Reinsurance Claims Management

An intensive In-house day focusing on both the perennial and developing issues in the claims management arena

Course Overview

What is this seminar about?

It is vital for all reinsurers to operate efficient and cost-effective claims management systems to control cost and deliver high levels of service. This is now recognised at a strategic or board level so it’s essential to keep up-to-speed with new developments. With this in mind Falconbury presents this NEW practical seminar focusing on the key current issues and best practice for reinsurance professionals to deliver efficient and service driven claims management.

During this concise one-day In-house programme you will benefit from the expert practical experience of our faculty of speakers on claims management systems, contract clauses, the approval process and guidelines, long-tail claims and the impact of run-off and insolvency. They will draw on their own extensive experience to highlight issues that can be problematic, efficiencies that can be incorporated using recent cases and industry examples as a reference.

Who should attend?

  • Reinsurance claims specialists
  • In-house lawyers
  • Run-off managers
  • Brokers
  • Actuaries and other professional advisers

By attending this seminar, you will:

1 LEARN to identify the key contract clauses that affect claims
2 GET UP-TO-DATE with the recent developments including the UK flood claims
3 BECOME FAMILIAR with the reinsurance claims approval process
4 FIND OUT how to use claims guidelines
5 UNDERSTAND the documentation difficulties encountered when dealing with long- tail claims
6 HEAR about the Lloyds London Market Electronic Claims File and how it will change the future of claims management in the UK

Sample Programme

Key contract clauses from a reinsurance claims perspective – Part 1
  • Scope of business covered
  • Commencement and termination
  • Definitions of loss occurrence and of one risk
  • Follow the settlements
Key contract clauses from a reinsurance claims perspective – Part 2
  • Claims co-operation clauses and claims control clauses
  • Importance of clauses being conditions precedent
  • Notification of loss
  • Impact of recent cases
Inspection of records
  • Why inspect?
  • On what basis?
  • Review of sample clauses
  • The practical and legal effects of an inspection
  • Confidentiality agreements and protocols
Current developments in the US/UK affecting the reinsurance market
  • Lead paint litigation
  • Other public nuisance claims
  • Asbestos/US – still going strong
  • Asbestos/UK – on the rise and yet to peak
  • Pharmaceuticals and medical devices/US
  • US/UK case law concerning discovery obligations on reinsurers
  • Recent cases on insolvency-related issues and on discovery issues
Long tail claims and the difficulties in tracking down relevant documentation
  • Why are long tail claims different?
  • Documentation – policy and claims
  • What types of documents exist?
  • How? Research, sources and records
Reinsurance claims management – US v the UK v Continental Europe
  • Introduction to reinsurance claims management
  • US claims management
  • UK claims management
  • Continental European claims management
  • Conclusion
Run-Off and insolvency and its impact on reinsurance claims
  • How to assess the likelihood of reinsurer insolvency
  • Obligations of the insolvent reinsurer to the cedant
  • The domino effect
  • Alternatives to insolvency
London Market electronic claims file
  • History – London Market principles
  • Outline of the system
  • Legal framework – the repository rules/SP&P
  • Implementation – Lloyd’s/companies
  • Latest developments and upgrades
  • Lloyds Claims Transformation Project

Recommended Trainers

Seminar chair

Phillippa Rowe is a senior partner of independent reinsurance consultants Phillippa Ross & Co., and has over thirty years experience of insurance and reinsurance claims in Lloyd’s and the London Market and internationally. She began her reinsurance career with fifteen years with the Kiln Group at Lloyd’s. She currently acts as arbitrator, mediator, expert witness and technical consultant in a wide range of claims, wordings and market practice matters and writes, lectures and provides training courses on similar subjects.

Speakers

Michael Cook is a Director in the London office of Navigant Consulting and has over 16 years of experience in the London Market. He has specialised in long-tail claims liabilities, estimation and analysis, audits and inspections and reinsurance recoveries. Michael has worked across North America, the UK and Europe serving many of the industries’ largest companies such as Lloyd’s of London, Equitas, QBE, Transatlantic and Royal & Sun Alliance.

