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The Forensic Accountant’s Role in a Large Loss

No matter how well a risk management team has planned for it, actually dealing with a catastrophe can be a distracting and stressful financial challenge.  The adjuster’s ability to manage his resources and work through the complex claim issues that will inevitably arise can make the process less daunting for the insured.

insurance loss accountants, insurance loss forensic accountants

A common denominator for many large losses is the involvement of special consultants. Each of these professionals plays a key role in working with the adjuster to help the insured and his representatives understand the critical issues and decisions that need to be made. An experienced and well-balanced adjustment team helps to identify and evaluate the practicality and ramifications of various recovery options, and may even suggest some alternatives not previously considered by the insured. Working as part of this team of specialists, the forensic accountant uses his specific industry and market expertise to provide a projection of the insured’s business had no loss occurred.

A properly trained forensic accountant can also quickly understand the insured’s accounting system, identify and request essential financial records and gather the information necessary for the initial setting of the maximum loss exposure.  In addition, the forensic accountant plays an integral role in the claims management process going forward.  They do this by evaluating and providing feedback on the claim as presented by the insured.  They should also provide a reconciliation and be able to clearly explain the differences between the claimed and the calculated loss amounts. Additionally, a forensic accountant provides necessary resources to track, vet, evaluate and organize the costs and expenses associated with property damages, stock losses and extra expenses.  Their ongoing accounting analysis should assist the adjuster in responding to requests for partial or advance payments. An effective forensic accountant also:

The experienced forensic accountant ultimately provides useful and meaningful information to the adjuster.  His or her involvement should help facilitate informed decisions that ensure an objective and equitable resolution of the claim.

By Dayne Grey

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