ILA Introduction To Report Writing Chapter 3

Page 1

- Interim and Status Reports

OBJECTIVES

To provide an overview of the general content of interim report.

To consider the content of a sample interim report

To consider the content of a sample status report.

Page 34 of 66 Chapter 3

TheIntentionofInterimReports

Itisgenerallyacceptedthatthelargerclaimswhichtakesometimetofinalisecannotbe concludedbytheprovisionofonesinglereporttoInsurersorUnderwriters.Theinterim reportissubmittedtoavoiddelayswhichmightbeencounteredinattemptingtocollateall therequiredinformationbeforesubmittingonefirstandfinalreport,whichisinefficientand certainlycreatesproblemfortheInsurer.

Theintentionoftheinterimreportisto

updateInsurersondevelopments,

providerevisedestimatesandcashflowprojectionsand

finally,toseekfurtherclarificationonpossibleproblemissueswhichmightarise duringthehandlingoftheclaim.

Thegeneralstructureoftheinterimreporthasthefollowingcomponentsasillustratedin Figure3.1.Commentisprovidedonthestructureoftheinterimreporthereunder:-

Figure3.1

RemembertoaddyourCoverpageifyourreportcontainspersonalinformationthatneedstobe protectedintermsofthePOPIAct.ForeaseofreferencetotheInsurer,thispagemaycontainthe clientsnameandtypeofclaimwiththeclaimnumber.

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FrontorTitlePage OverviewofClaim Developments ClaimsSection OutstandingMatters Summary CoverPagewithmininfoandPOPInoteshouldtherebepersonal informationcontainedinthereport

Title Page

The title page of the report remains very much the same. However, the following changesare made: -

1. The report is submitted as a Supplementary Report.

2. The Number of Previous Reports is set out in the document to enable the claims official to determine how many reports the adjuster has already submitted

3. A recommendation for an interim payment is stated on the front page

4. A revision of the estimate, bringing into account any interim payments which have already been made, is included; and

5. Confirmation of whether the report contains personal information is made where applicable.

Figure 3.2 provides an example of an interim report, and in particular, the revised front or title page.

Page 36 of 66

Date 20 March 2021

Our Ref: Mr D Bryant/CSH

Mutual Benefit Insurance Co PO Box 10075 Ravensview 9000

ClaimNo

Policy No Insured CauseandDateof Loss SituationofLoss

Previousreports

InsuranceCover

BRYANT INSURANCE LOSS ADJUSTERS

YourRef Mr A Jones

Policy Deductible

RecommendedInterim Payments

SupplementaryReport

0090/482/91078

ZP/937/21298

Theakston Manufacturing (Pty) Ltd

Fire in Insureds warehouse 5 March 2021 14 Preston Road Industrial Sites Ravensview

One – 10 March 2021

Assets All risk PolicySection 1 – Material Damage

On all the Insureds assets Section 2 – Business Interruption On loss of gross profit Additional increase cost of working Nil R500 000

1. Material Damage

2. Business Interruption

Gross Estimate

Less: Interim Payment OUTSTANDINGESTIMATE

R125 973 500 R25 973 500 R 1 000 000 R26973500 R3 250 000 R4 750 000 R8 000 000 R 500 000 R7500000

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RevisedEstimates

Overview

Asummaryoftheclaimisprovided.Theintentionistonotrevisetheentirecontentofthe preliminaryreport,butrathertoprovideabriefsummary(whichshouldbenolongerthan halfapage),topreparethereaderofthereportforthecontentofthecommunication,all outstandingmatters,developmentsandfurtherrecommendationswhicharebeingdealt with.

ItisessentialthatthereportwriteradviseInsurersonthepurposeofthereport,whichisto:

motivateaninterimpayment

provideanupdateondevelopments;and

reviseclaimsestimates.

OutstandingIssues

Inthepreliminaryreport,theadjusterislikelytohaveraisedareaswhichrequirefurther investigation.Thissectionofthereportclearsawayanyoutstandingmatterswhichmayhave beenraisedinearlierreports,forexample,establishingthecauseofthefire,commentingon thestructuralintegrityofthebuildingetc.

Theinformationprovidedunderthissectionofthereportisgenerallynotdealtwithunder one,butrather,anumberofheadings.Examplesofpossibleheadingswhichcouldbeused aresetoutinFigure3.3.

