Expertise | Assurance et réassurance
A concurrent duty to defend: what insurers can expect
Our global accident & health team routinely advises on claims for permanent total disablement (PTD) and temporary total disablement (TTD), as well as complex medical expenses claims, problematic medical evacuation and accidental death.
Our team is experienced in handling the entire spectrum of Personal Accident (PA) claims, from group PA or medical expenses policies to high profile sportsmen/women or media personalities.
We have established relationships with relevant medical and other experts in the field, enabling us to analyse and coordinate the highly specialised evidence generally required and to devise strategies for the complex issues arising in claims at this level. Our team also has a global network of specialists to assist with policies fronted or operating in various jurisdictions.
We have particular experience in high profile sports claims and have advised on a range of sport risks. Recently, we advised insurers in potential TTD/PTD of a Premiership footballer to the value of GBP 18 million.
Drafting wording to address common tropical disease issues, particularly malaria
Advice on Obamacare/Affordable Care Act
Advising insurers on fraud and fraudulent exaggeration in relation to security consultations under PA group schemes to values exceeding GBP 2.5 million
Acting on behalf of insurers under permanent health insurance and for PTD benefits in relation to chronic pain conditions
Advising insurers on claims for European basketball players
Advising insurers in a dispute regarding a premiership footballer with a GBP 8 million claim for a career ending ankle injury.
We have considerable experience in dealing with the FOS process, including drafting submissions to the Ombudsman and judicial review proceedings