Do I Need a Lawyer for an Uninsured Motorist Claim with My Own Insurance Company?

TL;DR: You do not have to hire a lawyer to file an uninsured motorist claim with your own insurance company. However, an attorney may help if the insurer disputes coverage, fault, injuries, or compensation. Counsel can review your policy, organize evidence, handle negotiations, and explain dispute procedures.

You are not legally required to hire a lawyer for an uninsured motorist (UM) claim with your own insurance company, but whether you should depends on how serious the injuries or damages are and how your insurer responds.

Some claims can be handled directly with an insurer. Others may benefit from legal representation, especially when injuries are serious, multiple people seek coverage, or a disagreement remains unresolved.

A lawyer you choose represents your interests, not the insurer’s. They can examine whether your policy applies, identify missing evidence, and help address disagreements with the claims adjuster.

Table of Contents
    REVIEWED BY
    Arash Khorsandi, Esq., Attorney at Law
    Arash Khorsandi

    California State Bar #249405
    Admitted 2007
    California Personal Injury Attorney

    Last reviewed:

    The Driver Who Hurt Me May Be Uninsured, and I May Need to Use My Own Coverage. What Would An Injury Lawyer Do If the Claim Is with My Insurance Company?

    An injury lawyer can review your insurance coverage, investigate the accident, evaluate your injuries, and help resolve disputes with your own insurer. The attorney may also handle communications regarding your claim and explain your legal options.

    Depending on your case, an attorney may:

    • Review Your Insurance Coverage: Examine your policy, UM/UIM endorsements, exclusions, and the other driver’s insurance status to determine what coverage may apply. If several people were injured, counsel can review each person’s eligibility and any shared coverage limits.
    • Investigate the Accident: Review collision reports, photos, and witness statements to assess fault and compare the evidence with the insurer’s findings.
    • Evaluate Your Injuries and Losses: Examine medical records, treatment costs, lost wages, and other documented losses to identify missing evidence or disputed amounts.
    • Review an Existing Claim: Examine previous statements, insurer requests, coverage decisions, and settlement offers. You can hire an attorney even after opening a claim.
    • Communicate With Your Insurer: Coordinate discussions with the adjuster, respond to disputed issues, and help you meet valid policy requirements.
    • Explain Dispute Resolution Options: Negotiate a settlement or determine whether arbitration or another legal process may be appropriate.

    Whether hiring a lawyer is worthwhile depends on your injuries, any unresolved coverage or claim issues, and the fees and costs involved. A lawyer can handle insurer communications and help you meet your obligations under the policy, including responding to valid requests for information. However, legal representation does not guarantee coverage or a higher settlement.

    Key Facts About Hiring a Lawyer for an Uninsured Motorist Claim

    • Hiring a lawyer is optional. You can file an uninsured motorist claim with your own insurance company without an attorney. Legal representation may help when coverage, fault, injuries, or compensation are disputed.
    • Your policy determines what coverage may apply. An attorney can review your declarations page, UM/UIM endorsements, and applicable California law. Coverage should not be assumed without reviewing the policy. (California Insurance Code §11580.2)
    • You must still cooperate with valid insurer requests. Hiring an attorney does not remove your contractual duties. Counsel can help you understand and respond to required statements, records requests, or examinations.
    • Not every insurance dispute requires arbitration. California Insurance Code §11580.2(f) provides for the arbitration of certain liability and damages disputes. Coverage questions may require a different legal process.
    • Claim deadlines can affect your rights. Insurance Code §11580.2(i) generally requires specific action within two years of the accident to preserve a UM claim, subject to applicable exceptions. Simply opening a claim may not be enough.
    • Legal fees and case expenses matter. Before hiring counsel, ask what services are included, how fees are calculated, and who pays case expenses. California Business and Professions Code §6147 governs qualifying contingency fee agreements.

    Checklist: What Should You Ask Before Hiring an Injury Lawyer?

    Use this checklist to compare what your insurance adjuster says with what a prospective lawyer can review. Check each box after discussing the question. The last column identifies relevant documents and any unresolved issues.

    What To Ask Your Insurance Adjuster What To Ask a Prospective Lawyer What to Check


    Policy, declarations page, and UM/UIM endorsement; whether coverage applies to this accident.


    Policy definitions and accident details; whether each injured person qualifies as an insured.


    Collision report, photos, and witness accounts; any unresolved questions about fault.


    Medical records, bills, and wage records; which losses remain undocumented or disputed.


    Policy terms and insurer requests; what information or participation is required and whether any requests need clarification.


    Denial letter or settlement offer, cited policy provisions, and supporting evidence; the reasons for the decision and any disputed findings.


