Arbitration and Mediation of Bad Faith Insurance Claims

A bad faith insurance claim may arise if an insurance company is accused of wrongful conduct, that is unreasonable or malicious, fraudulent or oppressive. These claims may arise when an insurance company refuses to pay benefits for a valid claim. If there is malicious conduct, this may expose the insurance company to having to pay punitive damages if the claim against it is proved.

The parties involved in a dispute of this nature may decide to try to resolve it through mediation or arbitration. In mediation, the mediator does not have authority to impose a decision on the parties. The mediator’s role is to help the parties reach an agreement together. In arbitration, the arbitrator conducts a hearing similar to a litigated case. He or she renders a legally-binding decision.

Arbitration proceeds much like a typical court case. Each side can call witnesses, present evidence and make arguments through their attorney. Mediation is more informal in nature and often levels the playing field between parties who may be on different power levels.

Both forms of alternative dispute resolution have advantages over traditional litigation. Mediation and arbitration are both confidential processes. Either one can help avoid the bad publicity potential that arises with litigation. This may be an important consideration in a bad faith case. Both processes are usually able to wrap up the case in far less time than litigation would entail. In litigation, it may take substantial time to convince an insurance company of the merits of the case. It must often be convinced that the denial of the claim was wrong. Mediation or arbitration may get the insurance company to accept this in a way that litigation might not. In some situations, the insurance company may agree to pay on the original claim to avoid the furtherance of a bad faith claim.

Differences between the Appellate Process and the Trial Process

When an individual loses a case, he or she may make the decision to appeal it.  Many individuals view this as a second chance to win.  However, the appellate process is very different from the trial process.

One way that the appellate process is different is that it usually does not involve the physical presence of a lawyer like the trial process does.  Many appeals are decided by the review of a written brief only.  If the court accepts a request for oral argument, an attorney may then be involved.  Rather than presenting a case, though, the attorney instead responds to a series of questions by a judge or panel of judges.  The other side does the same.  A trial attorney is often physically present for the trial, as well as during multiple motions made and hearings scheduled before the trial.  In this sense, it is more important that an appellate attorney be able to have strong written communication skills and an ability to think on his or her feet, as opposed to the charm that may make a successful trial attorney.

Another important distinction between trial and appellate cases is the type of information that is shared with the court.  In an appellate case, the court reviews the official record.  This in contrast to a trial attorney presenting evidence during the trial.  The appellate attorney does not present evidence like he or she does during the trial process.  Instead, the appellate attorney focuses on showing that the trial court made some type of error.  He or she cites to such errors that are part of the official record.

Whereas a trial court often includes a jury to decide the case, an appellate court’s decisions are only reached by a judge or panel of judges.