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Claims Management

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CONTACTS Alessandro Lercari Giuliana D’Amore CLL Business Development Sircus Business Development Via Roma, 8a - 16121 Genoa - Italy Via Roma, 8a - 16121 Genoa - Italy Direct dial +39 010 5446471 Direct dial +39 010 5446570 Fax +39 010 5446475 Fax +39 010 5446578 Mobile +39 339 7271122 Mobile +39 348 3018944 E-mail [email protected] E-mail [email protected] www.gruppolercari.com Lercari Group Claims Management and Loss Adjusting Services Proposal
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Page 1: Claims Management

CONTACTS

Alessandro Lercari Giuliana D’AmoreCLL Business Development Sircus Business Development

Via Roma, 8a - 16121 Genoa - Italy Via Roma, 8a - 16121 Genoa - ItalyDirect dial +39 010 5446471 Direct dial +39 010 5446570

Fax +39 010 5446475 Fax +39 010 5446578Mobile +39 339 7271122 Mobile +39 348 3018944E-mail [email protected] E-mail [email protected]

www.gruppolercari.com

Lercari GroupClaims Management

and Loss Adjusting Services Proposal

Page 2: Claims Management

NETWORK

ItalyA network of owned offices [ ] covering the entirenational territory with a direct presence in the majorcities. Additional technical support and consultancyservices are provided by Lercari Group through thespecialist expertise of surveyors, forensic professionalsand technicians well versed in a variety of topics andcentrally coordinated [ ].

Rete S.r.l. is an associated company of Lercari Groupwhich operates through a nationwide network of lossadjusters, medical experts and independent technicians.

The network is centrally coordinated and supervisedto ensure a high standard of services and consistencyof performance.

n. 74 Loss Adjusting firms all over Italyn. 512 Medical Expertsn. 377 Motor Surveyors

Europe and WorldwideCunningham Lindsey is the second largest loss adjusting operation in terms of turnover and the largestfor territorial spread with more than 600 offices and 5600 employees in more than 70 countries.

June 2012

Our Group offers a wide range of insurance related services with special emphasis on loss adjusting,loss prevention, claims management services and TPA.

A large territorial network of offices, both in Italy and overseas, enables us to dovetail with theworldwide facilities of our partners Cunningham Lindsey International to provide the required standardof performance backed up by in depth knowledge of local regulations and market practices.

Lercari has been present in Italy for more than 130 years in the insurance market and its consolidatedexperience ensures consistency and quality of service backed by an internal workforce of around 250in-house professionals, centrally coordinated by our headquarters based in Genoa and Milan.

LERCARI GROUP COMPANIES

Lercari S.r.l. • Domestic loss adjusting/surveys

Sircus S.r.l. • TPA and claims management services

Cunningham Lindsey Lercari S.r.l. • International loss adjusting/surveys

Contec-Lercari S.r.l. • Marine surveys and claims management services

San Filippo S.r.l. • Technical expertise of damages to electrical and electronic goods

GSA S.r.l. • Accounting and financial Services

CSI S.r.l. • IT Services

Piramid S.r.l. • Technological risk management

Rete S.r.l. • Domestic loss adjusting network

Cult • Training and culture

Page 3: Claims Management

GENERAL LIABILITY & PROFESSIONAL LINES

P.I. Specialty Division General LiabilityVia G.B. Moroni, 32 - 20146 Milan - Italy Via Roma, 8a - 16121 Genoa - ItalyPh. +39 02 45413560 Ph. + 39 010 5446570Fax +39 02 45413509 Fax + 39 010 5446578

GENERAL INFORMATION

General liability issues are constantly changing due to the rapid evolution of the legal and operationalcontext. In order to respond to existing and emerging challenges, CLL have developed a policy ofcontinuous upgrading of human and technical resources as well as of IT facilities.

Bespoke standard of services require that the loss adjusting structure should be able to effectivelyliaise with policy holders with a view to establishing appropriate information flow char ts and makeavailable to our customers an adequate team of experts supported by extensive territorial networksand state of the ar t IT facilities.

CLL Italy can rely also on a team formed by expert lawyers and technicians in the insurance field, ofLercari Group Liability Division to provide loss adjusting and consultancy services for all Liabilitybranches, in relation to frequent and substantial losses.

Therefore CLL and Lercari Group Liability Division offers a full range of management and loss adjustingservices including Professional Indemnity, Professional Liability & Medical Malpractice, TPL, D&O,Employer’s Liability, Product Liability and PI claims.

Our extensive technical resources and longstanding experience of the market also enable our Groupto effectively address the PI field in technical sectors (Engineers, Architects, General Adjusters’ Liability)and in professional ones as Lawyers, Medical Doctors, Accountants, Notary , Software Designers etc.

