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<- Back to the Legal Right of Commercial Divers
Witnesses and Statements
It is through the eyes and ears of fellow
divers, tenders and supervisors that the
legal proof of a legal claim is found.
Documentation is extremely important. As will be
discussed later, the insurance company investigators
and adjusters have enormous resources to investigate
a diver’s claim. Insurance company investigators go to
great lengths to secure statements and evidence.
An injured diver should obtain, as soon as possible, a list
of names, addresses and phone numbers of all personnel
aboard the vessel. Memories are short, especially in
the case of trauma following a CNS hit or through the
excitement and emergency of the moment.
Securing statements of witnesses shortly after the
accident serves two extremely important functions. First
of all, these statements capture the details of what,
why and how an accident occurred. Memories are
better shortly after the accident than when a diver or his
attorney seeks to acquire a statement several weeks,
months or years later. By that time, it may be too late.
Secondly, a written or recorded statement is impossible
to change at a later date. A tender may remember in
vivid detail the error or mistake made by the captain of
the vessel. Six months later, however, on the verge of
breaking out as a diver, subtle pressures may be placed
on the tender to “protect the interests of the company.”
Giving a Statement
An injured diver should never give a sworn
statement or written account of an injury.
Many a claim or lawsuit is jeopardized by the diver’s
rendering a statement to a “concerned” adjuster,
company claims representative or insurance company
investigator. The adjuster or insurance company
representative may explain that a statement of how the
accident occurred, written or recorded, is necessary
to “process the claim”, and, that without a statement
the settlement or maintenance checks will not be
forthcoming. This is complete nonsense.
Information regarding who caused the accident, or why
the accident occurred, is not required for obtaining
maintenance and cure benefts. The statement is taken
for one purpose and one purpose alone - to acquire any
information which may later be used against the injured
diver. The only requirement to obtain medical payment is
to assist in flling out an accident report for the company.
For injured divers, it is highly advised to never allow
anyone, with the exception of a treating physician, or the
diver’s attorney, to take a written or recorded statement.
When discussing a claim with an investigator or adjuster
over the phone, preface the discussion with a request
that the conversation is not to be recorded. Better still;
avoid unnecessary conversation with the adjusters and
investigators.
Be very cautious in flling out detailed intake forms
given to you by a company doctor. Certainly provide
information concerning your illness or injury. Be careful,
however, when the company physician asks you to give a
detailed account of how an incident occurred, who is to
blame for the injury and why.
Be aware that anything you write or report is forever
memorialized.
Photographs
Carrying a small camera in one’s gear is a minor
inconvenience which may later prove a very smart idea.
In the legal forum, a picture is surely worth a thousand
words. Nothing better conveys the message or the proof
of a wrongful act than a photograph.
Photography should not to infringe on company secrets
or compromise national security. Use discretion.
However there is no law whatsoever prohibiting a worker
from documenting through photography an unsafe
condition or practice. One’s flm and camera are personal
property.
Claims Adjusters
Following a dive accident, the administration of the claim
and any payments of medical bills may be taken out of
the hands of the dive company and placed in the hands
of the insurance company. At the forefront of this system
is the adjuster; his or her role is multi-faceted.
The insurance company, usually located in another state
or abroad, must have someone employed locally who can
learn about the incident and then inform the insurance
company whether the claim has merit, and if the claim
has merit, how much the insurance company should pay
to resolve the claim. To do so the adjuster must secure
witnesses’ statements and medical reports.
Another responsibility of an adjuster may be to negotiate
a settlement with the injured diver. At that point the
adjuster is working on behalf of the insurance company
or dive company. It is the goal of the adjuster to secure
a settlement at the lowest possible dollar fgure. The
adjuster is not advocating on behalf of the diver; any
representation to the contrary is untrue.
