Insurance claims services

Balanced advice for effective claim resolution

As an insurance industry leader, we offer strategic assistance to many of Canada’s top insurance companies as well as to policyholders to help them effectively resolve claims. Our insurance claims services team delivers cost-effective solutions to clients faced with claims ranging in size from simple, local files to complex, multi-million-dollar claims.

Our forensic accountants are dedicated to delivering exceptional service to clients by:

  • producing timely, accurate and defensible calculations, driving reduction in overall claim cycle time
  • adding value through streamlined reporting, enhanced technology adoption and sharing best practices
  • providing expertise, geographical reach and flexibility to serve you how and where you need us

Our team specializes in accident benefits, bodily injury and commercial claims. We tailor our services to meet your unique needs and offer a range of products to accomplish this.

Zainab Walji

Zainab Walji

Partner

How we can help

Accident benefit claims

We’ve been quantifying accident benefit claims since the introduction of no-fault insurance legislation in 1990, providing clients with cost-effective solutions and helping them navigate the Insurance Act and ever-changing provincial no-fault insurance legislation.

Our balanced analysis and reports help claimants and insurers settle a majority of their claims. But if a claim is referred to the Financial Services Commission of Ontario, our team includes specialists who can provide evidence there, as well as at private mediations and arbitrations.

We’ve been involved in many of the following types of accident benefit claims:

  • income replacement benefits
  • assessments for priority disputes
  • economic loss for attendant care benefits
  • housekeeping benefits
  • non-earner and caregiver benefits
  • present value of housekeeping benefits
  • net present value of future accident benefits
  • calculation of interest on overdue amounts

With our in-depth knowledge, forensic skill set and experience, we can identify key issues that may impact the claim, such as entitlement issues and income splitting in family-owned businesses. We make sure each claim is supported by a defensible approach, resulting in fair and timely resolutions.

Contact us

Zainab Walji

Zainab Walji

Partner, PwC Canada

Tel: +1 416 815 5099

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