Eileen Lubold, Senior Claims Specialist
Katie Gordon, Senior Auditor
Ken Hutchinson, Senior Auditor
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 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.
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.
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.
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!
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!
Holistic review of a Managing General Agent’s underwriting practices, policy management, and adherence to both regulatory and contractual guidelines.
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.
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 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 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.
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.
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.
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.
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 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.
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.
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.
