Large loss claims management: one timeline for a months-long commercial property loss, with six agents keeping it current
Every expert, document and open item on a months-long loss in one place.
See one case, screen by screen ↓Software for the months-long commercial property losses a major and complex loss unit handles: building, stock, business interruption and extra expense, with every expert, document, payment and reserve in one place. Large Loss Claims Management puts each coverage part on its own lane of one timeline, and six agents read each document as it arrives and keep the picture current.
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A large commercial fire or storm loss runs for months across building damage, stock, equipment and lost income. Forensic accountants, engineers, the cause-and-origin investigator, the contractor, the salvor, the insured’s broker and rental vendors all send documents. The large loss adjuster holds it together in email and memory, and leadership sees it only in reserve reviews.
The period of restoration drives the business income reserve. When a contractor’s steel delivery slips, the restoration date moves and the income loss moves with it — but nobody re-projects until the forensic accountant’s next interim or the quarterly reserve review. The reserve then jumps late, and the director and the reinsurer are surprised. Meanwhile the claims-handling clocks keep running: a proof of loss to accept or deny, and in California a written status letter to the insured every 30 days.
Estimated split of a general adjuster’s hours a week on one open large loss, by hand and with the solution.
Six agents read every document onto one timeline and project the recovery; the adjuster decides.
Kestrel Valley Foods’ frozen-food plant in Greeley, Colorado burned on Sunday 14 June 2026 at 02:40: roof collapse over the 41,000 sq ft production hall, three spiral freezers lost. It is Monday, day 120. Here is what happens next, screen by screen, in the working solution.
Claim CL-26-118402 under policy CPP 4471-208, on one screen from June 2026 to June 2027. Each coverage part has its own lane — building and equipment, stock, business interruption, extra expense — with its events, reports and payments, and its reserve and paid on the label. Reserved $29.6M, paid $15.37M, projected $28.55M, back to normal 19 Mar 2027.
Timeline keeper · 07:12: “Ridgeline Builders’ revised schedule (Fri 9 Oct, p.2) moves roof steel from 2 Nov to 28 Dec and rebuild complete from 8 Jan to 5 Mar 2027. Proposed for you to accept.”
Ridgeline’s revised construction schedule, Rev. 3 of 9 Oct, six pages. On page 2 the fabricator’s backlog moves joist girders and roof deck from 2 Nov to 28 Dec, and substantial completion from 8 Jan to 5 Mar 2027. On page 3, Ridgeline says it will seek about $180,000 in extended general conditions — not in the $14.2M building reserve, so it becomes an open item.
Document reader: “Steel delivery moves 57 days, to 28 Dec. The steel milestone on the building lane moves with it.”
The letter sits on the building lane. Click it and the three facts the agents took from it are there, each with its page. On the old date every reserve holds; accepting moves the business income projection and the reserves with it. The decision is hers.
Timeline keeper: “Restoration date is the adjuster’s to accept.”
Renata applies the revised schedule. The rebuild-complete flag moves to 5 Mar, and the recovery line on the business interruption lane moves with it: back to normal goes from 19 Mar to 14 May 2027, and income still at stake from $3.94M to $5.75M. Business interruption now shows reserve short $1.1M and extra expense reserve short $0.4M; projected incurred rises to $30.73M.
“Projection moved out 8 weeks · reserve adviser recommends +$1.5M · 3 open items added.”
The run is on the page: the timeline keeper moved rebuild complete, the income projector re-projected the recovery and checked the policy limits, the reserve adviser found business interruption and extra expense short, the open items tracker added three items, and the briefing writer redrafted Thursday’s briefing. The last step waits for a person.
“Waiting for Victor Allard — reserve change +$1.5M is over the $1M authority.”
Actual loss sustained, 12 months, 72-hour waiting period, 90-day extended period of indemnity, $18.0M limit with extra expense. Pellcourt measured $4,282,000 to 30 Sep; normal income is $400K a week from the 2025 P&L adjusted for trend. Switch between the original, revised and revised-plus-four-weeks schedules; each policy check cites its page — including Stanmore’s 18–22 week estimate against Ridgeline’s 28.
“The projection is the agents’ view, for reserving. The measured loss is Pellcourt’s, and the restoration date is yours to accept.”
Building and stock hold. Business interruption $9.6M to $10.7M, extra expense $2.4M to $2.8M: total incurred $29.6M to $31.1M. Four numbered reasons, each cited: the rebuild moved, Pellcourt’s ten-week ramp, business income projected at $10.40M plus a 3% margin, and freezer trailers and co-packer running eight weeks longer at $46K a week.
Over $1M, the change goes to Victor with the timeline, the projection and the reasons. He approves at 09:20. The reinsurer advice to Aldwick Re is drafted next — the per-risk treaty has a $10M retention, and the recoverable moves from $19.6M to $21.1M. Priya Lindgren in reinsurance accounting sends it.
Victor Allard: “Agreed. Get Stanmore’s view before Thursday.”
Open items grouped by who owes them: the insured, the broker, the experts and contractor, and Ellesmere. New this morning: Stanmore’s Dev Kapoor to confirm the delay is the fabricator’s backlog by Fri 16 Oct, and a Sorrel Lane co-packing quote to 2 Apr. The sworn proof of loss for business income is 10 days late. Every chaser is drafted; nothing goes out until Renata sends it.
For the large loss review on Thu 15 Oct: “Kestrel Valley Foods needs +$1.5M of reserve: the rebuild has slipped eight weeks and business income will run to 14 May 2027.” What changed this week, reserves by coverage part, business income and the decision — with 7 citations to 5 documents. Renata edits it and sends it to Victor.
Briefing writer: “Left the coverage view to you — no coverage position stated.”