    Policy, notices, proposed releases, and applicable California law; unresolved deadlines, required actions, and any consent requirements.


    Policy provisions and dispute correspondence; the issues in dispute and the appropriate process for resolving them.


    Payment history, proposed deductions, and the lawyer’s proposed fee agreement; how payments, deductions, fees, and expenses may affect your net recovery.

    Before Hiring a Lawyer

    Review the following points before deciding whether legal representation is right for your claim:






    You may benefit from legal representation if your insurer disputes coverage, fault, or documented losses, or if you are unsure how to proceed. Uninsured motorist accident attorneys can help you evaluate these issues before you decide whether to hire counsel.

    Important: A California attorney should review your actual insurance policy and current state law before advising on coverage, arbitration, settlement consent, or claim deadlines.

    How a UM/UIM Claim Differs from Suing an At-Fault Driver

    A UM/UIM claim with your own insurer is generally a first-party insurance claim based on the coverage provided by your policy. A lawsuit against an at-fault driver is a separate claim seeking to hold that driver legally responsible for injuries.

    The distinction matters because the parties have different responsibilities.

    Claim or Representation Who Is Involved? What Does It Address?
    First-party UM/UIM claim You and an insurer providing coverage under an applicable policy. Whether the coverage applies and what benefits may be payable.
    Third-party injury claim You and the allegedly responsible driver or another liable party. Whether that party is legally responsible for your injuries and losses.
    Insurer-provided defense counsel An attorney appointed by an insurer to defend an insured against a covered claim. Defense of the person facing a claim or lawsuit, subject to applicable duties and the representation arrangement.
    Your privately retained injury lawyer You and the attorney you choose. Advice and representation concerning your claim, within the agreed scope of services.

    Your insurance company evaluates your UM/UIM claim under your policy and applicable California law, including Insurance Code § 11580.2. If you disagree with its findings about coverage, fault, or compensation, an injury lawyer can independently review the evidence and help address unresolved issues. Learning about the importance of uninsured and underinsured motorist coverage in California can help clarify how your own insurance may protect you after an accident.

    An attorney appointed by an insurer to defend someone against a lawsuit is not automatically your personal lawyer for a UM/UIM claim. You can hire your own attorney for independent advice without necessarily filing a lawsuit against your insurer.

    Do You Have to Cooperate With Your Own Insurance Company?

    Insurance adjuster discussing an injury claim with a man wearing an arm slingYes. Your insurance policy may require you to cooperate with reasonable claim investigations, even if you hire a lawyer. Your insurer also has a duty to handle your claim fairly and in good faith.

    Responsibilities you may have under your policy may include:

    • Reporting the accident: Notify your insurer within the time required by your policy.
    • Providing records: Submit relevant medical bills, treatment records, and proof of lost income.
    • Giving accurate information: Respond truthfully to required questions and statements.
    • Attending examinations: Participate in medical examinations or other procedures required by applicable policy terms and California law.
    • Meeting deadlines: Respond to valid requests and take steps to preserve your claim.

    For UM claims in arbitration, California Insurance Code § 11580.2(o) also addresses medical examinations and certain requests for medical records and wage-loss information.

    Hiring a lawyer does not remove these responsibilities. However, they can review the insurer’s requests, explain your obligations, and help coordinate responses.

    Your insurer must also act in good faith when handling your claim. California law requires insurers to follow fair claims-handling standards, including:

    • Conducting a fair and objective investigation.
    • Avoiding unreasonable delays in handling claims.
    • Explaining the basis for claim denials.
    • Following applicable claims-handling requirements.

    (California Insurance Code § 790.03(h); 10 CCR § 2695.7)

    A disagreement with your insurer does not automatically mean it acted in bad faith. If you disagree with its findings, you can request a written explanation, provide additional evidence, or seek legal advice.

    Car accident claims lawyers can help determine which steps apply to your claim. Any coverage, arbitration, or settlement-consent requirements should be reviewed under your actual policy and current California law.

    How Are Disputes With Your Own Insurer Resolved in California?

    Disputes over a California uninsured motorist claim may be resolved through negotiation, arbitration, or court proceedings, depending on the issue.

    • Negotiation: You or your lawyer can request the insurer’s reasons, provide additional evidence, and seek an agreement on fault or compensation.
    • Arbitration: If you and your insurer cannot agree on the uninsured driver’s liability or your damages, Insurance Code § 11580.2(f) generally requires arbitration. A single neutral arbitrator reviews the evidence and issues a binding decision. Arbitration differs from a court trial, and judicial review is limited.
    • Court Proceedings: Coverage questions, such as whether you qualify as an insured, generally require court determination unless an agreement provides for their arbitration. Courts may also address requests to compel arbitration or enforce an award.

