Brain Injury

Demand Letter for a Personal Injury Claim: What It Must Contain and How Insurers Read It

demand letter
demand letter

A demand letter is usually described as the moment a claim gets serious: the document that sets out what happened, what it cost, and what it will take to resolve. That is true as far as it goes.

What it leaves out is that the letter is read by someone with a defined job, working to a file, looking for specific weaknesses. A demand written to persuade a sympathetic reader and a demand written to survive that review are different documents.

What follows is what a Nevada demand has to carry, how it is actually read, and one distinction in Nevada’s insurance statute that changes what the letter can realistically achieve.

Key Takeaways

  • A demand letter does two jobs at once: it submits the proof of the claim, and it makes an offer to resolve it.
  • NRS 686A.310 ties several of an insurer’s timing obligations to the point at which “proof of loss requirements have been completed and submitted,” which is work a properly built demand performs.
  • The statute defines unfair practices broadly, but its damages remedy in subsection 2 is framed as the insurer being “liable to its insured.”
  • That matters because a person demanding payment from the other driver’s insurer is not that insurer’s insured.
  • A demand does not pause the two-year filing period under NRS 11.190(4)(e), and no amount of negotiation extends it.
  • The most common defect is not tone or length. It is a gap between the collision and the injury that the letter does not close.

What the Letter Is Actually Doing

Two things are happening in the same document, and they have different audiences inside the insurer.

The first is evidentiary. The letter assembles and transmits the material establishing that the other party is responsible, that the collision caused the injuries claimed, and that those injuries produced the losses being claimed. In insurance terms this is the submission of proof.

The second is an offer. By naming what the claim will resolve for, it turns an open file into something the adjuster has to take a position on.

The evidentiary half is what gives the offer its force. A demand that states a figure without establishing the material beneath it invites a response that disputes the material, and the negotiation then starts from a worse position than if nothing had been sent.

Why Proof of Loss Matters Under Nevada’s Statute

NRS 686A.310 lists what counts as an unfair practice in the settling of claims. A number of the entries concern delay, and one of them is keyed to a specific event rather than to the passage of time.

Paragraph (d) of subsection 1 names as an unfair practice “failing to affirm or deny coverage of claims within a reasonable time after proof of loss requirements have been completed and submitted by the insured.” Paragraph (e) reaches a different trigger: a failure to settle promptly, fairly and equitably once the insurer’s own liability has become reasonably clear.

Both obligations are triggered by something. One by proof of loss being completed and submitted; the other by liability becoming reasonably clear. Neither is triggered by a file simply being open. A complete demand package is the event that puts an insurer in the position where those obligations have something to attach to, and an incomplete one leaves it able to say, accurately, that it is still waiting for material.

That is the practical argument for completeness over speed. The point of the package is not to be early; it is to be the thing that makes further delay difficult to explain.

What a Nevada Demand Has to Carry

Liability, stated with its evidence. Not an assertion that the other driver was at fault, but the material establishing it: the physical evidence, the positions of the vehicles, independent witnesses, available video, any statutory duty engaged. Nevada’s apportionment rule makes this weigh more heavily than it would in a state that merely reduces a recovery, because a share of fault above the statutory threshold ends the claim outright. Our Nevada personal injury page covers how that threshold is applied.

Causation, closed deliberately. This is where most demands are weakest. It is not enough to show a collision and then an injury; the letter has to connect them, and it has to deal with whatever the records contain that an insurer will use to separate them — a prior complaint about the same body part, a gap before the first treatment, a diagnosis that appears late.

The loss record, itemised. Treatment as a sequence rather than a total. Documented effects on work and daily activity. Where future care or ongoing limitation is claimed, the medical basis for saying so.

The demand itself. A figure, and enough of the reasoning behind it that a response has to engage with the reasoning rather than simply name a lower figure.

How It Is Read on the Other Side

An adjuster reviewing a demand is working through a short list of questions, and they are not the questions the letter is usually written to answer.

The first is coverage: whether the policy responds at all, and to what limit. That question is often settled before the demand arrives, and Nevada supplies a route to the answer under NRS 690B.024.

The second is apportionment: whether there is a route to assigning the claimant a share of fault, and how large a share the available evidence would support.

The third is causation: whether the records contain anything that would support attributing the injuries to something other than this collision.

The fourth is documentation: whether each element of the claimed loss is supported by something an insurer would have to answer for if the file were reviewed later.

