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Construction Insurance and UK Construction Contracts


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CHAPTER 31

Dispute resolution

Dispute resolution

31.1 It is inevitable that occasions will arise when an insured and his insurer will take different views as to the existence and/or extent of coverage of the insurance contract to which they are parties. This chapter considers the options that are available to resolve such disputes.

The policy

31.2 The first question is whether the parties have agreed to, and/or defined, the process by which any dispute between insured and insurer is to be resolved. At the most basic level, the policy terms will usually make provision as to the law that governs the contract and which any disputes regarding construction should be determined in accordance with. However, it may also be the case that the policy provides for one of the following:
  • (1) that the parties engage in mediation.
  • (2) that in the event of a dispute, the issue is referred to a third party for determination and the parties agree to be bound by that decision (so called “QC clause”);
  • (3) that any dispute is referred to arbitration for its resolution;
  • (4) that any dispute is to be determined by way of litigation (i.e. by commencing proceedings in the High Court or county court depending on value and complexity);
An insured may also be able to refer an insurer’s decision that the insured considers to be unfair or wrong to the Financial Ombudsman for his consideration. These five routes to resolution are discussed below. However, by way of overview, the table below addresses some of the pros and cons of each.
Forum Pros Cons
Mediation Confidential Consensual: no requirement for either party to remain
  Consensual - expectation that a deal will be done
  Quick: mediation typically one day with minimal preparation
  Comparatively inexpensive

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QC clause
Confidential Potentially narrow: clause may not allow wider interests to be taken into account in deciding outcome
  Issue determined by specialist counsel with detailed knowledge of principles
  Cost effective and efficient
Arbitration Confidential Potentially expensive particularly if institutional arbitration
  Limited ability to appeal, resulting in certainty
Litigation If Part 8 claim, efficient and quick decision making process Unless Part 8 claim, time consuming Not confidential
  Specialist judges Ability to appeal greater than that which exists in arbitration which can result in uncertainty and increased costs
  Issue fees considerably less than arbitration
Financial Ombudsman Confidential during the process, although if an award not accepted, documents produced in the process can be referred to in later proceedings. Need to be “eligible complainant” Claim value limited to £150,000

Mediation

General

31.3 Mediation is an assisted settlement process, whereby parties to a dispute agree to an independent third party (the mediator) seeking to broker a settlement between the parties. It can take place at any time; and, depending on the nature of the dispute, it may be that a mediation is more likely to result in settlement if timed to take place after disclosure, or exchange of witness statements or expert evidence. However, it may equally be the case that the dispute can be mediated before any formal dispute resolution process is commenced; or that mediation can follow the determination of a preliminary liability issue. 31.4 The key features of mediation are that:
  • 1 the parties control the outcome of the dispute through their negotiations, as opposed to having a decision imposed upon them, which is the inevitable consequence of embarking on any of the other routes to resolution identified above.
  • 2 The process is consensual. A party cannot be compelled to stay at a mediation, such that if they become dissatisfied with the process they can leave - although a mediator will usually ask that if a party does wish to leave, it is discussed with the mediator first.
  • 3 The process is entirely confidential. Matters that are discussed, or concessions that are made in the course of the mediation cannot be referred to later on an open basis (so they could not be mentioned in court) in the event that settlement is not achieved.
  • 4

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    As the process is not constrained by the strictures of pleading, procedure or law it is inherently flexible such that the parties can explore options that may not be available at court.

Practicalities

31.5 In terms of practicalities, most mediations follow a similar format, which commences with a plenary session chaired by the mediator, where each party has the opportunity to make a statement to the other side. This will often be led by the party’s legal representative, but it is also common for the party to make a statement or express their feelings about the dispute to the other side.1 Each party will then break out into a separate room, in which private discussions will take place with the mediator. It is important to recognise that the function of the mediator is not to determine the relative rights and wrongs of the dispute: mediation is not an adversarial or inquisitorial process in that respect. The role of the mediator is to assist the parties in agreeing a commercial outcome of the dispute. 31.6 Mediations usually last one day, although in very complex or multi-party disputes they can run over two days. It is not unusual for agreements to be reached very late at night. Once an agreement is reached in principle, a formal document will be drawn up that records the terms agreed with the parties being asked to sign off before they leave. There is no “cooling-off” process: so a party needs to be clear on the matters it believes it has agreed. That said, as it is a consensual process a party is at liberty to leave the mediation, reflect on matters agreed and at a later date see if the other party is still prepared to sign up to the terms, or to ask the other side to hold the offer open for acceptance overnight. 31.7 Whilst mediation is a consensual process, should a party unreasonably or unjustifiably refuse to attend mediation that refusal can be sanctioned in costs.2 The clear message from the judiciary is that the importance and effectiveness of mediation should not be underestimated; and that parties should be slow to reject mediation. In Northrop Grumman Mission Systems Europe Ltd v BAE Systems (Al Diriyah C4I) Ltd, Ramsey J made the following observation as regards a case that turned on the construction of a licensing agreement:

I regard this case as being like many cases, where points of construction are major issues at the centre of a financial claim. In all such claims a skilled mediator can assist the parties in resolving the dispute by finding a solution to disputes which each party would regard as incapable of being settled and would be unable to settle without such assistance.3

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