Page38of66
OverviewSection Asset’spolicy Summary FirePolicyetc Summary OutstandingIssues Developments CauseofLoss Police,FireBrigade Engineersreport Extentofdamage Furtherinvestigation Policyliability Claimsmanagement ClaimsSection Summary ValueatRisk Building,contents etc Revisedestimates Average Grandsummary Adjuster’s requirements Considerations Recovery/Salvage Figure3.3

Inthelargerandmore complicatedclaimit isnotfeasible,orevenpractical,todealwithevery issue at the same time. For this reason, a progressive, ongoing system of conveying information to Insurers is the most practical manner of dealing with the issue. It also makes sense to advise your Insurer of issues which have yet to be finalised must be dealt with in future communication.

Developments

Having dealt with all outstanding issues, the developments on the claim are now outlined. Figure 3.3, once again, provides a summary of some of the headings which might be found in some of the development sections of the report.

The heading Further Investigation is self-explanatory. The report writer uses this section of the report to chronologically list issues which have a bearing on the claim and ultimately Insurers’ interests. While Figure 3.3 provides some headings, one might find the type of information conveyed is usually the following: -

Issues which might raise questions as to the Insured’s integrity which became apparent after submission of the preliminary report;

 Factorswhichmighthamperthereconstruction or financial recoveryprogramme,i.e., subsequent riots or security;

The Insured may choose to make improvements or alterations during the recovery period, after the claim, which would need Insurer’s approval

To conclude, after submission of information on the claim under the Developments section, Insurersaremadefullyawareofnewdevelopments.ThesituationofInsurersbeingpresented with a completely different picture of the claim in the final report than that which prevailed at the time of submission of the preliminary report is thus avoided.

Claim

It may well be that at the time of submitting the supplementary report, the adjuster is able to deal with and finalise certain sections of the claim. The intention is to handle any issues relating to the adjustment of the claim, which is the adequacy of the sums insured, builders’ quotations which may have been obtained, developments on the contents claim and any other issues which relate to estimates or cash flow.

It is usually at the interim report stage that the adjuster has more accurate figures available on which to base the estimate. Furthermore, if a request for an interim payment is being made, Insurers will most certainly require comment on the following: -

The extent of expenditure incurred by the Insured to justify an interim payment being made.

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Accurate financial management of Insurers’ funds is the adjuster’s most important function. Regular revisions and detailed estimates go some way to instilling confidence.

An overview of the claim and the likely effects of under-insurance are reported on, giving Insurers the comfort that they are not paying more than they should.

Once again, Figure 3.3 provides a summary of some of the headings used. It must be appreciated that the headings provided are not an exhaustive list of what is available to the report writer.

Summary

Under this section of the report, an overview of the estimate is provided, interim payments are brought to account and the adjuster may conclude the report by setting out what he requires of Insurers in the future management of the claim.

To conclude, a well-presented interim report will instil confidence in the adjuster’s handling of the claim, serves as a record as to how the claim is being managed and, finally, gives the Insurer the opportunity of intervening in the claims handling process if issues arise which are not to their satisfaction.

Annexures

Quite often, report writers find themselves in the position of being unable to decide how much of a consultant’sreportto include in their submissionto Insurers, or how much to leave out. The “rule” of effective use of annexures to a report is as follows: -

When referring to a consultant’s report, introduce the submission as follows:“Annexures A contains a report submitted by Dr Jones dealing with the ignition of the electrical system”

In the body of the adjusters report, extracts from the report can be submitted as follows: -

“In his report (refer to Annexure A – Page 4), Dr Jones states the following: -“

“In my view, ignition of the electrical system was caused by…etc…etc”

 Always acknowledge the source of information which is being included in the report verbatim. Failure to do so results in plagiarism and most certainly would leave the reader of the report questioning the report writer’s integrity.

When providing information involving numerous figures, try the following:

o Treat the schedules of figures provided as an annexure.

o Summarise the information for purposes of adjustment referring back to the annexure.

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To facilitate easy referral to annexures, it is advisable to ensure that each annexure is clearly marked and indexed.

Photographs

Photographs are possibly the most effective descriptive tool available to the report writer. One photograph often proves to be worth more than a thousand words. It is often amazing to note how this medium of communication is either neglected or abused. The “do’s and don’ts” of effectively using photographs in the reporting process are as follows: -

Do Don’t

Provide only as many photographs as required.

Arrangethepresentationina logical sequence.

Provide a narrative next to each photograph

Simply paste as many photographs to the report as possible.

