Claims & Risk

Procare Claims & Risk. Strategic & Expert solutions.

Procare is an integrated solutions provider. We deliver high-value specialised claims services, including forensic accounting, recoveries, crime & fidelity, claims preparation, strategy and advice.

Forensic Accounting

Procare Forensic Services has an expert team of specialised accountants for investigation and analysis of financial information.

Our qualifications in accounting and fraud, as well as our investigators’ professional experience with large accounting firms and law enforcement agencies provide members of our Forensic Accounting team with a particular edge.

Our areas of specialisation include:

  • Assessment of assets and business activity
  • Quantification of loss
  • Policy analysis and advice
  • Identification of indemnity issues

Our staff have over 20 years’ experience providing services to individuals, owner operated businesses through to SME’s, listed corporations & government bodies. We have acted as independent experts in litigation matters and undertaken work in investigative accounting assignments, fraud investigations, valuations and the preparation of expert reports for insurance and litigation purposes.

Crime & Fidelity

Procare Forensic Services specialise in investigating and quantifying crime losses for Insurers and Insured’s, providing an independent, professional and prompt response upon discovery or suspicion of a loss.

Our extensive experience in this field, particularly in managing crime claims for major Insurers, allows us to quickly identify how the loss has occurred and exactly what is required by the Insurer to assess and quantify indemnity.

We act as your forensic accountants in compiling the necessary quantum details of your crime and fidelity claims and our experience of both sides of the claim process makes us an invaluable resource in establishing and quantifying employee theft and third party crime losses.

Whilst every crime loss is different, we are able to assist in all aspects of the investigation, including: 

  • Initial review of background facts surrounding suspected loss;
  • Where appropriate liaison with Insurer/broker/Insured/Police;
  • Assistance in the review and investigation of loss to establish the total loss suffered;
  • Confirmation of how loss occurred and review of quantum;
  • Establish quantification of loss with supporting evidence;
  • Review of processes in place and how loss was concealed;
  • Assistance with advice as regards recovery and provision of information to police and/or other regulatory bodies;
  • Review of how Insured will mitigate similar losses moving forward; and
  • Preparation and submission of claim report to Insured/Insurer for coverage review.

Recoveries

Procare offers recoveries specialists across all insurance classes. We are reliable, persistent, organised and diligent.  Our recoveries experts have a proven track record providing timely and reliable services, to guarantee real results.

Services include:

  • Full recovery responsibility from time of claim lodgement
  • Recovery support during life of a claim
  • Back book reviews on closed files
  • Reviews on current claims
  • Litigation escalation
  • Review/audit and recommendation of claims processes and procedures

Loss Adjusting

Procare’s loss adjusting focuses on service excellence and consistent quality.  We offer tailored and professional services to support policyholders in times of need.

Our areas of expertise include:

  • Business Interruption
  • Equipment Breakdown
  • Catastrophe Support
  • Liability
  • Property
  • Strata
  • Building Engineering & Construction
  • Financial Risk

Procare Loss Adjusting understands partnership. We offer a devoted, dedicated and exclusive loss adjusting service for clients and their customers.

For more information, please see our Loss Adjusting

Claims Preparation

For small and medium business holders, claiming from an insurer requires proof of an insured event, compliance with policy terms, evidence and quantification of loss. Procare can assist with preparing a claim for submission to insurers, including preparation of supporting evidence in compliance with the terms of your policy, helping businesses when they need it most.

Specialised Claims Management

Procare provides highly specialised claims management services. This is a boutique, premium service, with claims specialists from legal and technical backgrounds. We specialise in managing claims on behalf of our clients including major blue chip insurers, international Lloyd’s syndicates, employers, brokers and self-insured organisations.

Areas of expertise include:

  • Management Liability
  • Property & Casualty
  • Public Liability
  • Employment Practices
  • Directors & Officers
  • Crime and Fraud
  • Taxation Audits

Services include consulting and advice to clients regarding claims, exposures and risks. Through the management of our clients’ claims, we can extract valuable claims data/management information and work with our clients to reduce claims leakage and understand the areas of risks, promoting long term savings.

