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TOPIC: Disaster Recovery / Business Interruption - Arnold F. Mascali, Executive Vice President & Chief Commercial Officer - InStar Services Group, LP - Jeffrey M. Pollock Esq. – Partner, Fox Rothschild, LLP - Frank Russo, Managing Director - Aon Global Risk Consulting, Property Risk Consulting 1
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Presentation Overview Pre-loss Planning A Loss Occurs The Property Claims Process Selecting a Recovery Vendor Tailoring Response to Policy Terms & Conditions Understanding of how to work with your insurance company and their experts Legal Pitfalls to Avoid 2
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3 $380 Billion –Economic Losses Globally (New Record), exceeding the previous record of $270B in 2005 $105 Billion –Insured Losses Globally 2011 losses were 2.5 times 2010 insured losses of $42B $72.8 Billion –Economic Losses in the US - Represents a 129% increase over the $11.8 billion amount through the first half of 2010 $35.9 Billion –Insured Losses in the US Arising from 171 CAT Events Fifth highest year on record. Represents 51% increase over the $23.8 billion total in 2010 2011 - Highest Loss Year on Record for Economic Losses Globally Source: Munich Re; Insurance Information Institute.
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Severe Weather Reports in New Jersey, January 1—December 31, 2011 4 Source: NOAA Storm Prediction Center; http://www.spc.noaa.gov/climo/online/monthly/2011_annual_summary.html # http://www.spc.noaa.gov/climo/online/monthly/2011_annual_summary.html # NEW JERSEY Total Reports = 172 Tornadoes = 1 (Red) Hail Reports = 30 (Green) Wind Reports = 141 (Blue) There were 172 severe weather reports in NJ in 2011 (none so far in 2012)
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A devastating Earthquake and Tsunami in Japan A US East Coast Earthquake Hurricane Irene directly hits New York City The improbable is becoming the norm 5
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Documentation of Japan CBI losses are complex... Earthquake? Tsunami? Nuclear? Aftershocks? Power Outage? Rolling (Intentional) Power Outage? All of the Above? 7
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Complacency sets in… 11
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A hurricane in New York City? We were lucky this time… 12
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Pre-Loss Preparation Identify Your insurance adjuster, Insurance coverage and limits, deductibles, sub-limits, exclusions Valuation of Assets and Potential Lost Income (per location) Key revenue generating activities that may be impacted Critical delivery points Any cash flow and financing concerns Internal/External team that will lead the documentation of potential losses Develop Comprehensive Business Continuity and Disaster Recovery Plans Agreements with restoration and other vendors Internal claims manuals and timely reporting measures Reporting & tracking claims procedures Interviewing and selection process for other required vendors Track Loss history 13
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Presentation Overview Pre-loss Planning A Loss Occurs The Property Claims Process Selecting a Recovery Vendor Tailoring Response to Policy Terms & Conditions Legal Pitfalls to Avoid 14
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Ready? What’s your plan…? For getting back to business For accessing critical recovery equipment and/or specialists For coordinating insurance recovery efforts For ensuring timeliness & accuracy of information from the loss site(s) For committing significant time to comprehensively monitor and manage the claim process For monitoring and managing your vendors and experts For monitoring and managing insurers’ vendors and experts For adequately documenting your loss For expediting your financial recovery 15
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Building Contractor Architect/ Engineering Risk Manager Roofing Consultant Loss Adjusters Staff Insurance Company Normal Operations CEO/Board Other 3 rd Parties Restoration Contractor Media Industrial Hygienist Following a Loss Event – Resilience Requires Coordination of Many Resources and Swift Action 16
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Presentation Overview Pre-loss Planning A Loss Occurs The Property Claims Process Selecting a Recovery Vendor Tailoring Response to Policy Terms & Conditions Legal Pitfalls to Avoid 17
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Surveying the damage with your adjuster Be careful, take safety precautions Photograph and video footage are key Survey the damage with your adjuster Sets the tone for the settlement process Discuss measurement of the loss period: Strategies to expedite or mitigate Betterments Start-up problems Provide a preliminary loss estimate / order of magnitude Request a partial payment based on expected short- term expenditures and supportable costs 18
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Your Catastrophe Teams/ /External Partnership/ Loss Consultants Your Local Facility Operations Your Finance/Risk Management Dept “One Voice” Insurance Company/ Third Parties Vendors Restoration Contractor Building Contractor Architect/Engineering Roofing Consultant Industrial Hygienist Lead and Control the Loss Adjustment… 19