Provide no meaningful narrative with the photograph.

Over-use the narrative, leaving the reader to decide whether to read the report or the photograph narrative.

Usually, photographs are positioned immediately after the report in the presentation to the Insurers.

Page 41 of 66

Overview

On the evening of 5 March 2021, there was a severe thunder and lightning storm in the Industrial Sites, Ravensview area. There is evidence that the Insured’s finished goods warehouse in Preston Road, Industrial Sites suffered a direct lightning strike. At 22h50 that evening, after the storm abated, Theakston’s security guard on duty, Samuel Jonas, discovered a fire burning strongly in the insured finished goods warehouse. It is believed that the fire was caused by electrical short circuiting, precipitated by the lightning strike.

The gross loss is estimated at a figure of R8 000 000. Apart from reporting to Insurers on developments on the claim, a recommendation for an interim payment to the insured of R500 000 is made.

CauseoftheFire

Further discussions were held with Mr. Gooding, the provincial fire prevention officer, based in Ravensview and Mr Taylor of Dow, Cockburn and Taylor who are consulting electrical and civil engineers.

The evidence available is summarized hereunder: -

1. Thereisevidenceofadirect lightning strikeonanelectricaldistributionboardonthe northern side of the warehouse. It is believed that the lightning strike caused a power surge in the warehouse’s electrical system.

2. The seat of the fire in the northwestern section of the building, in close proximity to wiring which had served a distribution board but had been temporarily joined after the removal of the distribution board by the previous tenants.

3. The stock of heaters and off cuts of paper used in the wrapping of the heaters, were stored in the area where the seat of the fire was located.

Discussions with the insured’s electrician, Mr Kruger, have revealed that he was in the process of rewiring the factory atthe timeoftheloss. However, due to the warehouse being full, Kruger’sprogress was slow as he had to move stock to gain access to various sections of the factory. The seat of the fire was in the area that Kruger had not been able to access.

We attach copies of reports prepared by the regional fire prevention officer (Annexure A) and the document submitted by Mr Taylor of Dow, Cockburn & Taylor (refer Annexure B)

ExtentofDamage

Debris removal operations have now been completed and we provide further comment on the extent of damage to the Insureds assets hereunder: =

Building

Dow, Cockburn & Taylor were commissioned to provide a report on the structural integrity of the finished goods warehouse. We attach a copy of this document (Annexure C). We summarise the contents of the report submitted by Mr Dow, a civil engineer.

Page 42 of 66 Page 2

1. Superstructure

The building’s steel portal frame has been severely distorted and there is no doubt that the entire frame requires replacement. Brick panelling will have to be demolished with the exception of the factory office area.

2. Cladding

It will be necessary to replace all the IBR roof and side cladding on the building.

3. Fixtures and Fittings

The electrical installation has been extensively damaged and requires replacement. Plumbing, particularly in the change rooms, has been damaged and the entire system requires replacement.

PlantandMachinery

It has been determined that the damage caused by severe heat and hydrochloric corrosion, precipitated by burning rubber components, is extensive and all the Insured’s plant and machinery in the warehouse requires replacement.

Stock

There are no stocks which could be salvaged from the extensively damaged building. The Insured is in the process of completing a full stock reconciliation to determine the extent of their loss.

We attach further photographs which will clearly illustrate the extent of damage to the structure and the plant and machinery therein.

PolicyResponse

We confirm our original view that the Insured has a claim which is indemnifiable in terms of their Assets All Risk policy.

Developments

In our preliminary report we mentioned that a task group has been created to manage the crisis, by Theakston’s management. Considerable progress has been made in the past two weeks and we summarise developments hereunder: -

Page 43 of 66 Page 3

1. Building Repairs

Darlin & Associates, Quantity Surveyors, were instructed to prepare a Bill of Quantities on which contractors could prepare quotations. Tenders for repairs have now been submitted and will be dealt with later.

2. Plant & Machinery

A full inventory of the plant and machinery destroyed in the fire has been completed. We have been able to complete visual verification of approximately 70% of the items on the schedule. As regards the balance, the Insured has produced an updated assets register for our consideration.

3. Stock

A full stock reconciliation is being completed and we expect to settle this aspect of the claim in the next two weeks.