Strategy & Consulting

Building on our multidisciplinary expertise, Procare offers interdisciplinary strategy services including projects, claims action reviews, and programs. These are tailored to the needs of the client.

Available expertise includes:

  • Legal
  • Psychology
  • Occupational Therapy
  • Investigations
  • Forensic Accounting
  • Recoveries

Strategy services are offered across insurance lines, including Life, Income Protection, Accident & Health, CTP, Workers Compensation, Public Liability, General, Crime & other specialised policies.

Key Contacts

  • Matthew Foley

    Executive Manager – Claims & Risk

    Matthew joined Procare in 2014 as Claims Director, overseeing the strategic direction and operational performance of Procare’s claims and risk division. He is also a Director of one of Procare’s related companies, PC Legal, a specialist legal firm.

    Matthew has been a solicitor since 1994 specialising in insurance litigation and advice, and was previously a partner at a specialist insurance litigation firm. Matthew has defended claims locally and internationally including the UK, Japan and Hong Kong and has supported insurers in the defence of high profile claims attracting media attention, matters involving personal injury and property damage and high volume/low quantum claims such as motor vehicle property damage.

    His areas of specialisation include disability and Consumer Credit Insurance, Public Liability, Property Insurance, Motor Accidents, Common Law Liability, Motor Vehicle Property Insurance, Fraud claims and advice on insurance policy documentation including policy interpretation.

    Matthew Foley

    Executive Manager – Claims & Risk

  • Emma Levett

    National Forensic Services Manager

    Emma joined Procare in 2013 to lead our national forensic accounting operations. Her areas of expertise are in professional (financial) insurance lines including employee fidelity assessment and quantification, reviews of third party fraud allegations, quantification of stock losses, as well as client losses.

    Emma is a qualified CPA with over ten years of experience in accounting, financial investigations, business reviews & audits. Her experience includes fraud related matters for law enforcement, business interruption and insolvency industries. Operationally, her expertise includes mentoring and training of staff including all facets of quality control and file reviewing for forensic accounting & fraud related matters.

    Emma Levett

    National Forensic Services Manager

    Emma Levett

  • Tiernan Reddan

    National Recoveries Manager

    Tiernan is the National Recoveries Manager. Tiernan has a Bachelor of Business Studies Degree specialising in Risk Management and Insurance.

    Starting his career in the loss adjusting space, Tiernan obtained a Diploma of Loss Adjusting before adapting his knowledge and passion across to recoveries. Tiernan now works across recoveries for all lines of business and has 11 years’ experience within the insurance industry.

    As a self-motivated and results driven individual with well-developed communication and negotiation skills, Tiernan is responsible for managing the Recoveries Division. Tiernan spends time with clients providing timely and reliable recoveries solutions including:

    > Proactively managing numerous portfolios of property, motor, financial lines, accident and health claims for a number of clients;
    > Proactively managing numerous portfolios of property, motor, financial lines, accident and health claims for a number of clients;
    > Managing these to the highest quality in order to achieve the most cost effective and timely results;
    > Taking the appropriate approach to shape the direction of the recoveries function within the company to ensure best processes are in place, thus delivering the best possible outcomes for the client and maintaining overall efficiency;
    > Develop the recovery process between the company and the client by providing succinct data analysis along with developing and communicating future strategies;
    > Ensuring a strict adherence to all applicable debt recovery legislation.

    Tiernan Reddan

    National Recoveries Manager

  • Jim Jobson

    Executive Manager – Loss Adjusting

    Jim Jobson joined Procare in July 2016, leading Procare’s Loss Adjusting business. He has over 20 years’ experience in loss adjusting and claims management within Australia and overseas.

    Jim is responsible for all Loss Adjusting Services including claims for Material Damage, Liability, Business Interruption, Strata and Machinery Breakdown. This includes maintaining an active involvement in Loss Adjusting assignments and acting in a leadership role to other staff advising on technical and procedural matters.

    Jim’s extensive experience covers loss adjusting services, operational claims management, procurement and strategic planning. He has held senior management roles with Crawford, Ace Insurance and IAG which included responsibilities for integration of shared service units, key account management and supply chain performance.

    Jim Jobson

    Executive Manager – Loss Adjusting

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