LegalUpdated September 2026

Mediation in injury claims

In plain English: mediation is a meeting where a neutral third person, the mediator, helps you and the other side try to agree a settlement. The mediator doesn't decide who is right and can't force anyone to accept anything. Nothing is binding unless both sides sign an agreement.

When mediation happens

It usually comes after enough evidence has been gathered for both sides to value the claim: medical reports, wage records and often after depositions or witness statements. Sometimes it's voluntary. Sometimes it's required. Many US courts order mediation before trial, and some Ontario cities have mandatory mediation for civil cases. In England and Wales courts can order parties to try alternative dispute resolution and can penalise an unreasonable refusal to mediate through costs.

What the day usually looks like

  1. A short joint session, or sometimes none at all, where each side outlines its position.
  2. You and your lawyer go to a private room. The insurer's team goes to another.
  3. The mediator moves between rooms carrying offers and counter-offers, testing each side's weak points in private.
  4. If a deal is reached, the key terms are written up and signed before everyone leaves.

Expect a long day with a lot of waiting. The first offers are often far apart, and real movement tends to come late in the afternoon.

How to prepare

  • Know your numbers: medical bills, lost earnings, future care, out-of-pocket costs.
  • Decide privately with your lawyer the lowest figure you would accept, and why.
  • Understand what happens to fees, liens, health insurer repayments and benefits out of any settlement, so you know what you actually take home.
  • Bring your patience. Treat a low opening offer as information, not an insult.

Why it often works

What's said in mediation is generally confidential and usually can't be used at trial, so both sides can talk more openly. You get certainty and control. At trial, a judge or jury decides, and the result could be higher, lower or nothing at all. The mediator's job is partly to make both sides face those risks honestly.

Example

An insurer opens well below your figure. Over the day, the mediator points out to the insurer that its surveillance footage is weak, and points out to you that a jury might see your two-month treatment gap badly. Both sides move, and the claim settles at a figure neither loves but both can accept.

Don't sign in a hurry

A signed mediation agreement is usually binding. Read the terms, including who pays costs and liens, before you sign at the end of a tiring day.

Next: mediation vs arbitration · arbitration · settlement vs trial.

Related terms

General information, not legal or medical advice. Rules differ between US states, the UK and Canadian provinces, so check the law where your accident happened. How we write and check · Legal disclaimer