Authors

By Reinhard Andrew Puspito, Technical Adviser and Executive Major and Complex Loss Adjuster

Indonesia is one of the most disaster-prone regions in the world. Spanning more than 17,000 islands and sitting along the volatile Pacific “Ring of Fire,” it regularly experiences floods, landslides, earthquakes and volcanic activity.

For insurers, brokers and businesses, these catastrophic (CAT) events generate far more than financial losses—they introduce severe operational complexity. Entire communities can be physically isolated, critical infrastructure compromised, and vital business documentation destroyed. In these moments, effective claims handling becomes critical to recovery.

Drawing from recent CAT events in Indonesia, here are some practical lessons on how to navigate claims in complex, high-pressure environments — and why technical skill alone is not enough.

Complexity on the ground

CAT claims begin long before any formal assessment. The first challenge is often simply reaching the site. Flooded roads, damaged bridges and unstable terrain can severely limit access, delaying inspections and increasing risk for those working on the ground. 

Even once site access is secured, adjusters face a critical operational bottleneck: the sharp tension between a business’s urge for immediate recovery and an insurer’s strict need for evidence preservation. In the rush to restore operations, businesses often initiate immediate cleanups and hasty repairs. This premature activity frequently results in missing records, dismantled machinery and limited photographic evidence — significantly clouding the forensic loss assessment.

Distinguishing between new damage and pre-existing conditions adds another layer of complexity. In flood events, everything may be submerged, making it difficult to determine what was caused by the catastrophe versus what developed gradually over time. Accurate assessment depends on identifying patterns — such as consistent water lines or debris distribution — and applying technical expertise in context. 

At the same time, loss adjusters must manage surging volumes with limited resources, while balancing the expectations of multiple stakeholders. Insured parties may need immediate financial support to survive. Brokers may push for speed. Insurers often require early cost estimates, sometimes before full assessments are possible. 

These pressures are compounded by rising contractor costs, supply chain constraints and the physical and emotional toll of working in disaster environments. In this setting, clear communication and practical decision-making become essential — not only to manage claims effectively, but to maintain trust among all parties involved.

Prioritizing what matters

In large-scale disasters, not all claims should be handled the same way. One of the most effective strategies is to segment claims based on complexity and severity. 

Fast-track claims are typically lower in value, with clear causation and straightforward damage. These might include minor property losses, stock damage or limited water ingress. By streamlining documentation, simplifying reporting and making rapid reserve recommendations, these claims can be settled quickly — providing much-needed relief to policyholders.

Deep-dive claims require a more detailed, phased approach. These include large industrial losses, complex business interruption exposures and cases involving significant structural or machinery damage. Here, adjusters must conduct technical assessments, engage engineers and perform detailed financial analysis to reach fair outcomes.

The ability to scale resources accordingly is critical. Fast-tracking simpler claims frees up time and expertise to focus on complex cases, where deeper investigation can significantly influence outcomes.

Ultimately, effective segmentation goes beyond efficiency; it’s about ensuring each claim receives the level of attention it truly requires.

From chaos to clarity

The intricacy of catastrophe claims is best understood through real-world examples.

In one case we recently handled, a small automotive workshop was flooded, destroying both business assets and the owners’ home. With most physical records lost, the insured faced significant barriers in documenting their claim. Rather than relying solely on formal documentation, our adjusters worked collaboratively to reconstruct the loss using site observations, remaining stock and supplier records to rebuild an accurate picture. This approach demonstrated the importance of flexibility and empathy. Supporting the insured in recovering their business was just as important as validating the claim itself. 

In another case involving a warehouse storing food-grade products, initial assumptions pointed to a total loss due to contamination. However, through testing and collaboration with authorities, portions of the stock were deemed safe for resale. By segmenting affected and unaffected goods and facilitating open communication between all parties, the claim was resolved efficiently while preserving commercial value. 

A third case involved a manufacturing facility where flood damage led to a major machinery claim. Initial estimates favored full replacement, but a more detailed technical review identified opportunities for cleaning, repair and partial reinstatement. Through collaboration with engineers and sustained negotiation, the final settlement was significantly reduced while still ensuring safety and restoring operations. 

Across these scenarios, one theme remains constant: The best outcomes are achieved through practical thinking, collaboration and a willingness to challenge assumptions.

Where expertise meets empathy

Catastrophe claims are rarely straightforward. They unfold in environments defined by uncertainty, urgency and human impact.

While technical expertise is essential, it’s not enough on its own. Effective claims handling requires sound judgment, communication and the ability to make informed decisions in rapidly changing conditions. 

At Sedgwick, our approach is grounded in both precision and empathy. We recognize that behind every claim are people navigating disruption and businesses working to recover. By combining technical rigor with practical solutions and compassionate support, we’re able to help clients and communities move forward in the aftermath of the unexpected.

Visit our website to learn more about our industry-leading catastrophe response solutions.