The relationship between the diver and the dive company
is of no consequence once the wheels of the claim are
put into motion. This occurs shortly after the accident. It
is the insurance company which must ultimately shoulder
the fnancial burden, and it is the insurance company
who, in the fnal analysis, “calls all of the shots.”
An adjuster’s or company’s promises to “make good
on the accident” or “to take care of our diver” lack
legal support unless they are preserved through a valid
written contract. If a diver is promised anything, such as
a job, pension benefts, etc., such an agreement should
be preserved in writing. As will be discussed later, all
settlements have great weight when in writing, but very
few oral agreements have substance.
Communications with adjusters, investigators or
insurance company representatives should be held to a
minimum. The diver will undoubtedly be assured that the
purpose of the communications is to acquire information
for the diver’s beneft. Remember that the only beneft of
any communication with an adjuster is one-sided, to the
beneft of the insurance company.
Adjusters are well-trained professionals who handle claims
on a day-to-day basis. They are seasoned veterans who
know their job very well. One rarely meets an adjuster who
is not a “nice guy.” To reduce the value of a diver’s claim
they will call him or her, talk with them and their family
members, employ private investigators, or do whatever
possible to gather information which has a detrimental
effect on the diver.
One method employed in the “adjusting process” is to
attempt to accompany the injured diver to a doctor’s
appointment. Nothing can have a greater chilling
effect on the doctor/patient relationship than to have
a stranger present. There is no legal requirement to
allow a company representative to attend a doctor’s
appointment. If faced with such a demand confde
in your doctor; they may understand and honor your
request for privacy. If the company doctor feels that it’s
a good idea that the adjuster attend you may want to
consider changing doctors.
An adjuster may coerce the diver by delaying
maintenance payments needed to provide for family
needs. If the diver feels uneasy discussing his or her
claim with an adjuster, it is probably for a good reason. In
dealing with insurance company adjusters, a diver is not
dealing on equal ground.
On numerous occasions we have seen adjusters called
as witnesses for a diving contractor at trial. After
months of being the injured diver’s “buddy” shows up
at trial testifying that the injured diver told them “a much
different story before hiring an attorney”. The adjuster
will read notes of personal and telephone conversations,
the goal to infuence a jury in a negative way.
Delise & Hall has been criticized on more than one
occasion for the foregoing remarks regarding adjusters;
most of the criticism has been levied by diving
contractors or by the adjusters themselves. It must be
noted and recognized that the adjusters are just doing
their jobs. Keep in mind that their job is not to help the
diver and they are being used to negotiate a settlement,
be aware that their job is to have the insurance company
write the smallest check possible to the diver to settle
their claim.
Investigators
During the stressful, unnerving period following an
accident, the concerns of the injured diver are more
often than not with survival – “how am I going to make it,
how can I provide for my family?” During this same time
period, the insurance company has already opened a fle,
assigned adjusters and attorneys and set the stage for an
anticipated, hopefully low, settlement.
While the diver is concerning himself with survival,
the insurance company may be only concerned with
“adjusting” the case. It is during this initial unnerving
period, immediately after the accident, that the role of
the investigator comes into play. It is his or her job to
uncover any evidence whatsoever to show that the diver
may be fabricating or exaggerating his or her injuries. The
insurance company will hire an investigator to follow, to
flm, or to otherwise document that the diver has reached
a point of full recovery or is faking his or her injury.
A regimen of jogging, swimming or weight lifting to get
back in shape will be documented on video and used
not as evidence of rehabilitation but as evidence that the
diver has reached full recovery or is malingering.
Delise & Hall has represented divers whose privacy
was disturbed for weeks by investigators in search of
damaging evidence. The frm has represented divers who
have had private investigators perched in trees on private
property in the hope of catching the diver in an awkward
position. Horror stories abound.
Once a claim is made, the injured diver lives in a fshbowl.
There is nothing illegal about hiring an investigator, and
it must be remembered that, as the police clearly say,
anything that you say or do will be used against you at a
later date.
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