Third Party Administrator (TPA) Audits
Specialist TPA Audit and Inspection Services That Mitigate Claims Handling Risk for Lloyd’s Coverholders and TPAs
Do you know how your TPAs are really handling your claims?
Outsourced claims handling brings efficiency, but also risk. Without independent audit and inspection, weaknesses in claims, accounting and management processes can damage your claims experience, your finances and your reputation before you see them.
How Pro Global Helps
Our comprehensive TPA Audit services are designed to address your needs: benchmarking of claims, accounting and management processes to identify areas of improvement, professional due diligence that thoroughly examines all aspects of your operations, and practical, effective recommendations from specialist inspection teams equipped with the latest tools and techniques.
Key features of our TPA Audit services
We benchmark your TPAs’ claims, accounting and management processes against best practice to identify areas of improvement, and provide recommendations that are both practical and effective.
Our specialist inspection teams are experienced in handling a wide variety of scenarios and use the latest tools and techniques to conduct thorough remote audits and onsite visits.
We understand the importance of timely information, so we provide a preliminary report promptly after the remote audit or onsite visit, allowing you to take swift action on our findings.
All aspects of your TPA’s operations are meticulously examined, giving you a holistic view rather than a narrow compliance check.
With teams stationed worldwide, we deliver precise data and analytics that enhance your strategic planning and help you make well-informed decisions aligned with your business objectives.
Our TPA Audit services are designed to give you peace of mind that your reputation, brand and quality standards are being safeguarded.
A Simple Proven Review Process
STEP 1:
Scoping & Benchmarks
We agree the TPAs and processes in scope and the standards, contractual and market, to benchmark against.
STEP 2:
Remote Audit or Onsite Visit
Our specialist inspection teams examine claims, accounting and management processes using the latest tools and techniques.
STEP 3:
Preliminary Report
A prompt preliminary report after the audit or visit, so you can act on the findings straight away.
STEP 4:
Recommendations & Follow-up
Practical, effective recommendations with precise data and analytics, and follow-up to confirm improvements land.
Proven results
TPA audits and due diligence in practice
“Amid today’s complex business landscape, our expert team provides comprehensive TPA Audit and Inspection Services to mitigate claims handling risks and protect your reputation. We offer tailored solutions, including benchmarking, due diligence and global support, empowering you with accurate data for strategic decision-making.”
Pervin Sivanathan, Head of Audit & Advisory Services
Case studies
TPA Audits
Independent claims audits to strengthen oversight and financial assurance.
MGA Onboarding Due Diligence
Pro Global’s audit team partnered with a prominent re/insurer to conduct tailored due diligence to support the onboarding of their MGA.
FAQs
An independent audit and inspection of a Third Party Administrator’s claims, accounting and management processes, benchmarked against best practice and your contractual requirements, to mitigate claims handling risk.
Businesses working with Lloyd’s Coverholders and TPAs, including carriers, MGAs and syndicates that delegate claims handling and need assurance it is being done well.
Both. Our specialist inspection teams conduct remote audits and onsite visits, depending on the scope and the level of assurance you need.
We provide a preliminary report promptly after the remote audit or onsite visit, followed by a full report with practical recommendations, data and analytics.
Yes. Our teams are stationed worldwide, giving you global availability with consistent standards.
