US Audit Team - Pro Global

Our US & Canadian Audit Team

Our specialist experts provide tailored claims, coverholder or technical audits,
in multiple languages, with tangible recommendations from practitioners in your field.

Hear From Members of our Audit Team

Eileen Lubold, Senior Claims Specialist

Katie Gordon, Senior Auditor

Ken Hutchinson, Senior Auditor

How we help

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 are a fully accredited Lloyd’s auditor. We can therefore audit your inhouse and third-party specialist insurance operations, and even help to ensure they meet both regulatory and your own corporate standards.

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.

Case studies

A partner of choice for audit and claims

A major global insurance provider approached Pro two years ago to help with a significant project relating to third-party claims administrators (TPA) who handle claims on the company’s behalf.

Claims Peer Review

This client required a strategic claims review to ensure that their internal claims team was adhering to Lloyd’s minimum and their own corporate standards.