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Thursday, 28 August 2008
 
 
Case in Point Print

When Should You Call On An Expert? 
The decision concerning when to call in an expert on a claim usually comes when it is patently obvious that some scientific or technical problem is involved which either is beyond the scope or experience of the claims person or requires additional support to sustain a decision regarding a claim. 

There may well be extenuating circumstances, questions about liability when several parties are involved, or questions about the true extent of the damage.  Something may be amiss which is technically a borderline call but may have a lot to do with the outcome of the case. 

The best course is to not take a chance.   If there's a question, or if you're unsure of what direction to take on a claim, contact us.

The next decision concerning the use of an expert should be based upon the size of the exposure.  If it is a large claim, don't hesitate to call even if the extent of the assignment may not be all that clear.  Usually you will save your company money in the long run. 

Timing is also very important.  Try to call before some well-intended opposition person or government agency attempts to "save the evidence" by picking up and removing some vital part, or destroys some information without any consideration of its relation to its surroundings.  Delays can cost more than just money, They can jeopardize the outcome of the case.

Case In Point: An investigator took a part off a car involved in an accident, and put it away for safe keeping.  The car was then salvaged.  It turned out the part saved had no relation to the problem that caused the accident, so it was of no value to the case.  
In another instance, we received a call to investigate an electric fence which had injured a person.  The attorney had picked up all the transformers, etc., for safe keeping.  The arrangement of electrical connections which might have provided clues in the case was thereby destroyed. 
 
When Not To Use An Expert
When the exposure to loss does not justify the fees expected, it is often better to attempt a settlement.  "If the fees become a determining factor, then you really don't need us."  

Case In Point: The report was sugar in the engine.  Could we check the carbon on the sidewalls of the cylinders to determine if this was true?  Yes, but the car was a 25 year old Volkswagen and the claim was $350.  Hardly worth the cost of the investigation.  
 
Information Gathering   
One of the most important points in the process of handling a claim is the proper gathering of information.  When the expert is called in, have all pertinent data concerning the claim ready for review.  

The important thing is that your expert be able to launch the investigation with all the data you have accumulated.  If the expert has to spend time re-developing some of the same basic data, it can impede the progress of the case, and causes extra needless costs.  
One thing not required is a predetermination of the type of expert needed on the case.  After discussing the assignment with you, we'll make the determination as to type of experts needed based on our best judgement of the situation.  Sometimes it takes several members of our team to do the right job.  

Case In Point: We received a call at 4:00 p.m. for the immediate services of an accident reconstructionist, who was to travel 130 miles one-way to a neighboring town.  A pick-up truck had been in an accident, and was at a gas station.  We were to establish who the driver was immediately.  The address was unknown, the vehicle ID was unknown, there was no case number, and the claims person had not asked for a police report.  Quick response is important, but essential information must be at hand before an investigation can be launched.  
 
Chain of Custody of Evidence  
The gathering of evidence in any case is very important.  Often when an adjuster gets into a matter, there have already been police or fire department people at the scene who have picked up material or caused evidence to be stored in some form.  It is vital to know what this material is, where it is stored, who is in charge, and what process is needed to view the evidence or obtain possession if need be.  We would need to see any drawings done or evidence collected by other agencies or experts.  Receipts should always be obtained if there is any transfer of materials in order that the "chain of custody" can clearly be established.  
If it is necessary to store evidence, make arrangements in advance.  Frequently the length of time required for a case to come to trial is appreciable, perhaps years.  Safety of the evidence is important.   Storage costs can be an important cost item.  

Case In Point: We were asked by the opposition to produce parts from a truck accident for further testing.  We had indeed investigated the accident 4 1/2 years previously; we had stored certain parts with the name of the company involved in a bonded warehouse.  The insurance company had been paying storage charges all that time, but the attorney for the company was not aware of this fact.  We were able to find the original warehouse receipt and the parts, thus avoiding a contempt citation or worse. 
 
Criminal Activity  
If there is the slightest suspicion of criminal activity discovered by the expert, he will inform you and then call the appropriate law enforcement agency.  It may be that the agency will take over from there, or it may be desirable for the expert and the agency to work together.  You may ask the expert to wait for the agency's report before doing anything further.  At any rate that will be your decision.  

Case In Point: Fire officials in a small town where we were investigating an electrical fire suspected arson.  The officials arranged with the insurance company for us to continue our investigation.  We did.   The culprits immediately were caught and convicted, based on the evidence the investigation provided.  
 
Document Control   
If it appears that the matter at hand may include a large number of documents (such as one case with 500 architectural drawings, 5,000 letters, and 55 subcontractors involved in the proceedings) some system of control will be essential.  This means identifying each document and cross-indexing according to each subcontractor and/or by subject.  Any group of documents may then be recalled during court proceedings, or by the attorney as needed during the investigation.   Anything lost or unavailable could cause delays and added expense.  

