Insurance Consulting

Standard of Care

• Failure to Understand Insured Operations and Procure Proper Coverage
• Misrepresentation to Underwriters
• Misrepresentation to Client
• Failure to Timely Procure or Cancel Coverage
• Failure to Perform as Promised/Requested
• Failure to Timely or Properly Report Claims
• Failure to Place with Financial Solvent Carrier
• Failure to Monitor Carrier Financial Security
• Failure to Report/Pay Surplus Lines Taxes
• Failure to Obtain Proper Licenses
• Failure to Reconcile Accounting

Conflicts of Interest Arising from Joint Agency

Broker/Agent Licensing

Bad Faith

Compensation Disclosure

Contingency Commissions

• Failure to acknowledge, pay, or deny claims within specified time
• Failure to properly terminate a policy
• Failure to pay claims properly
• Failure to adhere to grievance, appeal, or utilization review requirements
• Improper claim file documentation
• Use of unlicensed claim adjustors or appraisers
• Failure to communicate in writing delay of claim settlement
• Using unapproved/unfiled rates and/or rating errors
• Use of unapproved or unfiled coverage forms
• Failure to provide appropriate disclosures in underwriting and claims processes
• Failure to appoint, track, or use licensed producers
• Failure to adhere to advertising requirements and/or promises

Property

• Flood
• Business Interruption
• Extra Expense
• Inland and Ocean Marine
• Boiler & Machinery
• Builder’s Risk

Casualty

• General Liability
• Automobile
• Workers Compensation
• Umbrella/Excess Liability
• Professional Liability
• Directors & Officers Liability
• Fiduciary Liability
• Employment Practices Liability
• Personal Lines
• Surety

Manuscript Coverages

• Claims Reporting
• Claims Adjusting
• Bad Faith
• Duties of Insured
• Duties of Insurer
• Third Party Claims Adjustors (TPA’s)
• Litigation Management
• Subrogation