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Defense
Resistance To ADR Is Killing the Golden Goose
by Jeffrey Krivis
Legal
disputes have traditionally been resolved by each side taking a
position, digging in and hoping that a judge or jury will award
them a decision. In the final analysis, the dispute cripples the
losing participant, and buries both parties in expenses that sometimes
exceed the value of the entire dispute. Nevertheless, some lawyers
find it necessary to follow this tradition wholeheartedly and recommend
that their clients repeat this process every time they have a problem
that needs to be solved.
Against
this backdrop, many insurance companies have mandated the use of
alternative dispute resolution procedures as a required tool for
good risk management. Simply telling the insurance company that
a case is defensible and should be tried is no longer the solution
for managing legal disputes. ADR is now considered a reasonable
option which accelerates the process and results in cost savings
and usually mutually acceptable solutions.
ADR
forces the parties to think about the issues of the case, not just
the position taken on paper. Besides the obvious advantages of cost
reduction and the positive resolution of conflicting claims, ADR
offers the parties an opportunity to design their own process, in
the manner they consider the most efficient, to resolve the conflict.
This flexibility affords the opportunity to experiment with different
rules, which often go beyond the well-established judiciary limitations.
It
is no wonder that many attorneys have generally resisted the opportunity
to integrate ADR into the typical dispute. Clearly it is most comfortable,
and typically more profitable, to litigate cases rather than solve
problems. The rules we lawyers spend years understanding become
so much a part of our makeup that the prospect of change, even through
something as positive as ADR, brings out the worst in people. Generally,
when ADR is recommended to a defense attorney, it is instinctively
rejected. Defense attorneys often object to ADR for their lack of
knowledge of the ADR process and fear of losing insurance business.
It is this fear that could kill off the goose that has laid the
golden eggs. What is needed is the recognition that one can live
very easily off the eggs without killing the golden goose.
Insurer Expectations
While ADR is not the panacea for proper case evaluation, it does
act as a catalyst for lawyers to start considering specific actions
which must be undertaken to resolve a dispute. These actions have
always included litigation. While litigation is certainly the best
option for advocating a case and building a position, it is on the
far end of the spectrum for risk managers in the business of managing
legal disputes.
Insurance
companies are no longer accepting at face value the typical defense
evaluation of a case which does not include a specific settlement
strategy. Most lawyers are getting around that by telling the carriers
that it is too early to discuss settlement since discovery has not
been undertaken. Interestingly enough, it is unusual for a defense
attorney to contact the other side to determine what the case is
all about. By not contacting the other side, the defense attorney
gets to fulfill the prophesy of waiting until discovery in completed
before evaluating the case. If talking to the other side about the
facts of the case is considered ADR, then so be it.
Some
defense attorneys are of the belief that recommending ADR in the
early stages of litigation is a sign of weakness. This comes from
a misplaced premise that when a case is assigned to defense counsel,
it is there because the insurance company does not want to pay on
the claim. In fact, verifiable data confirms that at least 90 percent
of all cases are settled without a trial. Given this reality, the
basic assumption under which attorneys have been operating must
be re-evaluated to align with the interests of the insurance company,
or the carrier will start aligning with other attorneys.
This
means change in the way defense attorneys view their rules in the
context of dispute resolution. It requires a broad case evaluation
and strategy which provides the insurance companies with specific
options available to resolve the claim.
Is That All There Is?
Once an attorney accepts the role of problem solver in addition
to that of an advocate, innovative solutions become obtainable which
match the needs of insurers. In fact, the usual attorney fear of
losing business because of the potential drop off in litigation
will likely disappear. This is because insurance companies reward
defense counsel with more business when innovative solutions are
suggested for streamlining cases. In fact, the volume of defense
files may rise since insurance companies will be getting the value-added
service of an attorney to mediate claims which would normally be
handled by an adjuster.