The same fire loss, seen by four people who carry it — the adjuster, the director, the forensic accountant and the broker — in their own words, and what changes for each.
Six agents read every document onto one timeline and project the recovery; the adjuster decides.
Reads every report, letter, invoice, proof of loss and P&L on a loss; takes dates, amounts and statements with their page and places each document on its lane.
Keeps the events, milestones and dependencies on each lane; notices when a new document moves a milestone and proposes the move.
Projects the business’s recovery and the income still at stake from the P&Ls, the forensic accountant’s measure and the restoration schedule; checks the waiting period, the 12-month limit and the extended period of indemnity.
Compares projections with reserves per coverage part and recommends changes with reasons and citations.
Tracks who owes what by when across the insured, broker, experts and the carrier; drafts chasers and 30-day status letters.
Drafts the leadership briefing and the reinsurer advice from the timeline, every line cited.
Accepts dates and pays; the director approves reserve changes over $1M. The agents propose; a named person decides.
The adjuster can ask about the loss in plain words. Every answer cites the document and page it rests on.
Why did the income projection move out two months?
Because the rebuild moved. Ridgeline wrote on Fri 9 Oct that the joist girders arrive 28 Dec, not 2 Nov, and that rebuild complete is now 5 Mar 2027, not 8 Jan. Pellcourt assumes full production ten weeks after the freezers are back. Back to normal moves from 19 Mar to 14 May 2027, and income still at stake from $3.94M to $5.75M.
Is the contractor delay inside the period of restoration?
That is your call; here is what the papers say. The period of restoration ends when the property “should be repaired, rebuilt or replaced with reasonable speed and similar quality”. Stanmore estimated 18–22 weeks after demolition, assuming steel lead times of no more than ten weeks; Ridgeline’s new date is 28 weeks, blamed on the fabricator’s backlog. The open item for Stanmore to confirm the delay is due Fri 16 Oct.
How much reserve does this loss need now?
On the revised schedule, +$1.5M, to $31.1M. Building and stock hold; business interruption goes to $10.7M and extra expense to $2.8M. Over $1M, so Victor Allard approves; Aldwick Re is advised within 30 days.
What should Victor see before Thursday’s review?
Three things, on one page in the briefing: the +$1.5M reserve change and why; lost income measured at $4,282,000 to 30 Sep; and two things to watch — Stanmore’s view on the delay, and the joint examination of the Torvane Controls panel on 22 Oct, which may give a subrogation recovery. Nothing goes to Victor until you send it.
13 screens from the working solution, on its sample data. Pick one to see it large.
Authority, clocks and the projection’s assumptions are settings — what the agents watch and who approves.
| Setting | Default | Choose from |
|---|---|---|
| Reserve change an adjuster may make alone | $1.0M | In $0.5M steps; above it, the director approves |
| Approver | Victor Allard | Victor Allard · Victor Allard or Joan Merriweather |
| Margin on projected incurred | 3% | 0 · 3 · 5 % |
| Ramp back to full production after rebuild | 10 weeks | 8 · 10 · 12 · 16 weeks, per loss, from the forensic accountant |
| Re-project when a document moves a milestone | On | On · Off |
| Status letter to the insured | Every 30 days | Every 21 · 30 days, until every coverage part is decided |
| Accept or deny after a proof of loss | 40 days | 30 · 40 days |
| Large loss threshold | $2.5M incurred | $1M · $2.5M · $5M incurred |
Every figure is labelled: a target the solution is built to, an estimate, a typical published result, or a proven one.
“demo” = seen in the working solution, on its sample loss data · “target” = the design goal, measured in the live solution · “estimated” = our estimate · “typical” = published figures (Swiss Re via Insurance Journal, Aug 2025 — US construction costs up 35.64% from Jan 2020 to Jun 2025; Cal. Code Regs. tit. 10 §2695.7 — 40 days to accept or deny after proof of claim, written status every 30 days). People, companies and losses named on this page are fictional — characters and sample data in the working solution.
Software for the months-long commercial property losses a major and complex loss unit handles: building, stock, business interruption and extra expense, with every expert, document, payment and reserve in one place. Large Loss Claims Management puts each coverage part on its own lane of one timeline, and six agents read each document as it arrives and keep the picture current.
The income projector takes the forensic accountant’s measured loss to date, the insured’s P&Ls and the restoration schedule, and projects the recovery and the income still at stake. It checks the waiting period, the 12-month limit and the extended period of indemnity, each with its page. When a document moves the rebuild date, the projection moves the same morning.
No. The timeline keeper proposes a moved restoration date with the document that moved it, and the adjuster on the loss accepts it. The income projector never sets the period of restoration or the amount payable; the measured loss stays the forensic accountant’s.
The reserve adviser recommends changes by coverage part with cited reasons; it never changes a reserve or pays. An adjuster may change a reserve by up to $1.0M alone, and above that the director of major and complex loss approves. When a change over $1M hits a loss above the per-risk treaty retention, the reinsurer advice is drafted for reinsurance accounting to send.
It drafts. The open items tracker drafts every chaser and 30-day status letter, and the briefing writer drafts the leadership briefing, but nothing goes out until the adjuster sends it.
Yes. The status letter to the insured and the time to accept or deny after a proof of loss are settings — every 30 days and 40 days in the working solution — and the open items show what is late, such as a sworn proof of loss requested under the policy conditions.
Yes. The agents read, place, project and draft; the adjuster decides coverage, payments and the restoration date, and the director approves reserve changes over the adjuster’s authority. Every step and decision is on the audit trail.
The Agentic Solution Engine builds and deploys it from your requirements and documents — your policy forms, reserving guidelines, authority levels and a sample of past losses — and it goes live once every quality gate has passed. We will walk you through it on your own losses first.
A coverage position on day one, every answer tied to the policy wording.
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