Customers 

Testimonials

"One of the most credible and understandable experts I have had on any subject."

— Top Five Insurer

 

 

Overview  — Law Firms

From routine business support to complex litigation, you need independent actuaries you can trust and understand. Armed with a solid reputation for credibility, we successfully sift through challenging issues to identify key arguments, create resolution scenarios and assess financial damage. We have extensive experience handling new license applications, complex litigation, class actions, arbitration, administrative hearings and other contractual disputes.

Experience the Pinnacle Difference: Timely, dependable and professional responses. Plain language that not only communicates our findings, but that adds value in the process. Understandable reports and presentations that help you navigate the jargon-filled process of the insurance business. And a team of experts who are focused on doing whatever it takes to exceed your expectations, time and time again.
 

Services  — Law Firms

Arbitration

Pinnacle has several consultants who have appeared as expert witnesses at arbitrations. We are also trained to serve as insurance and reinsurance arbitrators.

Continuing Education for Attorneys

Every industry has its terminology or jargon.  Pinnacle provides special interest seminars for attorneys that include loss reserving, ratemaking and valuation to explain key issues and best practices.

Damage Calculations

Pinnacle has experience working with large datasets and creating models to assess damages and develop scenario outcomes.

Deposition Support

Asking the right questions and understanding the answers is key to a successful deposition. Pinnacle consultants are experienced in the often rapid-fire situations presented in depositions.

Expert Witness

Pinnacle consultants have experience in providing expert witness testimony in federal, state and county courts and before state legislatures. We have also defended insurer and bank business practices in complex class action lawsuits.

Identify, Explain and Assess Issues

Since Pinnacle’s consultants have career backgrounds ranging from large to small insurers, regulatory authorities and statistical organizations, Pinnacle delivers a complete perspective to each assignment. Pinnacle’s commitment to the actuarial profession is demonstrated by committee work and leadership positions for actuarial organizations, which keeps us on the cutting edge of professional developments.

Loss Reserve Analyses

Setting a reasonable accrual for unpaid loss and loss adjustment expense obligations is one of the most critical functions of management in preparation of a program’s financials. Performing such analyses is our bread and butter, but emphasis is always placed on using the program’s actual data to the maximum extent possible (rather than relying on external benchmarks) in order to reflect your program’s unique loss characteristics.

When necessary, we will rely on our library of industry, state and insurer/TPA specific benchmarks. These benchmarks allow us to derive reasonable estimates of the accrual for unpaid claims liabilities to the extent your program’s data is not of sufficient volume or reliability to be fully credible for analysis.

You expect your consulting actuary to interact daily with captive managers, auditors, fronting carriers, reinsurers and other service providers, presenting the analysis of the program’s liabilities for unpaid claims – generally the largest item on the Liability side of the balance sheet. Pinnacle leverages its good working relationships with dozens and dozens of service providers, regulators and managers in jurisdictions around the globe to your advantage.

Loss reserve projections generally take one of four forms:

  • Point estimate of mean expected loss and loss expense reserves (i.e., “actuarial central estimate" or best estimate)
  • Reasonable range of indicated loss and loss expense reserves
  • Reserves at a specified higher level of statistical confidence
  • Stochastic forecast of the range of all possible outcomes (i.e., a distribution of potential loss and loss expense reserve estimates)

Loss Reserve Analyses - Latent Mass Tort Reserving

Lack of data and significant uncertainty are characteristics of latent mass tort reserving. Pinnacle has significant experience in this arena – including both ground-up analyses and benchmark approaches. Pinnacle’s expertise can help you understand the issues surrounding latent mass torts and project loss reserves for these difficult and uncertain exposures.

Pro Formas

We have prepared pro formas for start ups and insurance department-required due diligence for mergers and acquisitions.

Reinsurance Evaluation

Information coming soon.

