Insurance, Reinsurance, Investigations & Risk Management

Insurance Industry Investigations

We have deep experience in government and regulatory investigations in the insurance industry. In addition to first-class litigators who collectively have decades of investigation experience, unique among law firms, we offer the added benefit of team members with practical insurance industry experience. This advantage enables us to quickly understand complex insurance issues and explain them to the relevant government and regulatory authorities. We have team members with experience as in-house counsel, underwriters, agents, brokers, and insurance regulators. This practical experience sets us apart from other law firms, enabling us to provide clients with insightful legal and practical advice.


Areas of Focus

  • Civil and criminal investigations
  • Internal investigations
  • Audits
  • Government and regulatory actions
  • A broad range of clients:
    • Boards of directors
    • Insurance brokers
    • Third-party administrators
    • Insurance companies
    • Reinsurers

Rankings & Recognitions

  • Practice ranked nationally and regionally by U.S. News & World Report and Best Lawyers in “Best Law Firms”
  • Attorneys ranked by Chambers USA, Best Lawyers, and Super Lawyers

REPRESENTATIVE EXPERIENCE

  • Represented certain insurance companies and a third-party claims administrator in ongoing investigations by the New York Attorney General and other government authorities in connection with Superstorm Sandy claims.
  • Represented various insurance companies in investigations by the relevant state insurance department into certain claims handling practices and other compliance issues.
  • Represented the board of directors for an insurance company with respect to regulatory matters and an internal investigation relating to the processing of claims and the development of best claim and underwriting practices.
  • Represented a global health services leader and provided advice to its global chief compliance officer in connection with internal investigations involving claims processing, state law regulatory issues, misconduct by outside counsel, lobbying law violations, foreign country corruption issues, unfair or deceptive practices claims, employment law/workplace allegations, whistleblower claims, corporate governance, and other insurance company regulatory and internal control issues.
  • Conducted a forensic fact-finding investigation for a leading risk management company. Multiple commercial manufacturing insurers rely upon the results of the investigation, which relates to defects in post-tension infrastructure projects and lawsuits by state and local governments nationwide.
  • Represented senior executives at a global reinsurance company as part of an investigative team in connection with financial fraud allegations in the wake of the 2008 financial crisis. 
  • Conducted multiple internal investigations into financial fraud, embezzlement, whistleblower allegations, theft of trade secrets, and insurance regulatory issues for a large insurance group.
  • Conducted an internal investigation for a leading insurance and financial services provider into fraudulent investment allegations overseas.
  • Conducted numerous internal investigations into alleged misconduct by the claims department, underwriting executives, staff counsel, brokers, and others in connection with the national property and casualty business of a Fortune 1000 public company. Also managed the company's response to whistleblower claims; handled sensitive employee terminations; investigated and defended against RICO allegations; investigated and responded to SEC disclosure enforcement actions; and advised on corporate governance, internal controls, risk management, and other management and board-level issues, all involving some level of lawyer-client privileged inquiry or investigation.
  • Participated in an internal investigation involving a global insurance marketplace in response to government enforcement inquiries regarding allegations of financial misconduct by brokers and registered agents. 

Representative Clients

  • Brown & Brown, Inc.
  • Cigna Health Insurance
  • Colonial Claims Services
  • John Hancock
  • Prudential Financial
  • Selective
  • Wright Insurance
  • Yosemite Insurance