Balanced advice for effective claim resolution
As an insurance industry leader, we offer strategic assistance to many of Canada’s top insurance companies as well as to policyholders to help them effectively resolve claims. Our insurance claims services team delivers cost-effective solutions to clients faced with claims ranging in size from simple, local files to complex, multi-million-dollar claims.
Our forensic accountants are dedicated to delivering exceptional service to clients by:
Our team specializes in accident benefits, bodily injury and commercial claims. We tailor our services to meet your unique needs and offer a range of products to accomplish this.
We’ve been quantifying accident benefit claims since the introduction of no-fault insurance legislation in 1990, providing clients with cost-effective solutions and helping them navigate the Insurance Act and ever-changing provincial no-fault insurance legislation.
Our balanced analysis and reports help claimants and insurers settle a majority of their claims. But if a claim is referred to the Financial Services Commission of Ontario, our team includes specialists who can provide evidence there, as well as at private mediations and arbitrations.
We’ve been involved in many of the following types of accident benefit claims:
income replacement benefits
assessments for priority disputes
economic loss for attendant care benefits
non-earner and caregiver benefits
present value of housekeeping benefits
net present value of future accident benefits
calculation of interest on overdue amounts
With our in-depth knowledge, forensic skill set and experience, we can identify key issues that may impact the claim, such as entitlement issues and income splitting in family-owned businesses. We make sure each claim is supported by a defensible approach, resulting in fair and timely resolutions.
Whether you’re the plaintiff or defendant in a claim, a fair and objective loss assessment is critical to a quick settlement. Our team has experience preparing, reviewing and critiquing loss assessments for bodily injury and casualty claims. This includes the assessment of losses for settlement, mediation, arbitration and trial, as well as examination and trial preparation and acting as an expert if the matter isn’t resolved out of court.
Our team has deep industry knowledge and access to data analytics tools, economists, forensic accountants and actuaries. This means you’ll get a customized and balanced assessment of the claim so you can achieve a quick and fair resolution.
In the often confusing aftermath of a crisis or disaster, businesses and their insurers need to assess the damage quickly and organize recovery efforts to reduce business disruption. As an insurance industry leader, we offer strategic assistance to insurance companies, business owners and legal counsel in preparing, investigating and resolving claims.
Our insurance claims services group uses technology to capture data, analyze information, share knowledge and manage the presentation of a claim. We deliver cost-effective solutions to clients faced with litigation, arbitration, mediation or negotiations involving complex insurance issues.
Our team has significant experience quantifying losses on all aspects of commercial insurance claims, including:
business interruption losses under gross profit, gross earnings, business income and actual loss sustained forms
stock and inventory losses for policyholders with both periodic and perpetual inventory systems
the calculation of extra and saved expenses due to an insured loss
property losses, including real property, personal property and intangibles
professional liability coverage, including errors and omissions, directors and officers
product recall and product liability
With our support, the adjuster can focus on other important aspects of the claim and the insured can get back to focusing on their business.
Are you looking to enhance the knowledge or trial prep experience of your team when it comes to insurance claims?
We offer a range of educational seminars to law firms, insurance companies and industry associations. Some of our seminar topics include:
We also offer mock trials for law firms to help their counsel build technical expertise. Our mock trials cover issues related to bodily injury and casualty claims and deal with examination and trial preparation, financial quantification and expert opinions.
Provide your staff with additional training or exposure to a trial setting to give them the confidence and skills they need to succeed.
© 2018 - Fri Aug 07 07:10:20 UTC 2020 PwC. All rights reserved. PwC refers to the PwC network and/or one or more of its member firms, each of which is a separate legal entity. Please see www.pwc.com/structure for further details.