Roll Forward Projections

The timely reporting requirements of financial results sometimes leads to a mismatch between the evaluation date of the data and the date shown on the financial statement. Projections of claim activity in the next few months are often requested to accommodate such time constraints. The roll forward projection of future expected loss and loss expense reserves is calculated based on interpolated loss and loss expense payment and reporting patterns. The assumption inherent in this approach is that actual claim activity in the roll forward period will not be materially different than projected.

Witness Preparation

Pinnacle provides “been-there-done-that” perspective that is helpful in preparing witnesses for the unfamiliar and frequently stressful litigation landscape.

Expertise  — Law Firms

When you partner with Pinnacle, you work with a team of experienced consultants who know the unique requirements of your specific case. That expertise not only provides insight to a reasonable range of likely outcomes, but also provides you with valuable intelligence that comes from working with similar situations.
Pinnacle’s litigation/arbitration expertise includes:

  • Identifying loss reserve development causes for insolvent insurers and reinsurers
  • Defending insurer and bank rating business practices in class action lawsuits
  • Testifying in administrative rate hearings for many jurisdictions including, California, Florida and Texas
  • Presenting testimony before legislative bodies and special panels
  • Assessing coverage issues, including extensive modeling of products liability damages under claims-made policies
  • Examining adherence to rating rules and practices for commercial and personal lines policies
  • Analyzing the impact of proposed legislation
  • Reviewing multi-year finite reinsurance agreements, including, renewal conditions and additional premium features
  • Evaluating governmental agency compensation disputes
  • Providing continuing education to actuaries and attorneys in property/casualty insurance practices
  • Preparing expert reports for submission in federal, state and county courts

Pinnacle’s experience assisting law firms includes coverages such as :

  • Asbestos and Environmental
  • Collateral Protection
  • Commercial Auto
  • Commercial Multiple Peril
  • Commercial Property
  • Credit
  • General and Products Liability
  • Homeowners
  • Medical Professional Liability
  • Non-Medical Professional Liability (e.g., Lawyers, Accountants, Architects)
  • Personal Auto
  • Title Insurance
  • Workers Compensation

 

Products  — Law Firms

Industry Benchmark Data

Finding quality publicly available industry benchmark data is one of the biggest challenges insurance professionals face. This data can be difficult and expensive to acquire and the analysis necessary to turn the data into meaningful benchmarks requires specific actuarial expertise.

Pinnacle’s client base, especially the scores of captives and thousands of self-insureds we serve, requires that we make a significant investment in all manners of industry benchmark data.

To better serve clients, we have created extensive benchmark datasets with user-friendly interfaces that make our expert data analysis -- and flexible and customizable groupings -- available at the click of a button.

These benchmarks are much more than just data. They include Pinnacle’s expert analysis of the data and user-friendly interfaces to access in flexible and customized groupings.

Our unique benchmarks include:

  • Loss development factors
  • Paid and incurred loss, closed and reported counts and held IBNR in many situations
  • Losses gross and net of reinsurance for insurance companies
  • Custom aggregations of unique industry segments (e.g. trucking companies, lawyers professional liability insurers, non-standard auto insurers)
  • Many custom aggregations with geographic details.
  • Expected and historical loss ratios, often with state and/or insurance company or group detail available
  • Loss distributions by limit for most commercial coverages
  • Benefits on-level factors for workers compensation
  • Trend analyses, including Fast Track Plus
  • Market share and market concentration analyses
  • Underwriting expense analyses, often with state, insurance company or group and custom aggregation available
  • Leading insurer rate levels, class plans and aggregations for many lines and states

 

People  — Law Firms

Photo LeRoy Boison FCAS, MAAA Principal and Consulting Actuary



Biography
Office Phone: 516-746-7149
lboison@pinnacleactuaries.com
Photo Steven G. Lehmann FCAS, FSA, FCIA, MAAA Consulting Actuary



Biography
Office Phone: 309-807-2302
slehmann@pinnacleactuaries.com
Photo Robert J. Walling, III FCAS, MAAA Principal and Consulting Actuary