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Loss Reserve is Key Scenario 1 Adjuster visits loss site unattended Adjuster sets Loss Reserve set at $10M Total Incurred Loss after all is known = $14M 12 months to settle Scenario 2 Adjuster visits loss site with a prepared risk manager. Risk Manager provides detailed order of magnitude Adjuster sets Loss Reserve set at $17M Total Incurred Loss after all is known = $14M 7 months to settle Major fire at a retail distribution center 20
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How claims become complex Delays in repair / reconstruction Cause & Origin Investigations Subrogation analysis Result from delays Mold Additional damage from rainfall & other perils Second event prior to completion of repairs Difficult to quantify / segregate Code upgrade issues Identifying code issues can take time Delays in analysis and adjustment of damage by insurers occurs during widespread catastrophes Pricing and timing of repairs increase significantly following widespread events 21
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Business Interruption – What is Usually Covered? Physical damage by an insured peril to insured property triggers the time element coverages Contingent BI for insured damage to direct suppliers and customers Interdependency losses between internal operational areas Service interruption - damage to property of the type insured, by an insured peril (that is not excluded for SI) Civil authority – limited to a number of days Ingress/Egress – limited to a number of days Other exposures in your organization (ex. H1N1 Flu) – insured or not insured? 22
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Recovery and Settlement Expedited by Aligning the Appropriate Experts Shareholders/Investors CFO Risk Manager Operations Construction Legal Accounting Reinsurers Other Experts Legal Underwriters Insurer Account Executive Insurer Claims Manager Insurer Claims Dept. Loss Mitigation Consultant Specialty Consulting Estimator/ Engineering Forensic Accountant Salvor Specialty Consulting Estimator/ Engineering Auditors ProjectManager Adjuster Insured Team Insurer(s)Te am 23
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Presentation Overview Pre-loss Planning A Loss Occurs The Property Claims Process Selecting a Recovery Vendor Tailoring Response to Policy Terms & Conditions Legal Pitfalls to Avoid 25
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Restoration and Remediation – The Basics Coverage Areas – national, regional, local Equipment – owned, leased, rented Services Offered – emergency response, restoration, rebuild 26
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Restoration & Remediation – Beyond the Basics National Network – Local Response “black dots vs. black hole” Specialty Certifications Project Management & Subcontractor Standards Continuing Education Requirements Financial Strength (timing of payments) Leverage of Relationships- fuel, power, & access Accounting Methods and Billing Processes Look for Innovation 27
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Presentation Overview Pre-loss Planning A Loss Occurs The Property Claims Process Selecting a Recovery Vendor Tailoring Response to Policy Terms & Conditions Legal Pitfalls to Avoid 28
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Restoration & Insurance = Hand-in-Glove Marrying Terms & Conditions with Disaster Response –Ex. Extra Expense vs. Expediting Expense vs. Expense to Reduce Loss –Number of Deductibles –Sue & Labor Collaboration Not Confrontation - Work with insurance adjuster and carrier on scope - Demonstrate loss mitigation mindset Act with Due Diligence & Dispatch - Reasonable conduct under the circumstances - Period of Indemnity – Actual vs. Theoretical 29
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Presentation Overview Pre-loss Planning A Loss Occurs The Property Claims Process Selecting a Recovery Vendor Tailoring Response to Policy Terms & Conditions Legal Pitfalls to Avoid 30
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Planning for Catastrophe Types of Coverage to Consider: Business Interruption Coverage Contingent Business Interruption Coverage Contingent Extra Expense Coverage Legal Expense Insurance Claims Preparation Coverage Civil Authority Coverage Ingress/Egress Coverage Punitive Coverage 31
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Areas Requiring Immediate Consideration You will be addressing claims under bad conditions—get some help from an insurance professional Providing Notice Bermuda Form Coverage (be careful) (Integrated occurrence trigger) Preserving claim while repairing damage Claims preparation is complicated 32
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Front-End Litigation Considerations Notice Forum—in tough cases, forum is decisive Documentation (counsel should coordinate with broker and client. Don’t repair without documenting!) Think team (risk manager/claims adjuster/counsel must work together) 33
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