Creative Approaches
One option is a hybrid mediation/arbitration process. Specific rules
of engagement are agreed upon between the litigants which allows
for meaningful settlement negotiations. A neutral mediator analyzes
the issues on the table, and helps the parties consider objective
criteria concerning the evaluation of their positions. Objective
criteria includes jury verdicts, medical research and independent
expert evaluations. Removing the subjective part of the evaluation
forces the parties to focus on realistic solutions which are mutually
acceptable.
If
the parties are unable to reach agreement through the mediation,
they then have several days within which to continue negotiations
on their own, without the benefit of a mediator. If the parties
are unable to reach agreement by a specific date, the mediator then
issues a binding decision, supported by a written explanation. This
"med-arb" approach encourages the parties to in- vent
options for mutual gain while still at the table, since they recognize
that a failure to reach agreement will result in a third party issuing
a binding decision.
While
certainly this approach not applicable to all cases, it is an effective
solution to certain types of cases, such as the modest personal
injury case. Insurance companies appreciate this type of alternative
for cases which simply do not justify years of litigation expense.
Another
valuable option in the arsenal of ADR processes is the "baseball"
procedure. The parties each submit a last, best offer to the neutral
hearing officer. The hearing officer must choose one or the other
without modification. Because an extreme position will usually lead
the hearing officer to choose the opposite position, the parties
have an incentive to be realistic in their final offers.
Another
variation on the baseball theme is what is called "night baseball."
The hearing officer evaluates the case but does not immediately
disclose the recommended dollar figure. Instead, the award is kept
in a sealed envelope while the parties provide their last, best
offers. The closest to the arbitrator's award wins the case. Once
again, the chances of a party taking an absurd or extreme position
are reduced dramatically.
Posturing And Judge-Shopping
ADR is not a substitute for the judicial system. The value in ADR
comes from its recognition as a balance between the all-or-nothing
attitude associated with litigation and the encouragement of honest
discussions of interests and needs. It is the latter that results
in the type of flexibility typically associated with ADR, and permits
the exploration of settlement possibilities that are aligned with
insurance companies' interests in reducing risk.
A
typical defense response to the suggestion of mediation is that
there is no value in going through such a process since the insurance
company will only have to pay additional monies for the mediator
and for its attorneys to prepare and participate in the case, with
no guarantee of a final resolution. This response is simply a way
to sidestep the opportunity to engage in problem-solving, and perpetuate
the more familiar.
The
reluctance to mediate can also be traced back to the mistaken assumption
that insurance companies want to go to court on every claim. This
"all-or-nothing" premise, if followed through on every
case, would put insurance companies out of business. Nevertheless,
attorneys rationalize that it is the job of the courts to decide
cases, and not a job for the disputing parties and their attorneys.
Mediation requires the parties to have honest discussions about
their mutual interests and perceptions of the case, rather than
the normal posturing found in litigation. Since lawyers are not
trained in defining interests and considering needs, it is predictable
for defense attorneys to resist the opportunity to mediate a case.
Nevertheless,
in the spirit of settlement, and usually after volumes of discovery
have been undertaken, defense attorneys go on a Judge shopping"
spree in order to find a neutral who might be available to handle
a settlement conference. Judge shoppers look for a certain type
of retired judge who they know is defense-oriented and will grind
the plaintiff into submission. Interestingly enough, some of these
defense attorneys, when asked, will argue that what they engage
in during these judge shopping sprees is actually mediation! To
say that the defense attorney in this case does not understand ADR
is an understatement.
For
true mediation to occur, and to get the results that naturally flow
from mediation, judge shopping must be eliminated. Lawyers must
study the various mediation processes that are available and evaluate
their usefulness. In addition, defense lawyers must also volunteer
their time as mediators on cases so that they can get acquainted
with the process, and learn the value in considering options and
interests rather than rhetorical positioning. Without this background,
lawyers will not be prepared to recommend mediation to their clients. |