Presented by the Insurance Agents & Brokers Liability Practice Group

Immediate Considerations for Claims Handling in Pennsylvania

By
Dana A. Gittleman

Receipt of lawsuit papers is daunting, but early action and consideration for developing a defense framework can uncover important information and mitigate the risk of last minute, “eve of trial” revelations. While not exhaustive, this list of immediate considerations for litigation provides a few tips for claims handing in Pennsylvania.

  • Memorialize Conversations. The adage, “If it’s not written down, it didn’t happen,” is all too prescient in litigation. Memories fade, recollections vary, and credibility typically is important to agent E&O suits. Thus, it is important to memorialize conversations with the insured and timely request a copy of the insured’s client file relative to the insurance transactions giving rise to the litigation. Often, initial communications are critical in identifying and analyzing the material issues.
  • Cease Communications with Parties. It is also important at this early juncture to instruct the insured to cease communications with parties, represented or unrepresented, and parties’ counsel. We handled a recent matter involving an insurance broker and his childhood friend, who had referred the plaintiff’s business to the defendant. Approximately thirteen months after case inception, the latter was named as a party to the litigation. This scenario is not anomalous. Seemingly innocent conversations could become harmful admissions at trial if insureds are cavalier with respect to information related to the litigation. Of course, insureds should also be instructed not to disclose any conversations or information shared with counsel, which could breach the attorney-client privilege.
  • Retain Liability Expert. Expert retention is one of the most expensive, yet critical, aspects of defending a professional negligence action against an insurance agent or broker in Pennsylvania. An expert can help frame the issues in the case, interpret complex insurance provisions, identify critical deponents and record custodians, and develop pointed questions for key depositions. The defense strategy is not formulated in a vacuum, and consulting with and engaging a liability expert early can provide a knowledgeable ally throughout the litigation process.
  • Consider Underlying Litigation. Insurance E&O claims often arise from underlying litigation. It is critical to compile documents related to that litigation, including dockets, pleadings, discovery, deposition transcripts, and motions to ascertain relevant facts and establish potential defenses arising therefrom. Continue to monitor the underlying proceedings if the case remains active and consider the pros/cons of staying the E&O action pending the outcome of the underlying action. Key witnesses in an underlying litigation can be assets in the subsequent negligence action. For example, a witness to an underlying personal injury can provide insight into the plaintiff event space’s policies and procedures respecting serving liquor and liquor liability insurance practices.
  • Stay Organized. An organized file is an invaluable asset in litigation. Compiling key documents and creating a timeline of salient events facilitates convenient access to important records throughout the litigation.
  • Get Creative. Every case is different, and a one-size-fits-all approach will not suffice. Depending on the nature of the allegations, it could be equally—if not more—important to issue record subpoenas to prior brokers and carriers, as to subsequent brokers and carriers. Suit-specific subpoenas based on the nature of the case can uncover important evidence for impeachment: financial records, computer hardware or software, medical records, surveillance footage, and social media exports should all be considered.

 

 

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