When to Bring in a Forensic Accountant
For BI claims under $50,000, the public adjuster can typically produce the income documentation directly from the policyholder's financials. For BI claims $50,000-$500,000, a CPA or forensic accountant adds meaningful value through more sophisticated analysis. For BI claims over $500,000, a forensic accountant is essentially required — the calculations involve enough complexity and the dollars at stake justify the expertise.
Forensic accountants specializing in BI claims understand the carrier's methodology, the typical disputes, the calculation conventions in the specific industry, and the documentation standards that produce defensible numbers. Their fee is typically a percentage of recovery (similar to PA contingency) or hourly, depending on case complexity. We coordinate with several forensic accountants in NJ and refer when the case justifies the engagement.
The combination — public adjuster handling claim documentation, policy provisions, and carrier negotiation, plus forensic accountant producing the financial calculations — produces materially better outcomes than either approach alone. We use the right tools for the right case size and complexity.