INVESTIGATION AND SUBROGATION OF LARGE FIRE LOSSES

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INVESTIGATION ANDSUBROGATION OFLARGE FIRE LOSSESPresented By:Christopher M. MillerMatthiesen, Wickert & Lehrer, S.C.GoToWebinar Attendee Interface1. Viewer Window2. Control Panel2INVESTIGATION ANDSUBROGATION OFLARGE FIRE LOSSESPresented By:Christopher M. MillerMatthiesen, Wickert & Lehrer, S.C.1

PROPERTY ANDCASUALTY INSURANCE¾ Property Insurance– Personal Insurance Covers Personal Property And Health Home, Auto, Other Personal Insurance– Commercial Insurance Covers Buildings And Structures – Real Property Covers Personal Property Of Business And Others– Casualty Insurance4PROPERTY AND CASUALTYDAMAGES¾ Building (Real Property)––––Repair CostReplacement CostActual Cash ValueFair Market Value¾ Contents (Personal Property)¾ Additional Living Expenses¾ Loss of Rents/Loss of Use/Business Income5SUBROGATION GENERALLY¾ Elements of Subrogation¾ Origins of Subrogation¾ Types of Subrogation– Contractual (Conventional) Subrogation– Equitable (Legal) Subrogation– Statutory Subrogation¾ Purpose of Subrogation¾ Anti‐Subrogation Arguments62

TYPICAL SUBROGATION CLAUSE“If we pay a claim under your policy, wewill take over your right to recover thatamount from any other person ororganization You agree to cooperate withorganization.us and not do anything that will interferewith our chances of recovery.”7RECOGNIZING SUBROGATION¾¾¾¾Requires Training And ExperienceMust Put On Plaintiff’s HatUnderstanding Of Tort LawawPrompt Recognition And Action Required8SUBROGATION INVESTIGATION¾ Why Investigate?¾ How To Investigate?¾ When To Investigate?¾ Investigation E id/A id SpoliationS li iRecognize SubrogationIdentify Key Players, Targets, WitnessesCoverage Issues (Arson, Exclusions, Etc.)Determine DamagesNotice IssuesEliminate Alternate Causes Of Loss93

WHY INVESTIGATE¾¾¾¾¾¾¾¾First Chance At EvidenceIdentify And Retain EvidenceCatch Witnesses When Memories Are FreshLock Witnesses Into Positions And TestimonyIdentify Roadblocks (Indemnity, Waiver, Etc.) EarlyEssentially Walk‐through Of Your Subrogation LawsuitIdentify All Possible Third PartiesPrevent Insurance Fraud ‐ 20 Billion Per Year10LARGE LOSS PROPERTYSUBROGATION¾Immediate Response by Expert‐ C & O, Engineer, Surveyor, etc.¾Obtain All Reports, i.e., Fire and Police.¾Talk to Fire Marshall or Police Investigator¾Obtain Names of All Potential Witnesses¾Obtain All Contracts¾Consider Private Investigator¾Goals of Defense– (1) Alternate Cause and (2) Spoliation.11PRODUCTLIABILITY¾Design Defect¾ Manufacturing Defect¾ Marketing Defect¾ Identify And Preserve Product¾ Chain Of Custody124

PRODUCT LIABILITY(CONT.)¾ Manufacturing Defect: When the product bends,breaks, fails, leaks, ignites, explodes or does somethingdifferent than as designed.¾ Design Defect: Product does conform to its plans andspecifications, but design itself renders productunreasonably dangerous.¾ Marketing Defect: Seller fails to warn of productdangers or provide instructions for safe use of theproduct.13PRODUCT LIABILITYINVESTIGATION¾¾¾¾¾¾¾¾Design Defect, Manufacturing Defect/ WarningImmediately Engage ExpertObtain/Secure Product & PackagingDetailed Statement of OperatorWho manufactured? Where purchased?Modifications? Repairs? Maintenance?Operator’s/Service ManualEconomic Loss Doctrine14155

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SELECTING AND HIRING EXPERTS¾ When To Hire Expert?¾ Choosing An Expert¾ Cause vs. Origin¾ Electrical/Mechanical/Chemical/Civil Engineer¾ Accident Reconstruction/Human Factors¾ Expert Databases/Referral Companies¾ Being An Expert In Choosing An Expert¾ Budget And Cost‐effectiveness19EXPERT WITNESS ISSUES¾ Selecting an Expert– Lexus v. Hyundai– Breadth of Training & Experience– Will Expert’sExpert s Opinions Hold up in Court?¾ Reports– Expert’s File Discoverable– No Preliminary Reports– Only When Ordered by Court20FIRE ANDEXPLOSION CASES¾ Investigation Is Key¾ Cause And Origin – Investigation Protocol– NFPA 921¾¾¾¾¾¾First Origin, Then CauseFire Spread CasesFire Response LiabilitySprinkler Systems/Burglar And Fire AlarmsEliminate Other CausesLimitation Of Liability217

ELECTRICAL FIRES¾ Electrical Engineer¾ Electrical Wiring¾ Electrical Equipment And Appliances¾ Site Examination Protocol¾ Identify Electrical Contractor/Builder¾ Evidence Of “Unusual Electrical Activity”¾ Notice And Preservation Of Evidence¾ Identifying Defendants/Third Parties22OBSTACLES TO PROPERTYSUBROGATION¾ Made Whole Doctrine¾ Economic Loss Doctrine¾ Statute of Limitations¾ Statute of Repose¾ Governmental Liability¾ Subrogation Waiver/Exculpatory Clause¾ Landlord/Tenant Implied Coinsured¾ Insured Cooperation23SPOLIATION¾Definition: “The intentional destruction,mutilation, alteration, or concealment ofevidence.” Black’s Law Dictionary¾Effect: Undermines the “truthtruth‐seekingseeking”function of the judicial system.248

EVIDENCE PRESERVATIONAND SPOLIATION¾¾¾¾¾¾¾Preserve the Scene.Notice To ALL Potentially Interested PartiesSchedule a Joint InspectionPreserve the Key EvidenceEstablish a ProtocolChain of CustodySpoliation— Dismissal— Adverse Inference25PRACTICAL TIPS AND SUMMARY¾¾¾¾¾¾Subrogation Is An InvestmentTake Investigation SeriouslyTag Large Losses For Additional InvestigationStrive To Be Cost‐EffectiveCost EffectiveWho Else Owns This Loss?Think Subrogation26INVESTIGATION AND SUBROGATIONOF LARGE FIRE LOSSESChristopher M. MillerMatthiesen, Wickert & Lehrer, S.C.(800) w.com* Nationwide Subrogation* Low Hourly/Contingent Fees279

25 PRACTICAL TIPS AND SUMMARY ¾Subrogation Is An Investment ¾Take Investigation Seriously ¾Tag Large Losses For Additional Investigation ¾Strive To Be Cost‐Effective ¾Who Else Owns This Loss? ¾Think Subrogation 26 INVESTIGATION AND SUBROGATION OF LARGE FIRE LOSSES Christopher M. Miller

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