3RED
Claims Inspections
We carry out meticulous claims inspections on behalf of insurers, reinsurers and Lloyds Syndicates, providing detailed reports including:
1. The quantum of the claim, or claims, including the prospect of future deterioration
2. Whether the claim or claims are covered by the original insurance policy
3. Whether the claim or claims are covered by the reinsurance policy
4. The quality of the claims management
5. Non-disclosure and misrepresentation
6. A resolution strategy
Where our audit identifies contentious issues, we represent you in the resolution of disputes. If required, we can also support your lawyers in court or arbitration proceedings (see Litigation Support).
We will inspect all classes of non-life insurance and reinsurance claims, including:
· Professional indemnity
· Workers compensation (latent diseases)
· Motor vehicle third party bodily injury (catastrophic injuries)
· Medical malpractice
· Public liability
· Contract Works
· Marine
· Inwards treaty and facultative reinsurance
· Comprehensive motor vehicle (commercial)
· Householders and domestic motor vehicle
Portfolio Example - Claims Inspections:
A New Zealand company asked us to review its Domestic claims arising out of the Canterbury earthquakes to ensure that they were recovering the appropriate amount from their reinsurers. We were able to identify additional recoveries of around $3.4 million (Australian) which had not been previously identified.
