Speciality Insurance Operations Audit | Pro-Global

Specialist Insurance Audit Services

Prove you comply with industry regulation and corporate standards

Audit & Assurance Overview

Here at Pro Global, we aim to deliver comprehensive global audit assurance through practitioner expertise. Our auditors have specialist knowledge across policy risk and administration, claims, financial and technical accounting, and cyber security. We provide a seamless end-to-end audit offering for multiple territories and languages, both on-site or remote. In 2023, we audited 223 coverholders and delegated claims administrators, covering 548 binder relationships.

We use management models and innovative approaches that are tailored to your requirements, covering all major classes of (re)insurance. Combined with our deep subject matter expertise and experience, we can deliver reporting integrity (that is, user-friendly), assurance and insight on areas including:

  • Regulatory standards
  • Customer outcomes/fairness
  • Third-party compliance
  • Security or cyber threats
  • Operational resilience
  • Claims peer reviews
  • Acquisition due diligence
  • Lloyd’s minimum standards

We are a fully accredited Lloyd’s auditor; so, whether you’re an insurer, reinsurer, broker, insuretech or MGA, we can audit your in-house and third-party specialist insurance operations to ensure they meet both regulatory and your own corporate standards.

Why choose Pro Global

Global reach

on-site or remote

An experienced team

with specialist knowledge

Enhanced technology

to optimise efficiency

Strategical solutions

for complex problems

Our Services

Policy & Technical Audits

As one of the largest providers of audit services to the Lloyd’s and Company markets, our team has practical experience in underwriting, technical accounting / finance, claims adjusting, IT and compliance.  We can help you implement and maintain an effective assurance framework and audit programme.

Our services include:


Loss Fund Audits

Our specialists can assist you in identifying and recovering these redundant reserves that would otherwise be written off and not deployed on any balance sheet, especially if you do not have the resource available internally. 


Agency Management Review

Holistic review of individual agency book performance alongside actuarial staff. This allows you to not only audit adherence to contract and underwriting provisions, but provides insight into how individual agencies may be impacting performance and loss ratios. 


Due Diligence

Prior to engaging a new MGA, Pro provides a thorough analysis of MGA operations, strategy, underwriting and claims acumen, financial performance, IT security, and more. This allows you to have confidence in your investment in new MGA solutions. 


Premium Audits

Auditable lines of insurance require keen review of policyholder/customer data to help you manage risks and (re)rate accordingly. Pro’s team has decades of experience in premium audit, averaging 20% additional premium which directly hits bottom line dollars; enhancing combined ratios!


Post Audit Consultancy

At the conclusion of an MGA/TPA or Due Diligence audit, Pro can step in as a consultant; leveraging its verticals and strong understanding to not just be an announcer of observations, but assist the MGA or TPA in getting into a satisfactory position!


MGA/Policy & Underwriting Audits

Holistic review of a Managing General Agent’s underwriting practices, policy management, and adherence to both regulatory and contractual guidelines.


Technical Audits

Review of financial records, transactions, and accounting to ensure accuracy in reporting and fund movement. Detailed analysis of policies, cash acceptance, cash movement, and bordereaux reconciliation.

Claims Audits

Our market-leading claims audits can help to improve claims management performance, while ensuring compliance with processes and standards. We are accredited Lloyd’s Claims File reviewers (CFR) and can provide robust management information on adherence to both corporate and regulatory standards.

Our services include:

Claims Peer Reviews

Our integrated Claims Peer Review service is a joined-up solution that leverages our deep domain expertise to deliver benefits for all stakeholders. We provide assurance that claims are handled in accordance with your Claims Practice and Procedures document,  the Principles for doing business at Lloyd’s, Claims Scheme Process Guidelines, and CTP obligations.


Medical Bill Re-Audits

Medical bill review allows carrier customers to see direct cost savings and Pro can perform detailed reviews of your vendor partners to help keep you in compliance, while comparing your performance to industry standards. 

Cyber Audits
Cyber Audits

Thorough review of cybersecurity and infrastructure to assist in identifying vulnerabilities. Examination of IT systems and networks alongside a review of protocols within best practices and industry standards.

Third Party Administrator (TPA) Audits
Third Party Administrator Audits

Holistic review of a Third Party Administrators’ claim practices, claim management, and performance standards. Thorough review of claim guidelines and adherence to regulatory and contractual guidelines.


Due Diligence

Prior to engaging a new MGA, Pro provides a thorough analysis of MGA operations, strategy, underwriting and claims acumen, financial performance, IT security, and more. This allows you to have confidence in your investment in new MGA solutions. 


Post Audit Consultancy

At the conclusion of an MGA/TPA or Due Diligence audit, Pro can step in as a consultant; leveraging its verticals and strong understanding to not just be an announcer of observations, but assist the MGA or TPA in getting into a satisfactory position!


Medical Bill Re-Audits

Medical bill review allows carrier customers to see direct cost savings and Pro can perform detailed reviews of your vendor partners to help keep you in compliance, while comparing your performance to industry standards. 

 

Internal Audit Services
Internal Audit Services
Augment your internal audit team with Pro’s experts, or allow Pro to perform a Due Diligence review of your current internal audit system. 
Regulatory Audits
Regulatory Audits

Pro’s experts have experience in working closely with insurance regulators in performing detailed reviews of carriers on their behalf. Leverage Pro’s experience in ensuring industry participants are meeting regulatory standards.

Compliance & Advisory Services

Augment your compliance staff and allow Pro to provide support and ensure regulatory requirements are met. As industry standards evolve, our experts help define best practices and solutions to elevate your compliance posture.

"I would give your auditors 10/10 and commend them for their common sense and no-nonsense approach. Many thanks for creating a smooth and painless audit!”

A Lloyd's Managing Agent & their Coverholder

Case Studies

Find out more about how our audit experts have helped our global clients across multiple areas of audit services. Each case study goes into detail of how our subject matter experts have helped clients with identifying the route cause of their problems and finding solutions.

Our Digital Services

Find out more about how our digital capabilities enhance our services, offering time, accuracy and cost benefits.

Country-specific Specialist Solutions

We know that different markets can have different specialisms. We’ve spent 28 years tailoring our specialist expertise for multiple markets and languages.

Contact

Do you have an audit need you want to chat over? Not sure if we’re the right audit partner to help you? 

We definitely tailor our audits so it’s worth contacting our Head of Audit for an initial chat:

Pervin Sivanathan
Group Head of Audit & Advisory

Latest Insights

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This article is shared with the kind permission of Insurance Edge. ———- According to Statista, the amount of data created, captured, copied, and consumed globally […]

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This article is shared with the kind permission by the publication Carrier Management  ————— Louisiana’s newly enacted House Bill 672 has introduced a wave of regulatory […]

In the spotlight: Claims Head Injury

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