Case In Point: A developer was sued for bad construction when a new office building exhibited many deficiencies.  The number of documents was staggering.  When the attorney tried to find some bit of correspondence dealing with a subcontractor, it was virtually impossible even though he had all the data in his possession.  
All documents pertaining to the case were gathered up, given numbers, cross-indexed in every conceivable way and fed into a computer.  The attorney could then search through it on his computer screen and gain quick access to any information required.  If the case documents had been filed properly to begin with, the task of locating the correspondence would have been much easier and less costly.  
 
Tests, Laboratories & Testing    
Performing tests in accordance with accepted scientific standards can be a lengthy and expensive process, although it may very well prove the specific point needed to settle a claim favorably or win a case.  By the same token, not doing the work can be very expensive to your company.  
It may often be necessary to actually reproduce the accident in a laboratory to find out the complete story.  Our experience ranges from biological testing to reproducing car and bus accidents, not to mention fire experiments and wind tunnel tests.  The list of types of equipment needed for such work is endless.  Therefore Garrett Engineers, Inc. does not attempt to own and maintain its own facilities.  We maintain relationships with a large number of scientific testing laboratories due to the quantity and varied workload that comes before us.  

Case In Point: There had been repeated fires (every 60 to 90 days), which were unexplainable in a 20 story apartment building containing 180 senior citizen families.  The risks to the building and the people involved were enormous.  Garrett Engineers, Inc. chased down many blind alleys, such as known arsonists, disgruntled employees, structural and mechanical deficiencies, etc.  We pinpointed the origin of the fires to the small efficiency kitchen in each apartment, but that was all.  
Finally we built a mockup kitchen in the laboratory from the architect's plans, and placed it in operation.  Over a weekend, the accident happened: there was a fire.  It seems that the under-the-counter-refrigerators were time bombs just waiting to explode.  Due to a design error, an electrical connection was allowed to lie in the drip pan.  When the connection got wet, it caused arcing, which started the fires.  This evidence led to a rather large award against the manufacturer of the refrigerators.  
 
What Happens If The Case Goes To Court?  
All of the investigative activity we've been describing is aimed at one ultimate goal: providing the best possible support should the case go to trial.  Seldom, once the facts are made clear, do cases actually go that far.  Usually they are settled out of court.  But the point is to be ready, and to provide the best experts and the best factual evidence to assist your attorney.
That's one reason it is so urgent to move quickly to impound evidence.  Once it's gone, it's hard to reconstruct, and cases can take months, even years, to come to trial.  
Exhibits may also be very important in court.  These may include photographic blowups, models, videotapes, graphic displays, illustrations, material samples, etc.  The opposition will most assuredly use whatever state-of-the-art tools it can to win the case.  With a sizable amount usually at stake, should your side do any less?  A model that effectively demonstrates a key point can be well worth the cost.  
Most importantly, the attorney needs to know he is going in to court with the best possible expert witnesses, who's credentials are impeccable (they certainly will be challenged), who are "courtwise" enough to know the procedures and what to expect from the opposition, and whose knowledge and testimony will be acceptable by the court.  

Case In Point: An actress claimed that a hollow core door of a television studio slammed shut, striking her head and causing brain damage.  The insurance company didn't believe the forces were great enough to cause that kind of injury.  The problem was how to demonstrate to a jury that the forces involved were very small.  We set up a similar door in court, created a modest wind using fans, and let the door shut on an egg, which remained whole.  The jury concluded that the individual may have suffered brain damage, but from other causes.  
 
Reducing Claim Costs   
The most common outcome of an investigation, assuming the question of liability has been answered, is arrival at a settlement, which is much less than the original amount claimed.  
While our assignment may be first and foremost to find out  "What really happened?" this frequently leads to the next question and subsequent assignment: "How much will it cost to repair?"  
These may be separate or overlapping assignments.  This understanding should be clear at the onset.  With the ultimate goal of reducing costs, the second question may be just as important as the first.   Coming up with the "How much?" answer often requires additional skills.   For example, if a building is involved, a general contractor experienced in pricing construction materials may be needed.  

Case In Point: A large electronic scoreboard was damaged during installation.  The insurance company was asked to forward a check for $2.1 million to replace the scoreboard.  Garrett Engineers, Inc. was called in to investigate the extent of the loss.  Within 48 hours of the accident a team of three experts was on a plane en route to the site: an electronics engineer, a structural engineer, and an investigator.  
They determined that the cause of the damage was due to crane operator error.  Furthermore, they determined that the scoreboard was repairable within the price range of $400,000.  It was subsequently repaired and installed, at a savings of $1.7 million to the insurance company.  
 
 
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