39
1 P&I CLAIMS MANAGEMENT Edgar Chin Kelvin Chia Partnership

P&I CLAIMS MANAGEMENT - GIA

  • Upload
    others

  • View
    1

  • Download
    0

Embed Size (px)

Citation preview

Page 1: P&I CLAIMS MANAGEMENT - GIA

1

P&I CLAIMS

MANAGEMENT

Edgar Chin Kelvin Chia Partnership

Page 2: P&I CLAIMS MANAGEMENT - GIA

Presentation Outline

2

• Introduction to P&I

• Types of risks covered

• Claims handling

Page 3: P&I CLAIMS MANAGEMENT - GIA

Introduction to P&I

3

WHAT IS P&I?

• “Protection & Indemnity”

• form of insurance cover

• provided by a P&I club to its members for third party

risks

Page 4: P&I CLAIMS MANAGEMENT - GIA

Introduction to P&I

4

WHAT DOES IT COVER?

Ships?

Cargo?

Page 5: P&I CLAIMS MANAGEMENT - GIA

Introduction to P&I

5

WHAT DOES IT COVER?

• Third party liabilities vs. asset insurance

Page 6: P&I CLAIMS MANAGEMENT - GIA

Introduction to P&I

6

WHO PROVIDES IT?

• Mutual Providers

– International group (IG) of P&I Clubs

– Non-IG P&I Clubs

• Non-mutual commercial providers

– Commercial insurers

– Lloyds

Page 7: P&I CLAIMS MANAGEMENT - GIA

Introduction to P&I

7

WHAT IS A P&I CLUB?

• Origins of marine insurance

– Earliest developed form of insurance

– Concept of protection against loss by marine perils traced

back to third century BC.

– First known insurance contract dates from Genoa in 1347

• Costly hull insurance

• Growth of third party liabilities in the 19th century

– Crew injuries/death, claims by passengers, collision risk

Page 8: P&I CLAIMS MANAGEMENT - GIA

Introduction to P&I

8

WHAT IS A P&I CLUB?

• Birth of the “Protecting” clubs

• Where does “Indemnity” come in?

– Sinking of the Westerhope in 1870

– Shipowners could use exclusions in bills of lading to avoid

liability for cargo claims

– However in Westerhope shipowner was found liable

– P&I club refused to cover

Page 9: P&I CLAIMS MANAGEMENT - GIA

Introduction to P&I

9

WHAT IS A P&I CLUB?

• An association of owners and operators of ships that

have grouped together to insure each other on a

mutual, non-profit making basis, against their

liabilities to third parties and certain costs and

expenses arising out of the operation of their ships.

Page 10: P&I CLAIMS MANAGEMENT - GIA

Introduction to P&I

10

ROLE OF THE CLUB

• Manage claims

• Act as point of contact

• Emergency response

• Appoint surveyors,

correspondents and lawyers

• Pay claims and fees

Page 11: P&I CLAIMS MANAGEMENT - GIA

Types of Risks Covered

11

GUIDING PRINCIPLES

• Indemnity not asset insurance

– liability of the shipowner

– exclusion for wilful misconduct

– obligation to sue and labour

– provisions of Marine Insurance Act applies

Page 12: P&I CLAIMS MANAGEMENT - GIA

Types of Risks Covered

12

GUIDING PRINCIPLES

• Concept of Mutuality

– vs self-insurance

– vs commercial insurance

– premium payable depends on the claims made. Each

claim is shared according to the participation in the

mutual.

– it is an equitable sharing of the risks and liabilities with each

other.

Page 13: P&I CLAIMS MANAGEMENT - GIA

Types of Risks Covered

13

GUIDING PRINCIPLES

• Non profit making

– affects how premiums are calculated

– premiums = claims + expenses

• Indemnity basis

– “pay to be paid”

• Omnibus rule

Page 14: P&I CLAIMS MANAGEMENT - GIA

Types of Risks Covered

14

LIABILITIES TO PERSONS ONBOARD A SHIP

• Crew

• Passengers

• Third Parties

Page 15: P&I CLAIMS MANAGEMENT - GIA

Types of Risks Covered

15

PERSONAL INJURY, ILLNESS AND DEATH

• What is the scope of cover?

– Look at the employment contract, collective bargaining

agreement, local legislation and laws;

– Covers medical expenses.

– Damages and compensation

• Exclusion to “pay to be paid” rule – Where shipowner fails to discharge liability to pay compensation; and

– Where crewmember has no right of recovery against any other party

IN RELATION TO CREW

Page 16: P&I CLAIMS MANAGEMENT - GIA

Types of Risks Covered

16

WHAT ELSE IS COVERED?

• Repatriation (linked with injury, illness and death)

• Cost of sending substitute

• Loss of crew effects, excluding valuables

IN RELATION TO CREW

Page 17: P&I CLAIMS MANAGEMENT - GIA

Types of Risks Covered

17

CLAIMS MANAGEMENT

• Ensure PEMEs carried out

• Review of crew contracts

– Provide limits of claims

– Dispute resolution procedures

• Evaluate and investigate claims

IN RELATION TO CREW

Page 18: P&I CLAIMS MANAGEMENT - GIA

Types of Risks Covered

18

IN RELATION TO PASSENGERS

Page 19: P&I CLAIMS MANAGEMENT - GIA

Types of Risks Covered

19

PERSONAL INJURY, ILLNESS AND DEATH

• What is the scope of cover?

– Passenger contract, usual Ts&Cs of ticket

– Covers medical expenses.

– Damages and compensation

IN RELATION TO PASSENGERS

Page 20: P&I CLAIMS MANAGEMENT - GIA

Types of Risks Covered

20

WHAT ELSE IS COVERED?

