Claims Services for Dispute Support 9 7 2015
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Strategic Insurance & Risk Solutions (SIRS) helps companies manage insurance claims and risks. SIRS has extensive experience creating and managing commercial insurance claim programs. They assist with understanding insurance coverage, resolving disputes, and improving claim outcomes and costs. SIRS also validates loss estimates and reserves for financial reporting. Their services include claims advocacy, policy analysis, and assessing insurer claim practices.
Claims Services for Dispute Support 9 7 2015
- 1. Strategic Insurance & Risk Solutions (SIRS) claire_a_louis@yahoo.com Tel.: 201-675-1141 SIRS HELP COMPANIES MANAGE, MITIGATE, AND QUANTIFY CLAIMS RISK  Better understand the scope and limitations of insurance coverage  Decrease and resolve coverage disputes in complex, high-value claims  Improve claim outcomes and costs through enhanced claim management  Validate loss estimates and reserves for financial accounting, statutory reporting, and loss-sensitive insurance program premium calculation purposes DISTINGUISHING ADVANTAGES  Knowledge of industry claim practices: extensive experience creating, implementing, and managing commercial insurance claim programs for insurers, reinsurers, companies, and insurance regulators  Broad and deep insurance products expertise: strong knowledge of standard, excess, and surplus lines property-casualty insurance products and claims  High-severity claims focus: career devoted to managing, valuing, and resolving complex, multi-million dollar general liability, products liability, toxic tort claims involving some of the most high-profile insurance claim exposures, including 9/11, construction defect, asbestos, drug product, and pollution  Trusted advisor: advisor to companies, capital markets, insurance regulators, and underwriters in the U.S., the UK, Continental Europe, and Bermuda in high- stakes business issues, transactions, and disputes  Network of industry contacts: long-standing relationships with claim executives of U.S. and global insurers help resolve contentious claim issues  Comfortable in the boardroom: long history of presenting findings and recommendations on complex business issues to client senior management CLAIMS CONSULTING SERVICES  Advocacy, litigation support, and expert witness testimony for claims involving disputed coverage  Analysis of complex commercial insurance policy contract wordings and claim administrator contracts  Collection and analysis of claims and policy contract data for insurance coverage disputes  Leading practices-based assessment of insurer and claim administrator claim practices  Design and oversight of insurance claim programs  Claim valuation for insurance renewals, M&A due diligence, insurer insolvency, portfolio acquisition CLIENT SUCCESS STORIES  On behalf of a group of top U.S. domestic insurers, collected and analyzed data for more than three thousand asbestos bodily injury claims and prepared the expert report that supported the resolution of a coverage dispute involving several hundreds of millions of dollars in claim liabilities  On behalf of a U.S. insurer in run-off, reviewed the company’s claim practices and case reserves in conjunction with an actuarial review of the company’s loss reserves; study paved the way for regulatory approval of a critical transaction which allowed the company to wind up its business in an orderly manner  Designed the claim practices, procedures and service standards for the new claims division of a construction insurance brokerage  Assisted a large Washington state municipality to redesign its worker’s compensation claim processes to reduce disability, medical expenses, and administration costs  For a large global pharmaceutical manufacturer, collaborated with the company’s risk management department, actuaries, attorneys, and auditors to evaluate the reasonableness of the company’s key assumptions underlying the estimates for its drug product and medical device-related claim liabilities and potential insurance recoveries EXPERIENCE  Turner Surety & Insurance Brokerage (Turner Construction affiliate), 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 – Insurance Claims Practice Leader For further details on SIRS’ claims services, please contact Claire Louis at (201) 675-1141 or claire_a_louis@yahoo.com.