Insurance and Reinsurance
Technical disputes in insurance and reinsurance tend to center on the amount of the indemnifiable loss: what the policyholder actually lost, what the policy covers, and how the supporting documents substantiate the amount claimed.
Industry context
Property-damage and business-interruption claims require reading the policy together with the policyholder's financial statements and operating records for the affected period. Insurers, reinsurers, brokers and policyholders often disagree on the indemnity period, the revenue base used and the costs that should have been avoided.
SGEx acts in this environment as a technical firm, engaged when the industry produces disputes, inquiries, reviews, losses, buyout claims, fraud, rendering-of-accounts matters or valuations that call for an independent examination.
Questions that arise in this industry
- Quantification of losses in property-damage and business-interruption claims.
- Revenue base, margin and avoided costs applicable to the indemnity period.
- Review of loss-adjustment reports.
- Disputes between ceding insurers and reinsurers over recoverable amounts.
- Expert assistance in insurance-related expert examinations and arbitrations.
How SGEx Approaches This
SGEx may examine: sGEx typically reviews the policy and the contractual conditions relevant to the calculation, the policyholder's financial statements and operating records, loss-adjustment reports, replacement-cost budgets and documentation of extraordinary expenses.
Every engagement begins by framing the technical question, continues with the organization of these sources, and ends with conclusions presented in the format the proceeding requires, with assumptions and limitations disclosed.
Possible Work and Deliverables
The format is defined according to the case, the proceeding and the purpose of the work.
- Quantification expert opinion
- Expert report
- Supporting calculation memorandum
- Review of a report
- Expert questions, technical challenges and clarifications
- Technical expert questions
Other SGEx Solutions
Services, specialties, contexts and industries connected to this topic under SGEx's relationship matrix.
Related Services
- Economic and Financial Expert AnalysisAnalysis of values, cash flows, economic assumptions and financial models in disputes and decisions that turn on quantification.
- Disputes, Litigation and ControversiesEconomic, financial and accounting expert support in judicial, arbitral, administrative and pre-litigation controversies.
- ArbitrationTechnical analysis, quantification and expert assistance in arbitral proceedings involving economic, financial and accounting issues.
- Accounting Expert ExaminationIndependent expert examination of accounting records, financial statements and calculations, prepared for judicial, arbitral and administrative proceedings.
- Court Calculations and Accounting SupportPreparation, review and challenge of court calculations for law firms, companies and organisations, with validation technology and high-volume production.
Related Specialties
- Damages, Losses and Economic QuantificationLost profits, actual damages, lost revenue, indemnities and the liquidation of court judgments.
- Expert Assistance to PartiesExpert assistance to parties in court-appointed expert examinations and arbitrations: framing expert questions, opinions, review of reports and attendance at proceedings.
Related Areas of Practice
- Civil and Contract DisputesNonperformance, termination, contract revision and civil liability claims in which the controversy turns on monetary values and calculations.
- Corporate and Shareholder DisputesDisputes among shareholders, partners and officers, corporate dissolutions, buyout claims and disagreements over financial results.
- Administrative and Regulatory MattersAdministrative proceedings and regulatory disputes with an economic and financial impact on companies and concession holders.
Related Industries
- Construction, Engineering and InfrastructureConstruction works, engineering projects and infrastructure assets subject to cost, schedule and rebalancing claims.
- Cryptocurrency and Digital AssetsCustody, movement and recordkeeping of crypto-assets in investigations, disputes and asset-tracing engagements.
- Public Administration and GovernmentPublic contracts, cooperation agreements, concessions and oversight proceedings involving public funds.
Request an Analysis
Describe the technical question, the context in which it arose, and the documents available. This information lets SGEx assess the scope of the work before any proposal.