    In Bouton v. USAA Casualty Insurance Co. (2008) 43 Cal.4th 1190, the California Supreme Court distinguished coverage questions from liability and damages disputes. A coverage denial therefore does not automatically belong in the same arbitration process as a disagreement over compensation.

    An attorney can identify the disputed issue, review your policy, and determine the appropriate procedure. Continuing negotiations alone may not preserve your claim or satisfy arbitration deadlines.

    What Is the Deadline for Preserving a California UM Claim?

    Insurance Code § 11580.2(i) generally requires a qualifying action within two years of the accident to preserve a claim under the statutory UM coverage framework.

    The statute identifies three alternatives:

    1. File a bodily-injury lawsuit against the uninsured motorist in a court with jurisdiction.
    2. Agree on the amount due under the policy.
    3. Formally institute arbitration by sending the insurer the required written notice through certified mail, return receipt requested, as specified by the statute.

    Merely opening a claim or sending an informal request should not be assumed to satisfy these requirements.

    The statute also addresses the time to conclude arbitration and limited circumstances that can excuse noncompliance. Insurance Code § 11580.2(k) contains a separate notice and tolling provision for certain pending claims.

    An accident lawyer should review the precise deadline and preservation requirements for your circumstances, particularly if the deadline is approaching. Additional conditions may apply to underinsured motorist claims.

    If your claim deadline is approaching, consider seeking legal advice promptly. Call Arash Law at (888) 488-1391 for a free case evaluation. Our injury attorneys will review your policy, your accident facts, and your injury records to explain where your claim stands. There is no cost and no obligation to hire us afterward.

    What Should You Know About the Scope and Cost of Hiring an Attorney?

    Before hiring an injury lawyer, ask what services they will provide, how much they charge, and who pays case expenses. Understanding these details can help you decide whether legal representation is right for your uninsured motorist claim.

    Scope of Legal Representation

    An attorney may handle some or all parts of your claim with your own insurer. Depending on your agreement, these services may include:

    • Reviewing your insurance policy and available coverage.
    • Gathering accident reports and medical records.
    • Communicating and negotiating with your insurer.
    • Preparing for arbitration or other legal proceedings if needed.

    Ask which services are included and whether separate proceedings, such as coverage lawsuits or appeals, would require another agreement.

    Attorney Fees and Case Expenses

    Many personal injury lawyers work on a contingency fee basis, meaning legal fees depend on recovering compensation. The attorney’s fee is a percentage of what they recover for you. California Business and Professions Code § 6147 generally requires contingency fee agreements to be in writing and explain the fee percentage and how case costs will be handled.

    Attorney fees and case expenses are different. Expenses may include medical records, expert witnesses, and arbitration costs. Ask whether you must pay these expenses if your claim is unsuccessful.

    How Legal Fees Affect Your Recovery

    Attorney fees and case expenses may reduce the amount you receive from a settlement or award. Before signing an agreement, ask how much you could receive after applicable deductions.

    Hiring a lawyer does not guarantee a higher settlement. Review the services, fees, and possible costs before deciding whether representation is worthwhile.

    Frequently Asked Questions About Uninsured Motorist Claims in California

    Does Uninsured Motorist Coverage Apply to Hit-and-Run Accidents?

    Yes, UM coverage may apply to qualifying hit-and-run accidents in California. When the driver is unknown, Insurance Code § 11580.2(b) generally requires physical contact with the insured or the vehicle they occupy, a police report within 24 hours, and a sworn statement to the insurer within the statutory 30-day period. An attorney can review whether these requirements and the applicable policy terms are satisfied.

    Injured woman discussing an uninsured motorist claim with her attorney

    What If the Other Driver Had Some Insurance, but Not Enough to Cover My Injuries?

    You may qualify for underinsured motorist (UIM) benefits if the other driver’s bodily injury liability limits are lower than your applicable UIM limits. Insurance Code § 11580.2(p) generally requires exhaustion of applicable bodily injury liability coverage through qualifying settlement or judgment payments before UIM benefits become available. An attorney can review the limits, payment records, and other coverage requirements.

    Do Insurance Companies Sue Uninsured Drivers After Paying a UM Claim?

    Yes, an insurer may pursue an uninsured driver after paying a UM claim. This is called subrogation. Under Insurance Code § 11580.2(g), the insurer may seek reimbursement from a legally responsible party up to the amount it paid. Whether the insurer pursues recovery depends on the circumstances. Any effect on other claims or recoveries requires separate review.

