Claims Consulting

The Horseshoe Group has an experienced and technically competent team that allows us to provide our clients with expert claims consultation on all key strategic, operational and dispute resolution issues. We strive to seamlessly partner with our clients to mitigate financial risk and ensure satisfactory outcomes:

Claims Management

The Horseshoe claims team has vast experience in the management and administration of both insurance and reinsurance claims operations. Our goal is to provide our clients with all the benefits and services of an in-house claims department but with greater transparency and cost control. The variety of services we can provide include but are not limited to the following:

  • Claims system implementation
  • Establishment and review of claims handling guidelines and processes
  • Internal audits
  • Vendor and cost control analysis
  • Temporary staffing
  • Specific claims training of technical staff
Claims Audit and Inspections

Our claims professionals have performed hundreds of claims audits at insurance and reinsurance companies, managing general agents and third party administrators. The team possesses significant background and experience in handling various lines of business including Property, Marine, Energy, General Liability, Medical Malpractice, Workers' Compensation, Trucking and Professional Liability.

  • Pre-binding and operational reviews
  • Runoff and claims management reviews
  • Liability estimation and analysis
  • Portfolio transfers and due diligence reviews
  • Pre-commutation reviews
Dispute Resolution and Litigation Support

Today’s insurance industry is rife with complex commercial claims disputes that can change an insurer’s balance sheet virtually overnight. Whether it involves arbitration, litigation or mediation, we work side by side with our clients to understand, manage and resolve their commercial claims disputes. Our services include:

  • Full assessment of litigation risk and financial exposure
  • Expert testimony
  • Discovery services and analysis
  • Compliance reviews and special purpose audits
  • Recommendations on strategy, tactics and disposition
Collection of Reinsurance Recoverables

Many insurers and reinsurers have to contend with Schedule F penalties and the loss of investment income as a result of uncollectible reinsurance. These types of problems cause a drain not only on corporate finances but on company personnel as well. The key to an effective reinsurance recoverable plan is to establish, or at times re-establish, the lines of communication between the parties in a way that eliminates or minimizes the up-front expense in obtaining outstanding balances. Our services include:

  • Insurance and reinsurance coverage analysis
  • Reinsurance recovery process review
  • Performance improvement plans
  • Financial fact finding and analysis
  • Debt collection
Reinsurance Commutation Services

The insurance industry landscape today is awash with potentially volatile situations including companies in runoff, on a “watch” list, in liquidation or seemingly unwilling to fulfill their contractual obligations. As a consequence, many parties to the reinsurance agreement increasingly choose commutation as an effective means to bring finality to the relationship. This option however is not without risk and requires extensive strategic analysis, in depth liability estimation, allocation and negotiation. Our services include:

  • Pre-commutation claims and underwriting reviews
  • Full analysis of underlying claims data including long tail exposures
  • Complete evaluations of all claims in “dispute”
  • Full actuarial analysis including IBNR, reserve discounts and present value calculations.
  • Negotiation
  • Post commutation, we can prepare an exposure analysis that can be used as a basis for billing the commutation to the retrocessionaires.