• Liabilities arising out of a casualty

• Loss of or damage to passenger’s baggage or

effects, excluding valuables

IN RELATION TO PASSENGERS

Page 21: P&I CLAIMS MANAGEMENT - GIA

Types of Risks Covered

21

CLAIMS MANAGEMENT

• Review passenger contracts

– Ensure passengers required to give notice of claims within

six months

– Law and jurisdiction clause

– Exclude liability for emotional distress, mental suffering or

psychological injury

IN RELATION TO PASSENGERS

Page 22: P&I CLAIMS MANAGEMENT - GIA

Types of Risks Covered

22

PERSONAL INJURY, ILLNESS, DEATH

• What is the scope of cover?

– Circumstances of attendance on board

– Any appointment letters, contract of engagement?

– Local laws and legislation

• Who are third parties?

– Examples: stevedores or longshoremen, surveyors, pilots,

even lawyers!

IN RELATION TO THIRD PARTIES

Page 23: P&I CLAIMS MANAGEMENT - GIA

Types of Risks Covered

23

CLAIMS MANAGEMENT

• Control access to the ship.

• Require indemnities to be given.

• Ensure safe environment.

IN RELATION TO THIRD PARTIES

Page 24: P&I CLAIMS MANAGEMENT - GIA

Types of Risks Covered

24

SCOPE OF COVER

• No cover for damage to the insured ship

• 1/4th of damage to the other ship (hull underwriters

covers the rest)

• Consequential liabilities (e.g. pollution, wreck

removal, personal injury etc.) in respect of the other

ship

COLLISION LIABILITIES

Page 25: P&I CLAIMS MANAGEMENT - GIA

Types of Risks Covered

25

CLAIMS MANAGEMENT

• Early reporting is key.

• Gather and preserve evidence.

– VDR

– Records and documents e.g. Log books, Captain’s Orders,

Standing instructions

– Statements to record events (how many on watch)

COLLISION LIABILITIES

Page 26: P&I CLAIMS MANAGEMENT - GIA

Types of Risks Covered

26

SCOPE OF COVER

• Liabilities for raising, removing etc. wreck.

• Liabilities resulting from the presence of the wreck.

• Liabilities for raising, removing etc. cargo or other

property carried onboard the ship.

WRECK REMOVAL

Page 27: P&I CLAIMS MANAGEMENT - GIA

Types of Risks Covered

27

SCOPE OF COVER

• Wreck removal must be made compulsory by law.

– Local authorities would issue wreck removal order

• Consider whether necessary to removal entire

wreck.

WRECK REMOVAL

Page 28: P&I CLAIMS MANAGEMENT - GIA

Types of Risks Covered

28

CLAIMS MANAGEMENT

• Important to ensure that wreck removal contract

entered on appropriate form.

WRECK REMOVAL

Page 29: P&I CLAIMS MANAGEMENT - GIA

Types of Risks Covered

29

SCOPE OF COVER

• Commonly referred to as the FFO rule.

• Damage caused by the insured ship.

DAMAGE TO PROPERTY NOT BEING A SHIP

Page 30: P&I CLAIMS MANAGEMENT - GIA

Types of Risks Covered

30

CLAIMS MANAGEMENT

• Nothing much you can do as you hit a stationary

object.

• Be wary of inflated claims.

DAMAGE TO PROPERTY NOT BEING A SHIP

Page 31: P&I CLAIMS MANAGEMENT - GIA

Types of Risks Covered

31

SCOPE OF COVER

• Liabilities arising out of the discharge or escape

from the insured ship of any substance.

• Typical claims include:

– Liabilities for loss/damage (physical loss e.g. fouling,

business interruption; loss of income)

– Clean up costs

– Preventive measures

– Cost of complying with government directions

POLLUTION LIABILITIES

Page 32: P&I CLAIMS MANAGEMENT - GIA

Types of Risks Covered

32

SCOPE OF COVER

• Strict Liability offence. Polluter pays

• Trade-off is the limitation of liability provided for in

various conventions e.g. CLC and Fund

conventions.

POLLUTION LIABILITIES

Page 33: P&I CLAIMS MANAGEMENT - GIA

Types of Risks Covered

33

CLAIMS MANAGEMENT

• Given the potentially huge liabilities, important to

involve the relevant oil spill response providers.

• Important to involve PR professionals to handle

media queries.

POLLUTION LIABILITIES

Page 34: P&I CLAIMS MANAGEMENT - GIA

Types of Risks Covered

34

SCOPE OF COVER

• Liabilities owed to cargo owners. Cargo itself is not

insured.

• Covers:

– Loss of or damage to cargo

– Disposal costs of damaged cargo

– Extends to third party bunkers

CARGO CLAIMS

Page 35: P&I CLAIMS MANAGEMENT - GIA

Types of Risks Covered

35

CLAIMS MANAGEMENT

• Define the scope of shipowner’s legal liability.

• What law/conventions/jurisdiction applies?

• Limitation of liability, time bar issues.

CARGO CLAIMS

Page 36: P&I CLAIMS MANAGEMENT - GIA

Types of Risks Covered

36

SCOPE OF COVER

• Costs of repatriation.

• Costs of emergency

documentation.

• Costs of accommodating

stowaway

• Costs for additional

security.

STOWAWAYS

Page 37: P&I CLAIMS MANAGEMENT - GIA

Types of Risks Covered

37

CLAIMS MANAGEMENT

• Hardest part is to find a jurisdiction willing to allow

the ship to land the stowaways.

• Airlines may also not be willing to allow stowaway

on board.

STOWAWAYS

Page 38: P&I CLAIMS MANAGEMENT - GIA

Types of Risks Covered

38

COSTA CONCORDIA

Page 39: P&I CLAIMS MANAGEMENT - GIA

Types of Risks Covered

39

COSTA CONCORDIA