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Resource Library / SOP 08 · New Injury Case File Setup

Case setup · Full guide

New Injury Case File Setup

Contingency practice concentrates enormous consequence into the opening weeks of a file. Notices come due, evidence is perishable, liens attach, and the client is often still receiving treatment. This is the most detailed guide in the library because that period rewards structure more than any other.

Process owner

Case manager

Reviewed by

Handling attorney

Applies to

Every new injury matter

Review cycle

Every 12 months

On this page

Why the first two weeks decide the file Purpose and scope Day one: the non-negotiables Week one: notice, records, and evidence Coverage investigation Liens: tracked from week one The expectations conversation Where firms get this wrong Adapting it to your firm

Section one

Why the first two weeks decide the file

In most practice areas, a mistake in the opening weeks is recoverable. In injury work it often is not. Evidence disappears on its own schedule: vehicles are repaired or scrapped, surveillance footage is overwritten in days, a scene is cleaned, witnesses move and forget. Notice requirements against certain defendants run on short statutory clocks entirely unrelated to the limitations period. Liens attach quietly and surface at settlement, when they are far more expensive to deal with.

At the same time the client is at their least capable. They are in treatment, possibly out of work, dealing with insurers who are calling them directly, and understanding almost nothing about what the next eighteen months will look like. What the firm does in the first fortnight determines both the value of the claim and whether the client spends the following year anxious.

This is also the part of contingency practice most amenable to systems. Almost everything in the opening weeks is a known, repeatable task that a case manager can own completely, with the attorney appearing for the decisions that need judgment.

Every timeline below is an example. Notice periods, lien statutes, limitations periods, and insurance requirements differ substantially between jurisdictions and by defendant type. Replace them with your own before use.

The one thing to take from this guide

Calendar the limitations date and every notice deadline on the day the file opens, before anything else. Everything else in this procedure can slip by a week without permanent harm. Those dates cannot.

Section two

Purpose and scope

Purpose

Open every injury matter to a consistent standard within a fixed window, with all deadlines calendared immediately, perishable evidence preserved, coverage identified, liens tracked from the outset, and the client oriented to the process ahead.

In scope

The first fourteen days: file opening and naming, deadline capture, notice requirements, representation letters, records and report requests, coverage investigation, evidence preservation, the client intake package, and the expectations conversation.

Out of scope

Intake and the decision to accept the matter, covered by lead management. Case valuation, negotiation, and litigation. Settlement disbursement and lien resolution at conclusion, covered by case closing.

Section three

Day one: the non-negotiables

Four things happen on the day the engagement is signed. Nothing else in the procedure matters as much as these.

01

Case manager

Open the matter with the firm's naming and numbering convention

A consistent matter name and number, applied identically to the file, the accounting record, the calendar entries, and every document. Inconsistent naming at opening produces a file that cannot be searched for the next two years.

02

Case manager + attorney

Calendar the limitations date

Calculated under the applicable law for this claim and this defendant, entered in the firm's calendar with multiple reminders at long intervals — commonly one year, six months, ninety days, and thirty days out. Where the calculation is not obvious, the attorney sets it the same day. This date is never left to be worked out later.

03

Attorney

Identify and calendar every notice requirement

Claims against public entities, transit authorities, school districts, and certain other defendants commonly carry notice periods far shorter than the limitations period, sometimes measured in weeks. Determine on day one whether any apply, and calendar them with the same discipline. Missing one of these is among the most common ways an otherwise good claim is lost.

04

Case manager

Diary the file review schedule

A recurring review at a stated interval for the life of the matter, so the file is looked at deliberately rather than only when something arrives. Set the client's update interval at the same time.

Section four

Week one: notice, records, and evidence

Eight tasks, all owned by the case manager, all sent within the first five business days.

01

Case manager

Representation letters to all carriers

Written notice of representation to the client's own insurer and every identified adverse carrier, directing that all communication come through the firm. Sent promptly, because insurers frequently contact unrepresented claimants directly and early, and that contact is rarely to the claimant's benefit.

02

Case manager

Request the police or incident report

Ordered from the reporting agency on the standard form, with the request tracked and followed up if it does not arrive. The report drives party identification, insurer identification, and often the initial view of liability.

03

Case manager

Issue evidence preservation requests

Written preservation demands to anyone holding perishable evidence: property owners with surveillance footage, businesses with camera systems, employers holding vehicle telematics, repair facilities holding a vehicle. Footage is commonly overwritten within days to weeks. This is the most time-sensitive task in the week and the one most often done too late.

04

Case manager

Photograph and document the client's condition and the scene

Visible injuries photographed on a schedule while they are still visible, the vehicle or scene documented, and any physical evidence in the client's possession catalogued and stored. What is not captured in the first weeks generally cannot be recreated.

05

Case manager

Send the client intake package

Records and billing authorizations, HIPAA-compliant releases where applicable, wage loss authorization, the treatment log described below, and a plain-language guide to what happens next. Explain each form rather than sending a stack.

06

Case manager

Begin the medical records and billing requests

Requests to every provider identified, for both records and itemized billing, logged with the date sent and a follow-up date. Records requests are slow and require chasing; the log is what makes chasing possible.

07

Case manager

Open the treatment log with the client

Ask the client to record every appointment, provider, treatment, missed work day, and out-of-pocket expense as it happens. A client keeping a contemporaneous log produces vastly better documentation than one reconstructing eight months later, and it gives them something active to do.