A demand that anticipates these and addresses them is harder to answer with a low offer, because the obvious grounds for one have already been dealt with. A demand that ignores them supplies the response by omission.

Who the Insurer Answers To

This is the part general guidance on demand letters tends to miss, and in Nevada it bears directly on what a letter can achieve.

NRS 686A.310 is in two parts. Subsection 1 defines the unfair practices, and several of its paragraphs describe conduct toward insureds or claimants. Subsection 2 then supplies a damages remedy, and it is framed narrowly. It opens: “In addition to any rights or remedies available to the Commissioner, an insurer is liable to its insured for any” damages sustained as a result of those practices.

Read the two together and the asymmetry is visible. The standards of conduct are broad. The statutory damages remedy in subsection 2 is expressed in terms of the insurer’s liability to its own insured.

A person injured by another driver and demanding payment from that driver’s liability insurer is not that insurer’s insured. They are a third party to that contract. Whether and how a remedy is available to someone in that position is a question about the scope of Nevada law that the statutory text does not answer on its face, and it is a question for an attorney on the facts of a particular claim.

The practical consequence is worth stating plainly. A demand sent to your own insurer — on uninsured or underinsured motorist coverage, for instance — is sent by an insured to their insurer. A demand sent to the at-fault driver’s insurer is not. The letters may look identical. The relationship behind them is not.

What a Demand Letter Does Not Do

It does not pause the deadline. The two-year period under NRS 11.190(4)(e) runs from the collision. A demand under consideration, a negotiation in progress and an adjuster who has promised to come back next month all leave it running.

It does not bind anyone. A demand is an offer. It can be accepted, countered, ignored, or answered with a request for more material.

It does not create a response date. Nevada’s standards are expressed in terms of reasonableness rather than a fixed number of days, so a demand that sets its own deadline is setting a deadline the statute does not supply.

When a Demand Is Premature

The strongest argument for waiting is that a demand fixes a position on a claim whose value is not yet knowable.

With treatment still running and no one yet able to say whether a limitation is temporary or permanent, the demand rests on a medical picture that is not finished. Whatever figure it names is really a prediction about the injured person’s own future — and since resolving the claim ends it for good, a prediction there is no going back to correct.

The counterweight is the filing deadline, which does not wait for the medical position to settle. Where those two pressures meet, the answer is usually to preserve the claim by filing rather than to send a demand before the material supporting it exists.

Talk to a Nevada Personal Injury Lawyer

Vaksman Khalfin, PC acts for injured people across Nevada from the firm’s Las Vegas office at 10161 Park Run Drive, Suite 150. The first consultation is free, and injury claims are handled on a contingency-fee basis: there is no upfront cost, attorney’s fees are owed only out of a recovery, and fees and case costs are separate items set out in the written agreement. Wider material sits in the Nevada personal injury guides.

Reviewed by Robert B. Vaksman, Partner, Vaksman Khalfin, PC (admitted in Nevada). Last reviewed: 10/26/2026 

Frequently Asked Questions

A document that submits the proof of a claim and makes an offer to resolve it. The evidentiary half establishes responsibility, causation and loss; the offer states what the claim will settle for.

The evidence establishing liability, a causation account that deals with anything in the records an insurer could use to separate the collision from the injury, the loss record itemised rather than totalled, and the demand with the reasoning behind it.

Not a fixed one. NRS 686A.310 expresses an insurer's obligations in terms of reasonable promptness, with one tied to proof of loss being completed and submitted. A complete package is what gives those obligations something to attach to.

No. The two-year period under NRS 11.190(4)(e) runs from the collision regardless of what stage a negotiation has reached.

The statutory position is narrower than it first appears. NRS 686A.310(1) defines unfair practices broadly, but subsection 2's damages remedy states that an insurer is "liable to its insured." Someone claiming against another driver's insurer is not that insurer's insured, and what follows from that is a question for an attorney.

Nothing prevents it. The difficulty is not the writing but the anticipation: a demand is reviewed for coverage, apportionment, causation and documentation, and a letter that does not address those supplies the grounds for a low response by leaving them open.

Sending one while treatment is continuing fixes a position on a claim whose outcome is not yet established. Where the filing deadline is approaching at the same time, preserving the claim by filing is generally the step that does not foreclose anything.

The insurer takes a position: acceptance, a counter-offer, a request for further material, or no substantive response. Each of those is information about how the file is being assessed, and each bears on whether continued negotiation or filing is the better next step.

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