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Insurance Professionals

"I have found H&A to be one of the most knowledgeable if not the most knowledgeable firm of forensic accountants dealing with accident benefits. Invariably I find them to prepare and provide myself or my clients with thorough, accurate and detailed reports. They have established for themselves an excellent reputation which has been enhanced by the acceptance of their evidence at Arbitration. Further they regularly attend at Mediation to assist in resolution of cases involving accounting issues."

Philippa G. Samworth,
Certified as a Specialist in Civil Litigation
By the Law Society of Upper Canada,
Dutton Brock LLP

H&A plays a vital role in quantifying all types of insurance claims. Our knowledge of business, both large and small, gives us the ability to make our calculations both effectively and efficiently to guarantee accurate results, substantiated by objective financial evidence. 

SPECIALISTS IN ALL ASPECTS OF CLAIMS QUANTIFICATION

Throughout every stage of the claims process, the accountants we have on staff dedicated to our insurance practice assist our clients – from initial consultation and research to preparing clear and concise reports and appearing as expert witnesses before arbitration hearings or the courts.

CANADA’S LARGEST INSURERS RELY ON US

For two decades, our meticulous analysis of the facts, backed up by clear and concise reports, have earned us a solid reputation with many of Canada’s largest insurers. Among our clients are:

Our success with these industry leaders is based on three things:

Expertise

We bring an accumulated 75 years of expertise to the quantification of personal injury and commercial loss claims. Many of our professional staff have attained the Investigative and Forensic Accounting specialist designation (IFA) awarded by the Canadian Institute of Chartered Accountants, and are qualified as expert witnesses.

Communication

We are quick to communicate at all stages of the claim process - giving updates, progress reports and sharing our knowledge. Our website and electronic newsletters/e-bulletins keep our clients at the forefront of the latest industry news and legal decisions.

Education

We host lunch and learns combined with other information/training seminars to share our expertise and help our clients upgrade their knowledge and skills in an informal environment

A BROAD RANGE OF PROFESSIONAL SERVICES

We will determine the nature and veracity of the claim and the quantum of the loss, be it an individual loss through accident/liability or a corporate loss from inventory/business interruption.

H&A’s focus on the insurance industry for two decades has allowed us to develop expertise in the following areas:

• Personal Injury, including Accident Benefits and Bodily Injury
• Commercial Losses 

Personal Injury

• Accident Benefits & Economic Loss Claims.
• Extensive experience in Ontario’s Bill 68, Bill 164, Bill 59 and Bill 198 regimes by virtue of our involvement in thousands of accident benefit claims and tort for both employed and self-employed claimants.
• Expertise in determining financial dependency in cases where priority or death benefits are at issue.
• Invaluable assistance in mediation and arbitration at Financial Services Commission of Ontario (FSCO), presenting the most complex quantification issues in a concise yet comprehensive manner.
• Comprehensive in-house file protocols, which enable us to quantify benefits as efficiently and accurately as possible.
• Depth of experience with a large variety of businesses and professions.
• Thorough understanding of arbitrations and court decisions and how they impact the quantification of benefit entitlements.
• Routine provision of complimentary in-house training and information seminars as a means of sharing knowledge and expertise.

Commercial Losses

Business Interruption And Inventory Loss Claims

• Comprehensive financial investigative experience of inventory and business interruption claims.
• Experience in most business sectors, including manufacturing, construction, retail, farming and high tech.

Extra Expense

• Establish that a claim for extra expense/increased cost of working meets the criteria of the policy and whether or not the expenses have been paid.
• Determine whether or not the expense is really "extra" or whether all or a portion of the expense would have been incurred in any event (e.g. overtime wages).

Fidelity Claims/Misappropriation of Funds

• Determine how the theft was perpetrated and whether the defalcator is, in fact, an employee.
• Confirm where and when the loss occurred and determine that coverage is in place and quantify the loss.

General & Product Liability Claims

• Support for major corporations and their insurers in reducing exposure to expensive lawsuits.
• Calculation of true and fair financial losses (loss of income, expenses, etc.).

Third Party Liability Losses

• Quantification of the true loss regardless of type (income, opportunity, extra expense, other damages) over a wide array of industries.

Arson-for-Profit Financial Investigations

• Financial record and document sifting that help establish motive in arson-for-profit cases.
• Close liaison with insurer and legal advisors to bring fast closure to arson-for-profit cases - before or after they reach court.

Jeweler's Block

• Professional handling of complex claims submitted by jewelery manufacturers – precious stones, metals and manufactured pieces.
• Verification of the existence of the claimed items and their proper valuation under the policy.

Click here for a more detailed description of forensic accounting services

Electronic Discovery and Computer Forensics

As businesses rely more and more on computers, the insurance industry is being challenged with underwriting policies that involve computers, vast amounts of digital information and computer security.

• Assistance in determining baseline of acceptable computer security to aid in the underwriting process.
• Investigation of theft, business interruption, arson-for-profit and other claims where a paper trail no longer exists.

Click here for a more detailed description of electronic discovery services

Click here for a more detailed description of computer forensics services