Business interruption claims automation, with forensic accounting built in

The agents pick up the loss at first notice, confirm that a covered peril caused physical damage to the described property, read the business income and extra expense forms with every endorsement, and open a records request for the financial documents the proof of loss will need. From there they reconstruct lost gross earnings, model the period of restoration, and assemble a measurement memo with an exhibit behind every number. The coverage position and the settlement authority stay with your adjuster.

Yes. The agents read profit and loss statements, general ledgers, sales journals, payroll registers, bank statements, and filed tax returns, normalize them onto one timeline, and build the projected but-for revenue line from historical trend and seasonality. Continuing expenses, saved expenses, and extra expense are separated line by line, and every figure cites the ledger row or exhibit page it came from, so a forensic accountant reviews the model instead of building it.

Business income coverage turns on direct physical loss or damage from a covered peril, so the agents tie the claimed interruption back to the damage documented in the property file, and test civil authority and ingress-egress wording separately where it is invoked. The period of restoration is rebuilt from contractor schedules, permit records, equipment lead times, and supplier correspondence, then compared with the indemnity period the policy actually bought, including any extended period of indemnity.

Contingent BI is a dependency claim, so it is worked as one. The agents trace the claimed dependency to named or unnamed supplier wording in the policy, verify that the supplier's own premises suffered covered physical damage, pull purchase orders, shipping records, and invoices to test how much of the insured's revenue actually depended on that supplier, and flag the portion of the loss attributable to market conditions rather than the event. Where the dependency failed because of a cyber event at the supplier rather than physical damage, the claim runs as dependent business interruption under the cyber form, which our cyber claims page covers.

Fraud detection is built into Hesper rather than licensed from another vendor. Submitted financial exhibits are checked at the pixel and metadata level for editing, reconciled against filed tax returns and bank deposits, and tested for ledger entries created after the loss date. Extra expense invoices are benchmarked against market comparables and the vendors behind them are verified. Every flag cites its source document, and the denial or referral decision stays with your team.

They are one file with two measurements. Hesper runs the property damage side - scope, estimate, supplement review - and the business income side on the same evidence, which is why the restoration schedule that drives the repair estimate is the same schedule that bounds the indemnity period. Our property claims page covers the physical damage half in detail. Every file is also screened for subrogation before it closes.