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CLAIMTALKTHE CLAIMANT COMES FIRST
ClaimTalk
Claimant Guidance

Dealing with
your claim.

Most of the process happens around you. The decisions that matter — and that cannot be undone — are concentrated at two specific points. This page explains where those points are and what the process requires of you throughout.

General guidance only. Not legal advice. No referrals. No percentage taken.

A personal injury claim is not something that requires constant attention. Much of it involves waiting. But within that process, there are specific moments where the claimant's role matters significantly — and where the decisions made are permanent.

Understanding which stages are passive and which are active changes how the process feels. Most claimants experience the entire claim as uncertain and demanding. In practice, most stages require very little. Two require real attention. Understanding which two stages matter most changes how the process feels.

Your role at each stage
01 Before submitting — gather
02 After submission — wait
03 Liability — note and respond if needed
04 Medical exam ← Critical
05 Medical report review ← Critical
06 Offer stage — consideration and response
07 Settlement — permanent decision
What this page covers

Seven stages. For each one: what the process does automatically, what the claimant's active role is, and what — if anything — cannot be undone.

1–2 Before and after submission What to gather, record and do before the claim is submitted — and what the waiting period requires
3 Liability decision What happens automatically, what a partial admission means, and when a response is needed
4–5 The medical stages The examination and the report review — the two points where claimant preparation has the most influence on the outcome
6–7 Offers and settlement What decisions are yours, what cannot be deferred indefinitely, and what acceptance closes permanently
01

Before submitting — what is typically gathered

The period immediately after an accident is the only opportunity to gather certain types of evidence. Some of it cannot be recovered later.

Active stage

This is one of the most active periods in the entire process. Evidence gathered close to the accident date carries significantly more weight than evidence gathered weeks later — and some of it disappears entirely if not preserved promptly.

At the scene — what to record

The other driver's name, address, vehicle registration and insurance details are the foundational information the claim depends on. Photographs of vehicle positions, road conditions, damage and any visible injuries create a contemporaneous record of what happened and when. Witness names and contact details matter most if liability is later disputed — people who see accidents rarely come forward unprompted later.

Dashcam footage overwrites automatically. Copying the relevant clip to a separate location promptly means it is preserved if needed. A police reference number, if officers attended, is worth recording.

Scene evidence is the only type that cannot be recreated. The opportunity to gather it exists only once.
Medical attendance — early records matter

Early medical attendance after an accident creates a contemporaneous record that directly links the accident to the injuries. Medical records from close to the accident date carry more evidential weight than records made weeks later. The absence of early medical records can complicate the evidential picture.

This applies whether injuries feel minor or significant at the time. Symptoms from soft tissue injuries often develop over the days following an accident and an early record reflects the starting point of that recovery.

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Financial losses — how they are recorded

Special damages — the financial losses caused by the accident — are a separate component of the claim and are assessed entirely on what can be evidenced. Travel costs to medical appointments, prescription receipts, treatment invoices and records of any time off work all form part of this. Records kept from the moment of the accident are far easier to substantiate than those reconstructed later.

A simple ongoing note of dates, amounts and what each expense relates to is sufficient. Receipts, payslips and employer letters support the claim when the offer stage arrives.

A symptom diary — how it is used

A regular record of symptoms — pain levels, activities affected, effects on sleep, driving, work and household tasks — serves two purposes. First, it helps give an accurate account at the medical examination, particularly if the examination takes place months after the accident when the worst period may feel distant. Second, it creates a contemporaneous record that can support the prognosis period stated in the medical report.

A dated note made at the time — however informal — carries more weight than a reconstruction made later. The format does not matter. The contemporaneous nature of it does.

02

After submission — the waiting period

Once the claim is submitted through the OIC portal, the process enters its first extended waiting period. The claimant's active role here is minimal — but there are specific things worth noting.

Largely passive stage

The liability window — up to 30 working days — is a period where very little is required of the claimant. The insurer is reviewing the claim. The portal does not send frequent updates. Silence during this period is the expected experience, not a sign that anything has gone wrong.

The submission date — why it matters

The date the claim is submitted is the reference point for everything that follows. The 30 working day liability deadline runs from this date — not from the accident date. Having this date recorded makes it straightforward to assess whether the liability window has passed and whether a formal response is overdue.

30 working days excludes weekends and bank holidays. This is approximately six calendar weeks.
Financial records during the waiting period

Financial losses can be added to the claim up until the point an offer is requested. Any expenses incurred during the waiting period — travel, treatment, prescriptions — are part of the special damages claim. Keeping records of these as they occur means nothing is missed when the offer stage arrives.

If the deadline passes without a response

If 30 working days pass after submission without a formal liability decision, the OIC portal has a mechanism to record non-response — this has defined consequences for the insurer. This is used through the portal itself rather than through informal contact.

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03

The liability decision — what it means for you

The liability decision is the insurer's formal position on responsibility. What it contains determines what happens next.

