Claims Services for Companies 9 7 2015

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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 companiesclaim 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].

Transcript of Claims Services for Companies 9 7 2015

Page 1: 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].