the adjuster’s casebook what does this look like in practice - some cases to highlight the claims...

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The adjuster’s casebook What does this look like in practice - some cases to highlight the claims issues but from a perspective of commercial claims

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Page 1: The adjuster’s casebook What does this look like in practice - some cases to highlight the claims issues but from a perspective of commercial claims

The adjuster’s casebook

What does this look like in practice - some cases to highlight the claims

issues but from a perspective of commercial claims

Page 2: The adjuster’s casebook What does this look like in practice - some cases to highlight the claims issues but from a perspective of commercial claims

What are we dealing with when a flood occurs?

EMPLOYEES

SUPPLIERS

CUSTOMERS

PRODUCTS

Page 3: The adjuster’s casebook What does this look like in practice - some cases to highlight the claims issues but from a perspective of commercial claims

What are we dealing with when a flood occurs?

EMPLOYEES - Has their home been affected?- Will they need time-off work?- Can they get to work?

SUPPLIERS

- Any damage to stock/WIP?

- Still able to produce?

- Can they deliver?

CUSTOMERS

- Any damage to their premises or stock

- Are they able to continue to produce?

- Can they receive deliveries?

PRODUCTS

- Will their demand for our products rise or fall due to the incident?

Some general principles

Page 4: The adjuster’s casebook What does this look like in practice - some cases to highlight the claims issues but from a perspective of commercial claims

Crisis management

• Further investigation of damage & cause

• Site recovery plans - temporary

- - long term

• Business information gathering

• Communication planning

• Supply chain management

Key decisions are site based

Page 5: The adjuster’s casebook What does this look like in practice - some cases to highlight the claims issues but from a perspective of commercial claims

Case study - the hotels

• City centre tourist hotel evacuated and heavily damaged by water - 6 months of repairs

• Hotel in west of city on higher ground unable to trade whilst isolated by flood water

– Claim for loss of revenue as access prevented by flood waters

– Claim for “branded” stock disposed of for major local event now cancelled

Page 6: The adjuster’s casebook What does this look like in practice - some cases to highlight the claims issues but from a perspective of commercial claims

Hotel - Flooded - Damage

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Apr-01

Jun-01

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Oct-02

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Feb-03

Previous Year

Original Budget

Actual

Before Incident After Incident

Page 7: The adjuster’s casebook What does this look like in practice - some cases to highlight the claims issues but from a perspective of commercial claims

Hotel - Cut Off - No Damage

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Apr-01

Jun-01

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Oct-02

Dec-02

Feb-03

Previous Year

Original Budget

Actual

Before Incident After Incident

Page 8: The adjuster’s casebook What does this look like in practice - some cases to highlight the claims issues but from a perspective of commercial claims

Case study - DIY

• Out of town shopping centre, loss at DIY shop

• Claim for potential loss of increased revenue for dehumidifier hire

• Dehumidifiers to be supplied from central store in South England

• Claim for stock loss that includes many sale items that could now be sold at full price

Page 9: The adjuster’s casebook What does this look like in practice - some cases to highlight the claims issues but from a perspective of commercial claims

DIY Out of town store

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Apr-01

Jun-01

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Dec-01

Feb-02

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Jun-02

Aug-02

Oct-02

Dec-02

Feb-03

Previous Year

Original Budget

Actual

Before Incident After Incident

Page 10: The adjuster’s casebook What does this look like in practice - some cases to highlight the claims issues but from a perspective of commercial claims

DIY Out of town store

0

50

100

150

200

250

300

350

400

450

Apr-01

Jun-01

Aug-01

Oct-01

Dec-01

Feb-02

Apr-02

Jun-02

Aug-02

Oct-02

Dec-02

Feb-03

Previous Year

Revised Budget

Original Budget

Actual

Before Incident After Incident

Page 11: The adjuster’s casebook What does this look like in practice - some cases to highlight the claims issues but from a perspective of commercial claims

• Gross Profit ………. reduction in GP as a consequence of the Incident ……..

• Incident ……… loss, destruction or damage to property in use by the Insured at the premises ………

• Trend ……. Trend in the business both before and after the date of the incident which but for the incident would have …….

Page 12: The adjuster’s casebook What does this look like in practice - some cases to highlight the claims issues but from a perspective of commercial claims

Summary of case studies

• Lack of response - pre-rehearse key issues

• This is not an ordinary scenario

• Are we comfortable with the different answers different “damage” produces?

• Consider businesses in surrounding areas

• “But for” the damage

Day one, no loss