Claims Peer Reviews

Independent Claims Assurance That Improves Oversight, Controls and Performance

Pervin Sivanathan

Head of Audit Pro Global

Are your claims controls delivering the assurance you need?

Without independent oversight, inconsistencies, control gaps and process risks can be difficult to identify.

How Pro Global Helps

Our claims peer reviews provide an independent assessment of claims handling, controls and governance, delivering clear findings and practical recommendations to improve performance and reduce risk.

Why choose Pro Global for Claims Peer Reviews?

We provide independent assurance that claims are handled in line with relevant local claims practices, internal procedures and applicable regulatory or contractual obligations, helping you strengthen oversight, consistency and control within your claims operations.

Our claims professionals have been actively performing peer reviews since 2011, reviewing more than 15,000 claims per quarter across Lloyd’s and non-Lloyd’s markets and multiple jurisdictions.

Reviews cover claims handling philosophy and procedures, reserving accuracy, workflow efficiency and adherence to the Principles for Doing Business at Lloyd’s as well as your own corporate standards.

Experienced London Market claims adjusters use the latest trend analysis techniques and Power BI tools to provide granular information and real-time analysis, reported through our traffic light methodology.

You receive concise, informed advice and clear, focused actions for resolution, so you can identify best practice, address any control or systematic failures and build a process of continuous improvement.

Our integrated Claims Peer Review service is a joined-up solution that draws on our deep claims and audit expertise to support insurers across Lloyd’s and non-Lloyd’s markets and across multiple jurisdictions.

A Simple Proven Review Process

STEP 1:

Discovery & Scoping

We work with your team to understand your claims operation, review objectives, risk areas and reporting requirements.

STEP 2:

Independent Claims Assessment

Our specialist claims and audit professionals review selected claims files, controls, governance procedures and handling practices against agreed standards.

STEP 3:

Analysis & Reporting

Using trend analysis tools and our traffic-light methodology, we identify strengths, weaknesses, emerging risks and opportunities for improvement.

STEP 4:

Action & Continuous Improvement

We provide clear recommendations that help strengthen controls, improve consistency and enhance overall claims performance.

Client Success Story

London Market Lead Insurer

Challenge:
The client needed assurance that its internal claims team was operating in accordance with Lloyd’s Principles for Doing Business and its own corporate standards.

Solution:
Pro Global conducted a strategic claims review, assessing claims handling practices and governance controls.

Outcome:
Delivered independent assurance and actionable findings to support stronger claims governance and operational consistency.

Service Expertise

  • 15,000+ claims reviewed per quarter.
  • Active claims peer review specialists since 2011.
  • Experienced London Market and international claims professionals.

Industry Accreditations & Market Expertise

  • Lloyd’s and non-Lloyd’s market expertise.
  • Multi-jurisdictional claims review capability.
  • Dedicated audit and advisory specialists.

FAQs

A Claims Peer Review is an independent assessment of your claims handling, controls and governance. Our specialist claims professionals review a sample of claims against your internal procedures, market standards and regulatory or contractual obligations, then report clear findings and recommendations.

Without independent oversight, inconsistencies, control gaps and process risks can be difficult to identify. A peer review gives you assurance that your claims controls are working effectively and are fit for purpose, and highlights where best practice can be applied.

Yes. Our integrated Claims Peer Review service draws on deep claims and audit expertise to support insurers across Lloyd’s and non-Lloyd’s markets and across multiple jurisdictions.

A concise report using our traffic light methodology, setting out findings, any control or systematic failures identified, and clear, prioritised actions for resolution. Reporting can be customised to your information needs.

Independent assessment helps you improve claims workflow, ensure more accurate reserving and create bottom-line value, while establishing a process of continuous improvement across your claims operation.

Strengthen Your Claims Governance Today.
Get an independent view of your claims operation and identify opportunities to enhance controls, improve consistency and reduce risk.

Speak with our Claims Peer Review specialists to discuss your current challenges and explore how Pro Global can help improve claims performance and oversight.

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