4. Business Interruption

A brief summary of the steps being taken by the Insured to avoid losses in turnover is provided hereunder:-

1. A second shift at the Insured’s Isipingo factory has been initiated to replace components destroyed in the fire.

2. Night shift for the assembly plant has been implemented to replace the destroyed finished goods.

3. Alternative storage space has been obtained for the stock of finished goods.

The Insured is reasonably confident that steps taken to avoid a possible loss of turnover will substantially reduce the impact of the fire.

CLAIM

We deal with developments on each section of the claim hereunder:-

DebrisRemoval

Dirt Busters provided a quote for the removal of all the contents of the destroyed warehouse. It was agreed that the quote submitted was reasonable and contractors were instructed to proceed by Theakston’s.

BuildingRepairs

Tenders were submitted on the Bill of Quantities prepared by Mr B Darlin of Darlin & Associates, summarised hereunder:-

1. ALT Construction R895 000.00

2. Bravo Builders R911 375.00

3. Builder Boys R938 025.00

Page 44 of 66 Page 4

Prior to the Insured instructing ALT Construction to proceed with the repairs, discussions were held with Mr. Jones of the Insurers office who agreed in principle to the contractors being instructed to proceed by Theakston Manufacturing.

We provide hereunder a revised estimate of the Insureds likely claim under the Material Damage section of the policy:

1. 2. 3.

Building Repairs

a. Debris Removal

b. Building repair

c. Professional Fees: Dow Cockburn & Taylor Darlin & Associates

Plant & Machinery Stock

TOTAL

R 19 000.00 16 250.00

R 22 750. 895 000.00 35 250.00

R 953 000.00 897 000. 1 400 000.00 R3250000.00

As we have yet to complete our investigation into the adequacy of the sum insured under the various sections of the policy, the figures brought to account have not been adjusted for any possible underinsurance.

Business Interruption Claim

We have provided a brief overview of steps taken by Theakston Manufacturing to avoid losses of turnover. We confirm that the economic viability of the exercise has been tested and the steps taken by the Insured are in all parties’ best interests.

We provide hereunder, an overview of the likely loss in turn over and the increase in cost of working expenditure incurred

1. 2.

LossofGrossprofit

Anticipated turnover loss x rate of Gross Profit IncreaseinCostofWorking

a. Overtime costs – Isipingo factory

b. Overtime cos at assembly plant

c. Alternative storage charges

TOTAL

R5 392 300 x 65% 675 000.00 395 000.00 175 000.00

R 3 505 000.00 1 245 000.00 4750000.00

Indications are that the sum insured under the Business Interruption section of the policy was inadequate at the time of the loss. However, the above estimate does not take into account any under-insurance which we believe will be in order of 30%.

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InterimPayment

The Insured has requested an interim payment of R500 000 to meet debris removal costs, professional fees, cost of additional raw materials and overtime wage bills which must be met in order to avert loss of turnover within the next two weeks.

We have no hesitation in endorsing the request and advise Insurers that a further cash call is likely to be made within the next six weeks. The value of the second interim payment to be recommended is likely to be of the order R1 000 000

GrandSummary

We provide hereunder a summary of the revised estimates brought to account to date: -

1. MaterialDamage

a. Building repairs b. Plant & Machinery c. Stock

2. BusinessInterruption

a. Loss of Gross Profit b. Increased cost of working

Less interim Payment NetEstimate

R 953 000.00 897 000.00 1 400 000.00

R 3 250 000.00

3 505 000.00 1 245 000.00 4 750 000.00 8 000 000.00 500 000.00 7500000.00

It is our recommendation that Insurers retain a net reserve, after payment of the recommended interim payment, of R7 500 000.

Our supplementary report is submitted for Insurer’s consideration, comment and instruction.

Yours faithfully

DBBRYANT for Bryan Insurance Loss Adjusters (Pty) Ltd

Page 46 of 66 Page 6

Sample Status Report

Mention was made earlier of the usage of status reports. When handling claims with a long tail, particularly liability claims, it is advisable to keep Insures appraised of developments on the file. In reality, the status report is little other than a document with the reports front cover having been suitably adjusted. The intention is not to submit a full report, but rather a very precise overview dealing with pertinent issues which may be: -

A request for an interim or further interim payment.

Adjustments to outstanding estimates.

Comment on outstanding information

The status report is generally used on medium to large sized claims and does not replace the interim or final report. Figure 3.4 provides an example of a typical status report.