Biography
Office Phone: 309-807-2320
rwalling@pinnacleactuaries.com

Case Studies  — Law Firms

Asbestos Liabilities

In 2009, Pinnacle provided expert testimony about the evolution of insurance industry asbestos liabilities in an arbitration hearing among several insurance companies and a pool manager. This assignment drew on our knowledge of the history of insurance industry asbestos liabilities, e.g., the evolution of the legal aspects surrounding coverage determinations, the interplay of primary, excess and reinsurance contracts, the history of failed attempts to control the problem and the impact of bankruptcies among other factors. The assignment also drew on our mass tort / latent liability reserving expertise.

Baltimore Territory Issues

In 2006, Pinnacle was retained by a group of several automobile insurance companies representing a significant share of the Maryland automobile insurance market to conduct an independent actuarial analysis of the Abell Foundation report, Actuarial Discrimination: City Residents Pay Up To 198% More For Car Insurance Than County Residents (Abell report). This report discusses many factors which contribute to higher automobile insurance rates in urban areas than rural areas with particular emphasis on Baltimore and attempts to quantify the magnitude of this as noted by the title of his report.

Comparative / Contributory Negligence

In 2009, we were retained by a lawyers’ association to evaluate the historical impact of contributory negligence and comparative negligence tort systems on personal automobile insurance.

Contractor's Liability

Pinnacle was asked to provide a legislative costing analysis and expert testimony regarding proposed legislation that would substantially expand coverage for construction defects in Oregon. Pinnacle’s study and testimony focused not only on the current conditions of the contractors’ liability insurance market compared to other states, but also the historical changes seen when other states made similar changes. Our analysis also focused on the relationship between home warranties and commercial general liability insurance policies and how these risk mitigation techniques differ over time after a home is completed.

Legislative / Regulatory Impacts

A state medical society asked Pinnacle to evaluate the impact of a change in the state’s damage caps for non-economic damages for medical professional liability. Pinnacle worked with the medical society to identify the most appropriate claims databases to assess the legislation’s potential impact. Our detailed analysis not only considered data from that state, but several others to stress test the results and provide a range of reasonable outcomes. In addition, we performed a thorough analysis of how the state compared to other states in terms of the availability and affordability of medical professional liability insurance coverage, insurer operating results for the line, and access to healthcare in the states. Through this industry analysis, we identified differences well beyond a simple loss limitation and provide a more complete review of potential environmental changes that could be expected in the state.

Medical Malpractice Damage Caps

A state insurance regulator asked Pinnacle to determine the potential impact of several proposed tort reforms, including a change to non-economic damage caps for medical professional liability claims. Pinnacle worked with medical society to identify the most appropriate claims databases for assessing the potential legislative change. Our detailed analysis not only considered data from that state, but several others to stress test the results and provide a range of reasonable outcomes. In many cases, the specific reform’s effect, for example “I’m Sorry” legislation, was very difficult to isolate. Through this industry analysis, we identified differences well beyond a simple loss limitation to provide a more complete review of potential environmental changes that could be expected in the state.

This comprehensive analysis helped our client identify the effect of various legislative options, which empowered them to be a strong voice in the legislative debate and to influence policymaking in the state.

Publications  — Law Firms

The Impact of PPACA on Liability Insurance
  Monographs - January 2012
  Authored by 
October 2011 Apex Discussion Series
  Presentations - Reports and Presentations to Board of Directors
  Authored by 
Does Your 831(b) Captive Quack?
  Monographs - December 2010
  Authored by 
Free Markets are the Best Way to Lower Workers Compensation Costs
  Research Briefs - January 2010
  Authored by 
Getting the Most from Your Actuary
  Articles - Captive Review Magazine - Cayman 2009
  Authored by 
Choice No-Fault Actuarial Costing Methods
  Authored by 
Materiality and Statement of Actuarial Opinion
  Authored by