Coverage Analysis

The event of a claim provides the true and exacting examination of the terms, conditions and exclusions that constitute the policy wording.

Only the event of a claim can truly test the strength of the policy contract and the resolve of Insurers to avail themselves of all policy terms and conditions.

Coverage disputes arise on an all too frequent basis and costly legal argument and litigation can follow.

Traditionally coverage opinion has been provided by legal representatives.  We do not advocate that this option be disregarded but would suggest that a less adversarial view be considered.

Paragon is able to provide Broker coverage opinion as an alternative view to aid consideration of the merits of a policy dispute.

Our review and opinion would be unbiased, independent and will not be influenced by the original mandate provided to the Broker at time of placement.

Our analysis and report would be Broker driven and would look to consider policy coverage along with a variety of secondary factors that may influence settlement negotiation.
 
Our analysis would look to include comment on:

•    Complete review of policy terms and conditions

•    Assessment of policy liability based purely upon policy terms and factual aspects of the underlying claim.

•    Consideration of the intent of the Underwriter at time of placement.

•    Current market appetite for negotiated settlements.

•    Claims reputation of Leading Insurer.

•    Size and diversity of subscription market

•    Reinsurer issues

•    Insurers appointed representatives

•    Premium spend and claims history

•    Client / Insurer relationships.