Title Page

There is no material change to the title page when submitting a statusreport to Insurers. The front cover provides virtually all the information the report reader requires to be fully appraised and be brought “up to speed” on the claim. The changes made are: -

Report Heading

Previous Reports

No further comment is required

Comment on the number of previous reports submitted is provided

Revised Estimate

Interim payment

Comment on the changes to the estimate is made

If there is a request for an interim payment, the figure recommended is set out in the facing page

The balance of the report deals only with issues requiring Insurers immediate consideration. The intention is to condense the information provided on to one or two pages at most. The headings and information in the second section of the status report requires no further comment.

Page 47 of 66
---ooOoo---

Date: 10 March 2021

Our Ref: 5075/Mr D Bryant/CSH

Mutual Benefit Insurance Co

Box 10075 Ravensview 9000

Bryant Insurance Loss Adjusters

YourRef: Mr A Jones

STATUSREPORT

ClaimNo: 0090/482/91078

PolicyNo: ZP/937/21298

Insured: Theakston Manufacturing (Pty) Limited

CauseandDateofLoss: Fire in Insured warehouse –5 March 2021

SituationofLoss: 14 Preston Road Industrial sites Ravensview

PreviousReports: Two – 10 March 2021 and 20 March 2021

Assets All Risk Policy

Material Damage

Business Interruption

Profit

Page 48 of 66
PO
InsuranceCover PolicyDeductible Interim Payment RevisedEstimate
Section1 –
On all the Insureds assets Section 2 –
On loss of Gross
Additional increase cost of working Nil R1 500 000 1. Material Damage 2. Business Interruption Gross estimate Less: Recommended 20 March Recommended 27 March OUTSTANDINGESTIMATE 125 973 500 25 973 500 1 000 000 26973500 3 250 000 4 750 000 8 000 000 500.000 1 500 000 6500000

Overview

On the evening of 5 March 2021, there was a severe thunder and lightning storm in the Industrial Sites, Ravensview area. There is evidence that the Insured’s finished goods warehouse in Preston Road, Industrial Sites, suffered a direct lightning strike. The fire was discovered burning strongly in the finished good warehouse by Samuel Jonas, who is employed by Theakstons as a security guard.

The status report makes recommendations for a second interim payment of R1 500 000.00 and provides revised estimates for the Material Damage and Business Interruption claims.

RevisedEstimates

Adjustments brought to account further investigation into the likely claims under the policy, require changes to estimates currently being held by Insurers as follows: -

1 Material Damage

1.1 Building Repairs

1.2 Plant & Machinery 1.3 Stocks

2. BusinessInterruption

2.1 Loss of Gross Profit 2.2 Increase in cost of working

GrossEstimate

R 953 000 785 000 1 175 000

R 2 750 000 1 100 000

R 2913000

R 2 850 000 6763000

Due to unforeseen difficulties encountered in valuing the Insured assets, the value at risk exercise has yet to be finalised. As such, the revised estimates set out above are not adjusted for under-insurance

Interim Payment

In our supplementary report dated 20 March 2021, Insurers were requested to expect a cash call from Theakstons to meet expenditure incurred to date. We provide hereunder our reconciliation of extraneous expenditure and losses incurred by the insured as a result of the fire: -

1 Material Damage

1.1 Building Repairs

1.2 Plant & Machinery 1.3 Stock (preliminary adjustment)

2 BusinessInterruption

2.1 Increase in cost of working

a. Overtime Isipingo factory

b. Assembly plant overtime

c. Storage charges

Total Expenditure/loss to date Less 1st Interim payment (20 March)

R 325 000 613 000 1 175 000

R 225 000 100 000 25000

R 2 113 000

R 350 000 2 463 000 500 000 1 963 000

Page 49 of 66 Page 2

The Insured has accepted, that until their stock claim has been finally adjusted, Insurers cannot be expected to settle the claim in full. Accordingly, it is our recommendation that a second interim payment of R1 500 000.00 be made. We provide a revised summary:

1 Gross Estimate

1.1 Material Damage claim

1.2 Business Interruption claim

2 Less: InterimPayments

2.1 Payment recommended 20/2/90

2.2 This Payment

NetEstimate

R 2913 000 3850 000

R 6763000

500 000 1 500 000 2000000 4763000

It is anticipated that the Insured’s Material Damage claim will be finalised within the next ten weeks. Our statusreportissubmittedforInsurer’sconsideration,andweawaitanyfurthercommentsandinstructions they may have.

Yours faithfully

Bryant Insurance Loss Adjusters

Page 50 of 66 Page 3
DBBRYANT for

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