Policy and Coverage, Claims, Negotiation, Litigation and Arbitration
Insurance Disputes
Handling an insurance dispute from examining the policy and its coverage to the claim and the negotiation, and on to litigation or arbitration where it is needed.
/ The Practice
We handle insurance disputes from examining the policy and its coverage through to the claim, the negotiation, and litigation or arbitration where it is needed. We help insured individuals, businesses and companies understand their rights and obligations, and meet a claim or a refusal of coverage.
/ Practice Area Details
Scope: Handled by the insurance disputes team, with the corporate and governance team joining where the dispute touches a contract or a transaction.
Serves: Insured individuals and establishments, businesses, and professionals exposed to liability claims
Focus: Insurance claims, compensation claims, coverage of treatment, contract insurance, professional liability, motor and property disputes, and defence against fraudulent claims.
Engagement: Examination, characterisation, claim, negotiation, advocacy.
Enquiries: View the Profile
/ The Reading
“The insurer refused my coverage. What do I do?” The answer begins with the policy itself; the scope of coverage, the exclusions and the notice conditions are what settle whether the refusal holds or breaches the contract.
/ Scope of Services
Insurance Claims
We review the policy, the facts and the documents to establish how far the coverage applies, and to build the claim on a sound legal and contractual basis.
We prepare the claims, follow them and negotiate them, addressing the grounds given for refusal or delay.
Compensation Claims
We handle claims arising from losses and damage covered by insurance, and help establish the basis of the claim, the extent of the loss and the documents that support it.
We build a complete file tying the event, the loss, the coverage and the entitlement together, which strengthens the client's position in negotiation or in a dispute.
Coverage of Treatment or a Medical Procedure
We give legal assistance in disputes over the refusal or delay of coverage for treatment or medical procedures that the policy covers.
We review the policy, the reports, the correspondence and the insurer's decision to establish the statutory and contractual basis of the claim and the right step to take.
Contract Insurance
We advise on the insurance attached to contracts, projects and contractual obligations, and review the scope of coverage, the exclusions and the conditions of claim.
We also handle the disputes that arise when the risk materialises or the insurer refuses to cover the obligation.
Professional Liability Insurance
We represent professionals and establishments in professional liability claims, and examine the relationship between the policy, the event and the claim for compensation.
The service covers building the defence, managing the claim, negotiating, and representation in the dispute where it is needed.
Defence Against Fraudulent Insurance Claims
We defend individuals and establishments against fraudulent or unfounded insurance claims, analysing the documents, the evidence and the relevant facts.
We focus on protecting the client's legal position, rebutting the claim, and taking the appropriate legal steps where fraud or forgery is suspected.
Motor and Accident Insurance Disputes
We handle claims and disputes arising from motor accidents, including the claim for compensation, refusal or reduction of compensation, assessment of the damage, and questions of coverage and liability for the accident.
We also represent the client against the insurer or the party at fault, and follow the settlement, claim and enforcement steps where needed.
Property and Liability Insurance Disputes
We handle disputes over property, fire and accident insurance, and civil and professional liability cover and other common lines, including refusal of coverage, delay in compensation, or disagreement over the scope of the policy.
We review the policy, the exclusions, the correspondence and the losses to establish how far the insurer is liable, and to build the claim or the defence that fits.
/ Method
We read the policy, the facts, the correspondence and the insurer's decision, then fix the statutory and contractual basis for the claim and the route that suits it. then we set the dispute's course and conduct it to the end.
/ What We Focus On
The policy first
We start from the wording, the scope of coverage and the exclusions, because that is what settles a claim before any other argument.
A file that proves the loss
We tie the event to the loss, the coverage and the entitlement in one file, so the position can be proven rather than argued.
Settlement before contest
We seek a fair settlement with the insurer, and where that fails we move to litigation or arbitration with the position already complete.