Full admission — what follows

A full admission of liability means the insurer accepts that their policyholder was responsible for the accident. The claim moves directly to the medical stage. No action is required at this point other than logging in to the portal to confirm the status and wait for the medical instruction to be issued.

Partial admission — what it means

A partial admission — sometimes called a split liability decision — means the insurer accepts some fault but argues the claimant also contributed to the accident. The percentage matters: a 75/25 split means any eventual settlement is reduced by 25 per cent. The admission percentage is worth recording precisely.

If the split percentage does not reflect the actual circumstances of the accident, it can be disputed through the portal. The insurer's position is not a final determination — it is a starting position that can be challenged.

Denial — what it means

A liability denial does not end the claim. It means the insurer disputes that their policyholder was at fault. The denial must include reasons — the insurer cannot simply decline without explaining their position. Those reasons tell the claimant exactly what is being disputed.

Evidence — photographs, dashcam footage, witness accounts, police reports — can be submitted in response. If the dispute cannot be resolved through the portal, the matter can proceed to the small claims court. Denied liability claims are situations where regulated legal advice is worth considering, particularly where the evidence position is not straightforward.

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The two stages where claimant preparation matters most

Of the seven stages in the process, two have a direct and lasting impact on the outcome: the medical examination and the medical report review. Everything before them creates the conditions. Everything after them flows from what those two stages produced.

The medical examination is the one appointment where the claimant gives an account of their injuries and recovery. The report produced from that appointment is the document that determines the settlement value. The review window — before the report is approved — is the only opportunity to correct something that is factually wrong. Once the report is approved, it cannot be changed through the standard OIC process.

04

The medical examination — your most important appointment

The medical examination typically lasts 20 to 40 minutes. The report it produces determines the settlement value. What is said — and how fully — directly shapes what the report records.

Active stage — preparation matters

The examiner sees the claimant once. The report is based almost entirely on what is said and observed during that appointment. Preparation means thinking through the complete experience of the injury — not presenting it differently from how it actually was, but ensuring an accurate and complete account is given.

Describe symptoms at their worst, not just on the day

Examinations often take place months after the accident. By that point, symptoms may have reduced significantly from their peak. The prognosis period the examiner records is an assessment of the injury's full duration — not only how things feel on the examination day. The weeks immediately after the accident, when symptoms were likely at their worst, are part of an accurate account.

A symptom diary kept since the accident makes this significantly easier. Where symptoms fluctuated — better on some days, worse on others — describing the pattern rather than a single snapshot gives the examiner a more complete picture.

A symptom diary used at the examination and then referenced when reviewing the draft report gives the claimant a consistent, contemporaneous record to draw on at both critical stages.
Think through all affected areas before the appointment

Injuries affect more than the obvious primary area. Headaches, disrupted sleep, anxiety about driving, difficulty with household tasks, effects on work, reduced ability to exercise — these are all relevant to an accurate account of how the injury affected daily life. If any of these apply, they are worth mentioning. The impact section of the report is based on what is said during the examination.

The goal is accuracy — not a comprehensive list of every possible effect. Effects that do not apply should not be mentioned. Effects that do apply and are not mentioned are unlikely to appear in the report.

The examiner is independent

The medical examiner is not employed by the insurer and has no financial interest in the outcome of the claim. They are accredited through MedCo — the body that oversees medical reporting organisations in OIC claims. Their role is to produce an accurate and objective assessment.

This matters because the report they produce carries authority precisely because neither side controls it. An accurate account given during the examination produces an accurate report. An incomplete account produces an incomplete report — with direct consequences for the settlement value.

05

The medical report review — the only window to correct errors

After the examination, a draft copy of the medical report is sent for review before it is submitted to the portal. This review window is the single most important action in the entire claim.

Critical — and permanent

The report is not just evidence. It is the document from which the settlement offer is mechanically calculated. The prognosis period it records places the injury in a tariff band. That band determines the compensation value. Once the report is approved and submitted, it cannot be changed through the standard OIC process. The offer that follows is based on whatever the report says.

Read the report in full before approving it

The review window — typically available around 29 days after the examination — does not require immediate action. There is no obligation to approve the report the moment it arrives. Reading it in full before making any decision is the most important step at this stage.

Key things to check: the prognosis period stated (does it reflect the actual duration of symptoms?), whether all injuries are recorded and correctly classified, whether the impact section reflects what was said during the examination, and whether basic factual details about the accident and the claimant are correct.

The tariff reference table shows what each prognosis period is worth. A difference of one band — for example, between 6–9 months and 9–12 months — is the difference between £965 and £1,510 for a standard whiplash injury from May 2025.
Factual errors can be queried before approval

The OIC portal provides a mechanism to query the report before it is approved. This process is for factual corrections — something objectively wrong, such as an injury mentioned at the examination that does not appear in the report, or a prognosis period that does not reflect what was discussed. It is not a mechanism to challenge the examiner's clinical judgment.

Being specific is more effective than being general. A clear factual account of what was said at the examination, and how it differs from what the report records, gives the examiner something concrete to consider. The examiner is not required to change the report — but they are required to consider the query and respond.

