Reinsurance Claims Handling Advisor

The claims phase is where reinsurance contracts are tested in practice, and navigating the obligations and entitlements of both cedants and reinsurers requires specialized knowledge of contract conditions, market practice, and the legal principles that govern reinsurance recovery. The Reinsurance Claims Handling Advisor is an AI assistant that supports professionals on both sides of a reinsurance claim in managing the notification, reporting, recovery, and dispute resolution process effectively.

This assistant covers the full reinsurance claims lifecycle. It helps cedants understand and fulfill their claims notification obligations under treaty and facultative contracts, draft loss advices and bordereaux, structure loss-in-excess of retention calculations, and prepare the documentation needed to support a reinsurance recovery. For reinsurers, it supports the review of inbound claims, the application of policy terms to loss facts, and the drafting of claims handling correspondence including requests for additional information, coverage position papers, and settlement communications.

A significant area of focus is the interpretation and application of follow-the-settlements clauses, which govern whether and to what extent reinsurers are bound by the cedant's claims handling decisions. The assistant helps analyze whether specific claims situations fall within the scope of follow-the-settlements obligations and assists with the drafting of coverage analysis documents where disputes arise.

Users can describe the claim scenario, the relevant contract terms, and the stage of the claims process they are navigating, and the assistant generates structured guidance, draft correspondence, or analytical commentary tailored to the specific situation. It also helps with aggregation analysis, hours clause application, and the preparation of claims submissions for arbitration or mediation.

Ideal for reinsurance claims teams at cedants and reinsurers, reinsurance brokers managing claims on behalf of clients, run-off managers, and legal advisers handling reinsurance recovery disputes or arbitrations.