Forensic Accounting Capabilities for Policyholders
Claim Preparation
We take the burden off our clients by organizing and clearly presenting required claim evidence, building a claim model that is easy to understand yet responsive to the complexity of the situation.
Detailed analysis, strategic guidance, and a tailored approach ensure accurate quantification and a streamlined process, maximizing the likelihood of a successful resolution.
- Loss measurement and claim model construction
- Strategic collaboration and communication
- Organized, milestone-driven submissions
- Advance payment support and settlement tracking
BI Values & Exposures
Business Interruption represents the financial risk a company may incur when its operations are disrupted due to unforeseen events such as natural disasters, fires, or other perils. Without precise BI values, a company may find itself underinsured and vulnerable when seeking recovery, or overinsured and needlessly paying premium.
The traditional method of collecting values within the one-page BI worksheet is outdated. Your organization is likely more sophisticated and complex, requiring a different approach.
Collaborating with Risk Management, Accounting, Finance, and Operations, our work product ensures the financial inputs and assumptions are comprehensive, consistent, and appropriate. The result is a tailored model that accurately reflects exposures, is repeatable in subsequent years, and allows the insured and brokerage team to make informed decisions during placement of coverage.
Pre-Loss Strategy & Planning Sessions
The best time to prepare for a complex claim is before a loss occurs.
RTFA works with policyholders and their advisors to identify potential business interruption exposures, evaluate how a loss could impact operations and financial results, and establish a practical framework for documenting and quantifying a claim if an event occurs.
Our pre-loss strategy sessions can help organizations:
- Understand their coverage and financial exposures from a claims perspective
- Identify critical data and documentation that should be preserved and readily accessible
- Evaluate business interruption values and assumptions reported to insurers
- Establish protocols for tracking lost sales, continuing expenses, extra expenses, and other financial impacts
- Identify key personnel, systems, and information that may be critical to a future claim
- Develop a clear roadmap for responding to a loss before the pressure of an active claim begins
By planning in advance, organizations can reduce uncertainty, improve the quality of information available after a loss, and put themselves in a stronger position to respond when an interruption occurs. Preparation turns complexity into clarity.
Litigation Support
Our team has the expertise to serve as credible and reliable expert witnesses. With a commitment to clarity and professionalism, we articulate complex financial matters effectively, supporting legal teams across a range of litigation scenarios.
- Economic loss quantification
- Expert witness preparation in anticipation of trial
- Expert reports and deposition testimony
- Participation in arbitrations, mediations, and appraisals
- Investigative accounting and reporting
- Simplifying complex data sets and concepts
- Navigating overlapping coverage across multiple policies
Business Interruption & Contingent BI
When an interruption impacts a business, understanding the financial loss is critical. RTFA quantifies lost income, continuing expenses, extra expenses, and other financial impacts arising from direct or contingent business interruptions. We analyze the underlying business, operational realities, and available financial data to develop a clear and well-supported claim.
Property Damage
Physical damage can create financial consequences that extend well beyond the cost to repair or replace the damaged property. RTFA assists clients in quantifying property damage, inventory and stock losses, restoration costs, and related financial impacts. Our analysis connects the physical loss to the financial consequences of the event.
Builders Risk & Subcontractor Default
Construction losses can involve complex financial impacts, multiple parties, and competing responsibilities. RTFA assists with Builders Risk, Delay in Start-Up, and Subcontractor Default claims, quantifying the financial consequences of delays, damage, additional costs, and project disruption.
Product Recall
A product recall can affect revenue, costs, inventory, production, and customer relationships simultaneously. RTFA quantifies the financial impact of recalls, including lost sales, recall-related expenses, inventory losses, and other covered economic impacts. Our analysis helps separate the financial consequences of the recall from normal business fluctuations.
Cyber
Cyber events can disrupt operations in ways that are difficult to measure and document. RTFA analyzes the financial impact of cyber incidents, including business interruption, extra expense, lost revenue, and other economic consequences. We work with available operational, financial, and technology data to develop a defensible measure of loss.
Crime & Fidelity
Financial crime can leave organizations facing both direct losses and complex financial consequences. RTFA investigates and quantifies losses arising from employee dishonesty, fraud, theft, and other crime-related events. We trace transactions, analyze financial records, and develop a clear measure of the resulting loss.
Representations & Warranties
Representations & Warranties claims often require a detailed understanding of the financial and operational impact of a breach. RTFA applies forensic accounting and financial analysis to quantify damages arising from breaches of representations and warranties, helping clients understand and support the economic impact of the underlying matter.
Multi-Policy Claims
Complex losses do not always fit neatly within a single insurance policy. RTFA assists with claims involving multiple policies, coverages, locations, or loss components, analyzing the financial impact across the relevant programs and helping clients develop a coordinated, consistent claim.
Early Financial Insight
RTFA works quickly to understand the financial impact of a loss, identify the key drivers of exposure, and establish an initial view of the potential claim. Early insight helps clients prioritize information, focus resources, and make informed decisions as the claim develops.
Comprehensive, Supported Claim Models
Our team develops detailed financial models that connect the underlying facts and business operations to the claimed loss. We use reliable source data, documented assumptions, and transparent methodologies to create claim calculations that are thorough, yet easy to understand.
Structured, Efficient Claim Process
The policy does not dictate when you submit or how long adjustment takes. We set milestones for the policyholder with the adjustment team, drive advance payments, and keep the settlement on schedule.
Clear, Consistent Communication
We translate operational disruption into financial language, and keep management, brokers, adjusters, and insurer accountants aligned on the same set of facts.
Balanced, Independent Representation
RTFA is independent and focused exclusively on financial loss analysis and claims. We provide an objective perspective grounded in the facts, the financial records, and the applicable policy, while representing our client's interests throughout the claims process.