Claim Workspace · product liability
The Claim Workspace hero for an illustrative product-liability suit at coverage review
An illustrative product-liability suit at coverage review: $4.52M claimed against $420K the carrier accepts, a $1M floor, one of two carrier positions to challenge, every carrier clock on time.

A conveyor bracket fails at a customer’s plant and the customer sues the manufacturer that supplied it. The demand is $4.52M. The primary general liability policy has a $1M limit and its carrier has reserved rights. Above it sit an umbrella and an excess layer — and neither of those carriers has heard a word.

Liability claims climb. The broker’s job is to make sure each layer is on notice before the exposure reaches it, and that the primary carrier’s reservation is read properly while it is still only a reservation. This post follows an illustrative suit (an invented client, Kestrel Components Inc, and invented carriers) through InsightAdvocate.

Use case card
ActorsClaims advocate, account executive, practice leader, defence counsel appointed by the carrier
TriggerA reservation of rights read into the claim; Analyze
LinesGeneral liability (primary), umbrella and excess
Agents involvedCoverage position analyst, other-insurance finder, rebuttal drafter, settlement evaluator, supervisor
Decisions and authorityNotice to the excess layers and the response to the reservation (advocate); sign-off on the settlement gap (practice leader)
OutcomeThe contractual-liability exclusion answered with its carve-back, the carrier asked to name the clause behind its general reservation, the umbrella put on notice
What is measuredExcess layers on notice before the exposure reaches them, reservations answered within the practice’s target

Two positions, read against the wording

Claim Workspace · Coverage
A contractual-liability exclusion read as weak and a general reservation that needs facts
Coverage on an illustrative product-liability suit: the contractual-liability exclusion carves back an insured contract, which the facts show (weak); a general reservation names no wording (needs facts).

The first position says that to the extent the plaintiff seeks to hold the client liable under the indemnity in the supply agreement, Exclusion I.A.2.b (contractual liability) excludes it. The exclusion’s own last sentence says it does not apply to liability assumed in an “insured contract” — and the facts on the record include an indemnity of that kind. The engine reads the position as weak.

The second is a general reservation “on all other terms of the policy”. It names no wording, so there is nothing to assess. The engine says needs facts, and the rebuttal asks the carrier which clause it relies on and why. A general reservation that is never challenged tends to become a specific one at the worst moment.

flowchart TB P["Carrier position"] --> T{"What kind?"} T -- "exclusion" --> X{"Carve-back the
facts meet?"} X -- "yes" --> WK["Weak"] X -- "no, words reach facts" --> SP["Supported"] T -- "general reservation" --> NF["Needs facts:
ask which clause"] T -- "cites a clause
not in the policy" --> NS["Not supported
by the policy"] style WK fill:#fff4e2,stroke:#f4a03a style NF fill:#e8efff,stroke:#5b7bd6 style NS fill:#fdecec,stroke:#e57373

The tower, and who is on notice

Claim Workspace · Program
The program with an umbrella that may respond and the liability tower, on illustrative data
Program (illustrative): $4.52M of exposure against a $1M primary, the umbrella the exposure reaches and the liability tower — amber layers are not on notice yet.

The program zone draws the client’s liability tower: Northwind Specialty Casualty’s $1M primary (on the claim, in blue), Bramblecrest Indemnity’s $10M xs $1M umbrella and Corvane Excess & Surplus’s $15M xs $11M (amber: not on notice yet). The exposure on the claim — $4.52M — is 452% of the umbrella’s attachment. The other-insurance finder prepares the notice; EXCESS_REACH warns once exposure passes half an attachment, so the warning would have fired long before this.

Step by step

A suit from the reservation to the excess notice Dates are from the illustrative record.
1
Notice to the primaryNotice checkerAug 24

Sent four days after the client knew, inside a 30-day condition; acknowledged two days later.

2
Reservation of rightsXtract stand-inSep 19

Read into two positions: the contractual-liability exclusion and a general reservation.

3
Positions assessedCoverage position analystAnalyze

One weak (the insured-contract carve-back), one needs facts (no wording named).

4
Excess layersOther-insurance finderAnalyze

The umbrella is reached; its notice is prepared. The excess layer above follows as the exposure moves.

5
The floorSettlement evaluatorAnalyze

A floor of about $1M against the carrier’s accepted position; the gap is more than 25%.

6
ControlsSupervisor agentAnalyze

SETTLEMENT_GAP refers to the practice leader; EXCESS_REACH warns.

7
DecidedAdvocate and practice leaderNext day

The reservation is answered and the umbrella carrier is noticed — both as dry runs today — and the sign-off is on the record.

sequenceDiagram participant Adv as Claims advocate participant IA as InsightAdvocate participant Pr as Primary carrier participant Um as Umbrella carrier participant PL as Practice leader Pr->>Adv: Reservation of rights Adv->>IA: Read the letter IA-->>Adv: Exclusion weak, reservation needs facts IA-->>Adv: Umbrella reached, notice drafted IA-->>PL: Settlement gap over 25% PL->>IA: Sign-off Adv->>IA: Accept the response and the notice IA-->>Pr: Response to the reservation (dry run) IA-->>Um: Notice of claim (dry run)

What the agents prepared

AgentWhat it preparedWhat it citesWho decides
Coverage position analystTwo assessments and the grants not addressedClause I.A.2.b and the facts on fileAdvocate
Other-insurance finderNotice to the umbrellaExposure against the layer’s attachmentAdvocate
Rebuttal drafterAnswer the exclusion; ask for the clause behind the reservationThe engine’s reasonsAdvocate
Supervisor agentPractice leader sign-offSETTLEMENT_GAPPractice leader

Edge cases

What happensWhat InsightAdvocate does
The indemnity isn’t an insured contractIf the facts don’t include it, the exclusion’s words reach the facts and the engine says supported. The advocate sees that, too.
The suit is dismissedExposure drops on the next Analyze; excess reach clears; the record keeps what was sent and when.
A layer sits with a surplus lines marketIt is treated like any other layer: its attachment and limit come from the policy record.

The decision record for this claim

SectionHitOutcome
Claim controlSETTLEMENT_GAP: the carrier is more than 25% below the floorrefer
Claim controlEXCESS_REACH: exposure reaches half an excess layer’s attachmentwarn

Questions we get asked

Does InsightAdvocate manage the defence?

No. Defence counsel is the carrier’s. InsightAdvocate keeps the broker’s side: notice, positions, the tower and the client.

Where does the tower come from?

From the client’s policies on record: each layer’s attachment and limit, as recorded in InsightAdvocate.

Illustrative: the client, carriers, wordings and figures are invented. Nothing here is legal advice.

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