Cunningham Lindsey Lercari, the international arm of Lercari Group and a specialist organisation in themanagement of international programmes, makes available to its customer the access to local expertiseand in depth knowledge of legal backgrounds and jurisdictions, through one of the widest worldwidenetwork and its own Italian network.

Our offer incorporates different business solutions covering severity and frequency losses, bordereauxpreparation, the issuing of reports in foreign languages to the benefit of direct carriers and reinsurance companies.

IT SYSTEM

Every application for the losses management is built on the basis of the client’s needs:• Lotus Domino IBM technology.• Web access to the system with safe connection SSL by the CLL portal.• Interconnection (inbound – outbound) to clients’ application, oriented systems through file flat (ftp,mail server) or through web service.

• Paper documentation electronic database ( also accessible through web).• Web portal implementation on php – Sql Server technology

CLL and SIRCUS have a modern server farm provided with the newest technology:• Fibre broadband connection between the main office and the branch offices.• Mpls system for the remote offices connection.• Vpn server for external access to intranet area.• Daily backup of the data • Last generation Server Hp

REPORTING

Reports on losses as well as updates on the legal proceedings will be submitted in English in compliancewith Insurers’ guidelines.

BORDEREAUX

A dedicated qualified paralegal will update the bordereaux and manage the accounting aspects underthe supervision of the team leader and the loss adjusters.

TEAM

Up to date our staff is composed by a team of more than 40 persons (excluded management team)in our offices in Milan and Genoa.

Our company is strongly investing in this department that we consider strategic for the Group.

Other related activities are:• Deductible recovery• Bespoke borderaux and statistics• Recovery actions management

Page 4: Claims Management

MEDICAL MALPRACTICE

Our staff is skilled in handling Med-Mal losses of all types: Hospitals, Healthcare Entity, Clinics andDoctor Professional policies.

Our loss adjusters working on these type of losses have all a legal background.

We are currently handling Med-Mal binders for Lloyd’s Syndicates.We receive directly notification of new losses from the London Broker or the local broker and thencarry out the following activities:

• Documents examination in order to:- Evaluate the Insurance validity period (claims made, retroactive date- discovery period) - Evaluate of the Insured liability- Evaluate the possible Court of Settlement in case of Civil Proceeding pending

• Further documentation request;• Monitoring the Civil and Criminal proceedings and appointment of Lawyers to defend Insurersinterests in case of Lloyd’s call in the action;

• Appointment of a Medical expert;• Issuing of monthly bordereaux with the details of all the new notifications received and updates onthe other losses;

• Individual reporting for losses over € 25,000, for losses with civil or criminal case pending or for“death cases”;

We have a Medical expert network throughout Italy.

TECHNICAL COMMITTEE

Central Medical Advisors

Central Insurance Advisor

Legal experts:• In-house lawyers, who provide legal opinions and handle the settlement activities of out of Courtlosses.

• Network of skilled Legal Consultants and economical agreements with major Law Firms based inGenoa, Milan, Rome, Naples, Torino and others, who can also defend Underwriters’ interests in Court.

In case Underwriters have already instructed their Lawyers for the litigation aspects our staff canmonitor the pending legal proceedings by providing regular updates and by checking the congruity ofthe appointed law firm legal fees.

OUR UNIQUE SELLING POINT

Cunningham Lindsey Lercari

In 1999 the founding members, CLI and Lercari , formed a new company incorporating a wealth ofexisting experience and traditions. Afterwards CLL has begun to grow up independently, but never alone.

The CLL key factor in terms of successful claims management largely depends on the partnership withthe Lercari Group companies which ensures solid professional competence and qualifies the expertiseand technical skills of our staff, with a workforce of around 250 in-house professionals, centrallycoordinated by our headquarter based in Milan and Genoa.

The Group has been active for more than 130 years in the Italian insurance market and its businessmodel is based on process segmentation between experts and supervisors prior to the delivery thereports.For each case the necessary skills are identified in a targeted way according to the characteristics ofthe claim to manage.Whenever possible, internal resources are employed and the bulk of preparatorywork is done in advance of resor ting to external consultancy with a view to keeping costs to aminimum. Our internal staff is complemented by a large network of external consultants that covers any possiblebusiness line (medical, legal, commercial, accountants, engineers, company law, D & O, Liability, BBB, etc).Accurate selection of service providers incorporates such features as proved competence, reputationfor integrity and the ability to offer a wide range of professional and economic solutions at competitiveterms. Selection is operated by our specialist depar tment taking all the above fully into account soenabling us to submit to our Principals attractive and economical packages.As a result of the above: • we provide the added value of the sum of two capabilities , claims management and Surveying;• we offer tailor-made claims management schemes of high quality which compare favourably withthose available from most of our competitors covering all lines of direct and reinsurance business.

We do not consider ourselves infallible but we will do our utmost l to minimize any margin of error. We do not think we are necessarily better than others, but we trust in our capability, and in all of thosewho work with us.

We do not sell the product of one person, but the work of a team.


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