    Does My UM Coverage Automatically Cover All Passengers in My Vehicle?

    No. Not every passenger automatically qualifies for UM benefits. Insurance Code § 11580.2(b) includes certain occupants of an insured vehicle within its definition of an insured person. However, coverage depends on the vehicle, the applicable policy terms, statutory exclusions, and the circumstances of the accident. An attorney can review each injured person’s eligibility.

    What If My Injuries Don’t Appear Until Days After the Accident?

    You may still pursue a UM claim if symptoms appear days after the accident. Seek medical attention when symptoms develop and explain when they began. Medical records may help document your condition and its possible connection to the crash. An attorney can review the evidence and help you respond to insurer requests while meeting applicable cooperation requirements.

    Will I Have to Sue My Own Insurance Company?

    No, filing a UM/UIM claim does not automatically require you to sue your insurer. Under Insurance Code § 11580.2(f), certain disagreements about the other driver’s responsibility or the amount of damages are resolved through arbitration. Coverage disputes may require court review. A separate lawsuit may be appropriate in some circumstances, but a disagreement alone does not establish the insurer’s bad faith.

    Does Uninsured Motorist Coverage Apply to Pedestrian and Cyclist Accidents?

    Yes, UM coverage may apply when an uninsured motorist injures a qualifying insured pedestrian or cyclist. California Insurance Code §11580.2(b) includes certain insured persons even when they are not occupying a vehicle. Coverage depends on the person’s insured status, policy terms, and the circumstances of the accident.

    What Is the Two-Year Deadline, and What Happens If I Miss It?

    California Insurance Code §11580.2(i) generally requires specific action within two years of the accident to preserve a UM claim. Qualifying actions include filing a bodily injury lawsuit against the uninsured driver, reaching an agreement on the amount due, or formally starting arbitration through the required written notice. Failure to meet the applicable requirements may prevent recovery, although statutory exceptions or tolling rules may apply. Simply opening an insurance claim may not preserve your rights.

    Talk to Arash Law About Your California UM/UIM Claim

    If you are considering hiring a lawyer for a claim with your own insurer, Arash Law can review your policy, accident evidence, medical records, and claim communications.

    Our team can discuss unresolved coverage questions, possible next steps, and the scope and cost of representation. Hiring counsel does not guarantee insurance benefits or a larger recovery.

    Call (888) 488-1391 to discuss your situation. We offer free case evaluations!


    Sources

    1. California Insurance Code § 11580.2. Uninsured and underinsured motorist coverage, insured-person definitions, claim-preservation deadlines, arbitration, medical examinations, subrogation, and settlement requirements.
      https://leginfo.legislature.ca.gov/faces/codes_displaySection.xhtml?sectionNum=11580.2.&lawCode=INS
    2. California Insurance Code § 790.03(h). Unfair insurance claims settlement practices, including claim investigations, communications, and good-faith settlement obligations.
      https://leginfo.legislature.ca.gov/faces/codes_displaySection.xhtml?sectionNum=790.03.&lawCode=INS
    3. California Code of Regulations, Title 10, § 2695.7. Standards for prompt, fair, and equitable claim settlements, including fair investigations, claim decisions, and explanations of denials.
      https://www.insurance.ca.gov/01-consumers/130-laws-regs-hearings/05-CCR/fair-claims-regs.cfm
    4. California Business and Professions Code § 6147. Requirements for written contingency fee agreements, including attorney fees, case expenses, and the scope of financial arrangements.
      https://leginfo.legislature.ca.gov/faces/codes_displaySection.xhtml?sectionNum=6147.&lawCode=BPC
    5. Bouton v. USAA Casualty Insurance Co. (2008) 43 Cal.4th 1190. California Supreme Court decision distinguishing disputes about insured status and coverage from issues subject to statutory uninsured motorist arbitration.
      https://www.leagle.com/decision/2008123343ncal4th119011220

    Disclaimer

    Past results do not guarantee future outcomes. Every case is different. The information on this page is for general educational purposes and does not constitute legal advice. No attorney-client relationship is formed by reading or relying on this content. If you were injured, consult a licensed California personal injury attorney about your specific situation. Arash Law: (888) 488-1391.

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    ABOUT THE AUTHOR
    Arash Khorsandi, ESQ
    Founder, Arash Law

    Arash Khorsandi, Esq., is the owner and founder of Arash Law, an established personal injury law firm in California. Over the years, Arash has built a team of experienced lawyers, former insurance company adjusters, and skilled paralegal staff who work to pursue positive outcomes for his clients’ cases. Our California personal injury law firm handles claims across multiple practice areas.

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