Nancy Kelly is a Consultant with PRO Insurance Solutions Ltd. She has an extensive 20-year legal background representing large companies in general corporate and business matters, as well as in commercial, product, insurance, and environmental litigation. Nancy has tried cases in most New England States, New York City, and Washington D.C. She is qualified to practice in several states in the U.S. and has passed the qualification examinations to become a solicitor in England and Wales.

Kevin Lazarus is a solicitor in the Legal and Compliance Team at Lloyd’s advising the corporation. Before joining Lloyd’s Legal in 2006 he was a solicitor in private practice including at Barlow Lyde & Gilbert where he specialised in reinsurance litigation. While at BLG, Kevin contributed to Reinsurance Practice and the Law, and he assisted with the current chapter on Lloyd’s.

Melanie Rouvray-Kampe works in claims and reinsurance within the Group Legal Services department at the head office of the Hannover Re Group in Hannover, Germany. The section is responsible for the legal support of the operational business such as drafting of wordings, clauses and reinsurance agreements and all types of litigation, arbitration and mediation as well as the handling of special claims. She gives legal support to the UK, Canadian and Australian treaty and facultative departments as well as the Structured Reinsurance division.

Daniel Saville is a senior solicitor in the International Risks and Reinsurance Group at Reynolds Porter Chamberlain. He has advised on a wide range of disputes in respect of direct and facultative property and casualty risks, and in respect of proportional and non-proportional reinsurance treaties for classes of business including property, catastrophe, casualty and PA. Daniel manages RPC’s award winning online reinsurance wordings service, ReWord, and his practice includes considerable non-contentious reinsurance work, such as policy drafting and advising on reinsurance issues arising from large corporate transactions

Edward Walker is Finance and Administration Manager of the Insurance Institute of London. Prior to this he was a senior manager in the Financial Markets Group at Grant Thornton in London specialising in accounting, regulatory and corporate restructuring issues relating to insurance companies, Lloyd’s syndicates and brokers within the general insurance sector. He has worked in the London Insurance Market for over 20 years, initially as a financial accountant at Swiss Re (UK), progressing on to the Institute of London Underwriters.

Peter Wedge is Legal Counsel at Infrassure (an energy & infrastructure insurer). Prior to this, he worked for SCOR, most recently in New York, as Global Head of Inspections and Claim Solutions, acting as a Director of General Security Insurance Company Limited. Previously, he was Head of Claims at Alea Europe and Legal & Claims Counsel at Swiss Re. He has 24 years experience in the insurance and reinsurance industry.

Continuing professional development

This course qualifies for the following CPD programmes:

  • CPD certificate of attendance: 6.00 hours
  • Chartered Insurance Institute

Bespoke training

We can customise this course to meet the requirements of your organisation. Contact us to discuss your training requirements.

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Previous customers include...

  • ACE Tempest Re Europe
  • Argenta Syndicate Management Ltd
  • AXA Versicherung AG
  • Brit Insurance
  • Canopius Services Ltd
  • Catalina Holdings (Bermuda) Ltd
  • CJSC Insurance Joint Stock Company "Allianz"
  • Enstar EU Ltd
  • GRF Services
  • HSBC Insurance (Ireland) Ltd
  • Lloyd's of London
  • Mitsui Sumitomo Reinsurance Ltd
  • Motor Insurers Bureau of Latvia
  • Omega Europe GmbH
  • Paris- Re
  • PRO Insurance Solutions Ltd
  • Protection Reinsurance Intermediaries AG
  • QBE Management Services (UK) Ltd
  • R&Q Insurance Services
  • R+V Versicherung AG
  • Reynolds Porter Chamberlain LLP
  • Steptoe & Johnson
  • The Lawrence Re Ireland Ltd
  • Whittington Insurance Services Ltd
  • Wüstenrot & Württembergische AG