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Once approved — it cannot be changed

Once the report is approved through the portal, it becomes a fixed part of the claim. The insurer's offer will be calculated directly from it. There is no mechanism within the standard OIC process to amend it after approval — even where information later comes to mind that was not mentioned at the examination. Taking the time needed before approving is the only protection available at this stage.

06

The offer stage — what decisions are yours

The settlement offer is a starting position, not a conclusion. The portal is designed for negotiation. There is no obligation to accept the first figure offered.

Active — but not urgent

The offer stage is one where the claimant has real choices — and real time to consider them. The portal includes a counter-offer mechanism because negotiation is the expected process. Most claims involve more than one round of offers before settlement is reached.

What the offer includes

The first offer is typically calculated from the tariff alone — the injury payment based on the prognosis period in the medical report. Financial losses are often not included in the first offer, even where they apply to the claim. Before responding to any offer, it is worth checking whether travel costs, lost earnings, prescription charges, treatment costs and any other out-of-pocket expenses caused by the accident are reflected in the figure.

Financial losses are a separate component of the claim. They are not absorbed by the tariff and they are not included automatically. Raising them through the portal at the offer stage is the appropriate route.

Symptoms still ongoing — effect on timing

A settlement closes the claim permanently. There is no mechanism to reopen it after acceptance, even if symptoms continue or worsen. The process does not require settlement before recovery has stabilised. Advising the insurer that settlement cannot be considered at this stage — and asking that the offer remain open — is a recognised position within the process. Insurers are accustomed to this.

Timing of acceptance can affect the outcome. Ongoing symptoms, a medical report that does not reflect current condition, or financial losses not yet included are all factors that may be relevant at this stage.
Making a counter-offer

A counter-offer is submitted through the portal with a figure and a brief explanation of why the original offer is considered insufficient. No legal training is required — clarity and accuracy matter more than formality. The insurer will respond, typically within 10 working days. This back-and-forth can take two to four rounds before settlement is reached.

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07

Settlement — what acceptance closes

Accepting a settlement offer is a binding and permanent act. Understanding exactly what that means before proceeding is important.

What acceptance means

Once a settlement offer is accepted through the OIC portal, the claim is concluded. There is no cooling-off period. There is no mechanism to reopen it — not if symptoms worsen, not if financial losses that were not included come to mind later, and not if the figure later appears to have been too low. The finality of settlement is absolute.

The settlement covers everything agreed in the final offer: the tariff injury payment and any financial losses that were raised and included. If financial losses were not raised before settlement, they cannot be recovered after it.

What happens after acceptance

Payment follows acceptance automatically. The insurer is required to make payment within 10 business days of the settlement being confirmed through the portal. Payment is made by bank transfer. No further action from the claimant is required.

Ensuring bank account details in the portal are correct before accepting avoids delays. If payment does not arrive within 10 business days, contacting the insurer through the portal and keeping a record of that contact is the appropriate step.

Personal injury compensation in England and Wales is not subject to income tax or capital gains tax — as a general rule. If there is any uncertainty about a specific situation, independent financial or tax advice is the appropriate route.
If a solicitor was involved

For claimants who used a solicitor on a no win no fee basis, the success fee is deducted from the settlement before it is paid out. The solicitor is required to provide a written breakdown of all deductions before disbursing the payment. The conditional fee agreement signed at the start of the retainer is the document that governs what can be deducted.

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Records used throughout the process

Certain records are relevant at multiple points in the claim. Records kept from the moment of the accident are available when needed at each stage.

The submission date — for calculating the liability deadline. All correspondence received, with dates. Records of every offer and counter-offer made. Receipts, invoices and payslips supporting any financial loss claim. The signed conditional fee agreement, if a solicitor was instructed. The draft medical report, even after approval.

Records do not need to be formally organised. A folder of documents with dates is sufficient. The value of them is in having them available when a specific question arises — not in maintaining a system for its own sake.

Go deeper

The detailed guidance for each stage

Each of the stages above has a dedicated page with deeper explanation. These are the most relevant ones depending on where you are now.

Your medical report

What the report contains, the four things to check before approving it, how to raise a factual error, and how to prepare for the examination.

Offers and negotiation

How the offer is calculated, what the counter-offer mechanism involves, when timing matters, and what to consider before accepting.

How the figure is built

The tariff, special damages, what changes the final figure, and why online calculators cannot tell you what you will receive.

Evidence

The five types of evidence that matter, when to gather each one, and why early documentation carries significantly more weight.

When something feels wrong

Liability denied. Insurer gone quiet. Offer too low. Medical report approved too quickly. Six common situations explained clearly.

After settlement

What acceptance means, the payment process, what cannot be reopened, and what happens when a solicitor was involved.

Last reviewed: 18 March 2026

Please note

ClaimTalk provides general guidance only. Not legal advice. Not affiliated with the Official Injury Claim portal or any government body.

ClaimTalk cannot respond to questions about individual claims. If you need advice specific to your situation, a regulated solicitor is the appropriate route.