08

Case manager

Identify wage loss and employment documentation

Where lost income is claimed, request employment verification and wage documentation early. Employers respond slowly and the request is easy to defer until it is urgent.

Section five

Coverage investigation

Identify every applicable policy in the first two weeks, not at the point of demand. Available coverage frequently determines the realistic ceiling on the claim, and the client deserves to know it early.

The adverse party's liability coverage

Carrier, policy limits, and claim number, confirmed in writing where the carrier will provide it. Also identify any excess or umbrella coverage.

The client's own coverage

Uninsured and underinsured motorist coverage, medical payments coverage, and any personal injury protection depending on jurisdiction. Clients routinely do not know what they have, and the answer often matters more than they expect.

Health insurance and payors

Which plan is paying for treatment, whether it is an ERISA plan, and whether any government payor is involved. This determines the lien landscape and is best known at week two rather than at settlement.

Additional responsible parties

Employers under vicarious liability, vehicle owners, property owners, contractors, and product manufacturers. Each may bring separate coverage and separate notice requirements.

Tell the client what you find

Where available coverage is limited, the client should know early. A client who learns at month fourteen that the policy limit was modest has been poorly served, however diligent the work was.

Section six

Liens: tracked from week one

A lien discovered at settlement is a problem. A lien tracked from week one is paperwork.

Every payment made for the client's treatment is a potential claim against the recovery. Health insurers, medical payments coverage, government payors, hospitals with statutory lien rights, and providers treating on a letter of protection all belong on the list. So do any obligations arising from public benefits the client receives.

Open a lien register on the file in the first two weeks and record each potential claimant as it becomes known: who, what they have paid to date, the basis of the claim, the contact and reference number, and the date the amount was last verified. Update it as records and billing arrive.

The register does two things. It prevents the settlement-stage discovery that delays disbursement for months, and it makes the client's realistic net recovery calculable during the case rather than only at the end. A client who understands the lien position understands their own settlement decision far better.

Where a government payor is involved, resolution procedures are procedural, slow, and unforgiving of late starts. Identify the payor early and begin the process on the payor's timeline, not the firm's.

This is jurisdictional and it is technical

Lien rights, reduction entitlements, priority, and resolution procedures vary substantially by jurisdiction and payor type. Get the framework for your own jurisdiction from your own authority, and consider having a mentor walk you through your first few resolutions.

Section seven

The expectations conversation

One conversation in the first two weeks, covering eight things. It prevents most of the anxiety and most of the inbound calls for the next year.

How long this takes

Realistic ranges for a matter like theirs, including that most of it is waiting

That quiet periods are normal

Records take months; treatment must conclude before value is known

Who their contact is

One name, one number, and when to expect updates

Not to speak to adverse insurers

All contact through the firm, and what to do if they are called anyway

To keep treating and follow advice

Gaps in treatment affect both recovery and the claim

Social media caution

Explained plainly, without alarm, and once rather than repeatedly

How fees and costs work

The contingency percentage, what costs are advanced, and how net recovery is calculated

That liens will reduce the recovery

Introduced now, in general terms, so the concept is not new at settlement

Section eight

Where firms get this wrong

Six failures. The first two are the ones that lose claims outright.

Notice deadlines missed

A public entity claim with a short notice period, treated as though the limitations period governed. This ends otherwise strong claims and it happens every year.

Preservation requests sent late

Footage overwritten, vehicle repaired, scene altered. Two weeks is often too late for camera systems.

Liens surfaced at settlement

Disbursement delayed for months, the client's expected net revised downward at the worst possible moment, and the firm looking unprepared.

The client's own coverage never checked

Underinsured motorist coverage that would have mattered, discovered after the adverse policy was exhausted.

Records requested without a log

No record of what was requested from whom or when, so nothing gets chased and the file stalls for months.

No expectations conversation

The client calls every fortnight for a year because nobody told them that a year of quiet is what normal looks like.

Section nine

Adapting it to your firm

Seven decisions, and the first three are jurisdiction-specific and mandatory.

Establish your notice requirement map. By defendant type, with the period for each, for your jurisdiction. Keep it on one page where intake and case management can both see it.

Confirm your limitations rules. Including tolling, minority, discovery-rule variations, and any claim-specific periods that differ from the general rule.

Learn your lien landscape. Which payors have statutory rights in your jurisdiction, what reductions are available, and the resolution procedure for each.

Set your fourteen-day checklist. Take the tasks above, assign each a day number, and make it a template that opens with every new matter.

Write your intake package. With plain-language explanations of each form, so a client in pain is not deciphering legal forms alone.

Build your preservation letter templates. One per common holder type — business, employer, property owner, repair facility — ready to send on day two.

Decide your file review interval. How often an open injury matter is deliberately reviewed. Monthly is common; quarterly is where files go quiet.

Use the sequence in this guide and replace every timeline with your own. The order of operations transfers between jurisdictions; the deadlines never do.

Next

Work through this with someone who has done it

Every attorney and law student who qualifies is paired with a free mentor: a firm owner, an operations expert, a finance expert, or a marketing expert. Bring this guide to the first call.

This guide is educational material published free of charge by the Law Firm Innovation Foundation, a 501(c)(3) nonprofit, EIN 42-2464496. It is not legal, ethical, tax, or accounting advice and does not create an attorney-client relationship. Professional conduct rules, trust accounting requirements, limitations periods, and procedural rules vary by jurisdiction; every reader is responsible for conforming their own practice to the authority that governs it. If you find an error or something incomplete for your jurisdiction, tell us and we will revise the page.