Audit & Reviews

Our bespoke audit solutions make us stand out from the crowd.

Our audits are not just a simple tick box RAG rating exercise, often with unclear weightings and methodology that result in questionable results leaving clients scratching their heads at what else they can do to land that often unobtainable green rating.

We work with you to ensure our audits are robust and suit your business needs and carry out a risk-based audit categorising the risks enabling you to prioritise your resources in improving the areas that will have the biggest impact.

As we specialise in finding solutions rather than simply highlighting issues, we provide practical advice as to how you might address any issues in time for the next audit / review.

Our approach to claims audits can also include working in partnership with data analysts and / or actuaries providing a more forensic review of claims and reserving procedures and a health check of the business from a claims' perspective.

We can cover all classes of claims from inception to conclusion including a customer journey / Consumer Duty overview to see where you can improve adherence to the regulations.

We are also happy to support dialogue with the Regulator to ensure that any solutions satisfy their requirements where appropriate.

Audit Remediation Services

We also provide assistance in situations where you may have had audit feedback from another company and need to make improvements. We can look at the issue through an independent lens and help you prioritise and remedy the issues highlighted.

Technical Claims Audit / Reviews

Risk-based technical claims audit based on representative sample giving a detailed report on the claims handling capabilities with an overview of the control environment, reserving adherence and customer journey, highlighting risks and opportunities.

Reserve Reviews

A detailed review of the reserving philosophy and adherence to the same. Identification of areas of concern and claims that are over or under reserved. This review would be carried out in conjunction with our data consultants to identify trends.

We can also carry out full actuarial reserve reviews for health checks and forecasting purposes.

Quality Assurance

We help you design and implement an effective QA system to highlight issues, provide opportunities to capture claims that are in danger of going off-track and to help identify training or support with performance management.

Quality Assurance is often the first casualty of a busy claims department but we can support you by carrying these out for you to ensure that standards do not slip in times of surge or when there are other resource challenges

DA Provider Reviews

We carry out full claims handling reviews of your outsourced claims provider(s), giving you an independent view of their technical capabilities, operational resilience, controls environment, adherence to SLAs /KPIs, regulatory compliance to enable you to have the insight you need to make informed decisions. This includes highlighting risks and opportunities with practical advice where necessary.

TPA Due Diligence

We can help you with identification and the onboarding new outsourced providers. We carry out detailed reviews and provide a comprehensive report to give you the insight to make informed decisions to enable you to ensure that their claims offering meets the required standards, carrying out a full review of their technical capabilities, operational resilience, controls environment and approach customer service.

Supplier Reviews

We will support you with analysing the service you receive from your suppliers in terms of adherence to SLAs, KPIs, Customer Satisfaction, performance and value for money. We can support you in review meetings and help you get the most of out the services on offer in the market.