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Forensic accounting in claims

Its 5 cross-references, woven across the glossary's 18 categories

The work of accountants to quantify business interruption or financial loss, by reconstructing what the result would have been without the loss; it often decides the amount of a large claim.

Definition

Physical damage is costed with quotes and invoices. Business interruption, lost margin from a cyberattack, reputational harm or internal fraud are costed differently: one must reconstruct a reality that did not happen, the revenue and margin the company would have earned without the loss. This is the forensic accountant's job. The accountant analyzes historical accounts, seasonal trends, order books and market conditions, isolates costs saved during the stoppage and extra expense incurred to reduce the loss, and checks whether part of the lost revenue was made up later. Each assumption can move the indemnity by millions: whether a growth trend is used, whether a decline stems from the loss or from an already shrinking market. The insurer usually appoints its own accountant, and the insured has an interest in appointing one too; many property and cyber policies cover these claims preparation costs, within a limit. On large business interruption claims, it is often the accounting debate, not the finding of damage, that takes up most of the settlement. The quality of the insured's accounting, and its ability to produce reliable data quickly, directly affects the speed and amount of the indemnity.

Example

Textbook case: after ransomware halted its plants for three weeks, a manufacturer claims 14 million euros of business interruption. The insurer's forensic accountant finds that 40 percent of the lost orders were delivered the following month and that unused energy reduced costs; the loss is set at 8.5 million.

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