calculate Your Total Damages

  • Medical bills to date: $_______
  • Estimated future medical: $_______
  • Lost wages: $_______
  • Future lost earning: $_______
  • Property damage: $_______
  • Economic total: $_______

Step 2: Add Pain and Suffering

Multiply your medical bills by the appropriate factor:

  • • Minor injuries: 1.5-2x
  • • Moderate injuries: 2-3x
  • • Severe injuries: 3-5x

Step 3: Compare to Your Offer

If your offer is less than 70% of your calculated total, it's likely too low. Counter-offer with a number higher than your target (leave room to negotiate down).

Get an AI-Calculated Estimate

Let our AI analyze your case against millions of settlements to estimate what's fair for your specific situation.
Calculate Fair Value

What to Do If Your Offer Is Too Low

1. Don't Panic or Accept

You have time. Statutes of limitations give you 2-4 years in most states.

2. Document Everything

Gather all medical records, bills, photos, and evidence of your damages.

3. Calculate Your Actual Value

Use tools like SetCalc to understand what similar cases settle for.

4. Send a Counter-Offer Letter

Itemize your damages and explain why you deserve more.

5. Consider Legal Representation

Attorneys typically increase settlements by 3.5x, even after fees.

Settlement Negotiation Tips

DO

  • ✓ Wait until you know full injury extent
  • ✓ Get everything in writing
  • ✓ Counter-offer higher than target
  • ✓ Use specific numbers, not ranges
  • ✓ Cite comparable settlements

DON'T

  • ✗ Accept quickly out of desperation
  • ✗ Give recorded statements
  • ✗ Sign medical authorizations
  • ✗ Admit any fault
  • ✗ Post on social media

The 3x Rule

As a general rule, if the insurance company's offer is less than 3x your medical bills for a moderate injury, you should counter. Most moderate cases settle for 2-3x medical expenses.

Know Your Case Value Before Responding

Don't negotiate in the dark. Get an AI-powered estimate of what your case is worth based on your injury, location, and similar settlements.

Calculate My Fair Value Free

Are You An Attorney?

Use AI to estimate settlements for your clients with a SetCalc Professional account.

Learn More
lawyer

DISCLAIMER: SetCalc is for informational purposes only. We do not provide legal advice or legal representation. We recommend consulting an attorney regarding your case.

ATTORNEY ADVERTISING: setcalc.com is not a law firm or an attorney referral service. The information provided on this site, or any affiliated postings such as videos, blogs, social media, or elsewhere, is not legal advice. No attorney-client or confidential relationship is, or will be, formed by usage of the site. This site is a pooled attorney advertisement. Participating attorneys and law firms who contact Requestors based on form submissions have paid an advertising fee. Do not rely on our service or statements from our service when deciding which attorney to hire. All settlement calculations are estimates only and should not be the basis of important legal decisions. Attorney review of estimate is subject to availability and may not be available for some case types, locations, or for those already represented by counsel. If unavailable, we will send estimate by email without attorney review. By submitting your contact info you agree an advertising attorney may contact you using any form of communication, including calls, emails, auto-dial, pre-recorded messages, and text messages. You understand consent is not a condition of purchase. Your use of this website constitutes acceptance of our Terms & Conditions and Privacy Policy.