PricewaterhouseCoopers' insurance industry specialists assist
businesses and insurance companies with the claims handling process and
regularly intervene in crisis situations.
Key Services
Claims management
(including losses under global insurance programmes)
- Advice and assistance during the implementation of loss control measures, notably as regards the engagement of emergency loss mitigation expenditure
- Rigorous quantification of direct and indirect losses, including reinstatement costs, business interruption and increased costs of working losses, penalties due to project delays, indemnities to claimant third parties
- Detailed analysis of extent of coverage available under insurance policies and the identification of all other possible sources of indemnity including advice and technical assistance in the pursuit of recovery procedures
- In-depth investigative and financial enquiries, notably in respect to losses stemming from embezzlement and fraud in financial institutions, industry and commerce
- Critical analysis of loss reserves, insured or uninsured
- Assistance in the identification and implementation of risk control and loss prevention measures
- Investigation of suspected fraudulent claims
Advisory and consulting services
- Assistance in the creation of specialised insurance contracts (e-business, unauthorised trading, intellectual property…) and the definition of a claims handling protocol for such highly specific and specialised domains
- Technical audit of Claims Department settlement procedures, including the performance of external service providers such as loss adjusters and preferred suppliers
- Claims leakage reviews
- Use of alternative claims scenarios to identify possible shortfalls in insurance and risk control solutions
