Claims Services for Companies 9 7 2015
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Transcript of Claims Services for Companies 9 7 2015
STRATEGIC INSURANCE & RISK SOLUTIONS (SIRS)
[email protected] Tel.: 201-675-1141
SIRS CUTS COMPANIES’ TOTAL COST OF LOSS
Obtain the insurance coverage companies expect through expert coverage review, analysis, and client advocacy
Reduce claim costs through enhanced claim management strategy and improved claim outcomes
Optimize claim program results by negotiating more favorable claim service contracts, reducing claim administration costs, and improving claim administrator performance
Reduce companies’ claim and insurance costs through loss experience analysis and targeted loss prevention and mitigation strategies
DISTINGUISHING ADVANTAGES Broad insurance products expertise: strong
knowledge of primary, excess, and surplus lines property-casualty insurance products
Experience with more and less complex commercial insurance programs: extensive experience creating, implementing, evaluating, and managing claim programs for companies, insurers, reinsurers, captives, and insurance regulators in the U.S. and abroad
Diverse industry background: clients have included major commercial construction contractors and pharmaceutical, petrochemical manufacturing, transportation, retail, and financial services companies; municipalities; and utilities
High-severity claims focus: career devoted to managing multi-million dollar general liability, products liability, asbestos, pollution, professional liability,
commercial property claims and coverage litigation Understands the insurance buyer and provider
perspectives: experience as an insurer, corporate risk management, and brokerage claims executive
Trusted advisor: as a former insurance claims consultant with PricewaterhouseCoopers and Capgemini Consulting, employs a risk-based approach to client business issues
Respected client advocate: long-standing relationships with senior claim executives of global insurers and third-party claim administrators help produce more favorable outcomes
Comfortable in the boardroom: regularly presents findings and recommendations to senior executives, including “C” suites
CLAIMS SERVICES
Insurance coverage review and assessment of potential insurance recoveries
Oversight of insurer/claim administrator management of high-severity losses
Claim program design, including claim administrator selection, contract negotiation, and oversight
Loss reserve reviews
NCCI experience rating modification factor audits
Loss exposure analysis and loss control strategy CLIENT SUCCESS STORIES A national insurer for a construction project manager based in New Jersey agreed to settle a
construction property damage case involving disputed insurance coverage following expert testimony presented at mediation
Advocated for a Washington, D.C.-based commercial contractor to obtain coverage from its general liability insurer for property damage resulting from a sewer back-up on a construction project site
Assisted a large Washington state municipality to redesign its worker’s compensation claim process to reduce claim settlement and administration costs
For a large global pharmaceutical manufacturer based in New Jersey, collaborated with the company’s risk management department, third-party actuaries, attorneys, and auditors to evaluate the reasonableness of the company’s estimate for its drug product and medical device-related claim liabilities and potential insurance recoveries
EXPERIENCE
Turner Surety & Insurance Brokerage (Turner Construction), Woodcliff Lake, NJ – Director of Claims
Elf Atochem, N.A., Philadelphia, PA – Claim Manager
Continental Insurance Co., Cranbury, NJ – Director of Liability Claims
PricewaterhouseCoopers, L.L.P., New York, NY – Director – Claims Consulting
Capgemini Consulting, New York, NY – Claims Consulting Practice Leader
For further details on how we can help companies reduce claims and insurance costs, please contact Claire Louis at (201) 675-1141 or by e-mail at [email protected].