Pro Global

Auditor

• Manage multiple audit engagements and lifecycles at one time: overseeing the entire audit process including compiling data from third-party administrator on claims handling structure and requesting information in preparation for the audit.
• Audit Third-Party Administrators and Client Claims Teams to ensure adherence to contractual agreements, SLAs, industry standards, and regulatory requirements.
• Review pre audit questionnaire (PAQ) responses and necessary documentation; drafting follow-up questions and inquiries as needed.
• Manage communication, preparatory, onsite/remote, wrap up, meeting, and post audit/reporting activities.
• Analyze claims data to identify trends, exposures, and comparing to best practices.
• Evaluate any liability or coverage decisions to evidence appropriate claims handling decisions .
• Write professional, detailed reports and appendices; if required or if significant issues identified, prepare the initial summary assessment of findings for client.
• Liaise with Audit Administrator regarding audit preparations and MGA/Coverholder/TPA readiness.
• Refer to Peer Reviewer before releasing to client.

Claims Auditor

Underwriter

• Entering information about a potential policyholder into the client’s system
• Mapping the property location to the nearest body of water
• Verifying that all the other parts of the process are completed and look correct
• Combining documents for different parts of the policy to create the final policy document
• Sorting and filtering data in Excel
• Analyzing and entering the needed information into the system
• Using advanced functions in Excel, such as pivot tables and VLOOKUP
• Converting Word and PDF documents into Excel
• Using Google, Google Maps, and Bing to help determine the type of business
• Using Google Translate to translate documentation provided from our client’s international offices

Underwriting Support Assistant

• Perform multiple audit engagements and lifecycles at one time
• Overseeing the entire audit process including compiling data cedants or TPAs on claims handling structure and requesting information in preparation for the audit
• Audit Cedants, TPAs and Client Claims Teams to ensure adherence to contractual agreements, SLAs and within industry standards and regulatory requirements
• Review pre audit questionnaire (PAQ) responses and necessary documentation; drafting follow-up questions and inquiries as needed
• Review direct and/or ceded claims submissions for accuracy, timeliness, and compliance with reinsurance contract terms (treaty and facultative, where applicable)
• Manage communication, preparatory, onsite/remote, wrap up, meeting, and post audit/reporting activities
• Analyze claims handling practices through structured audit testing and sampling to identify systemic risks, deviations from contract terms, and exposure trends
• Evaluate any liability or coverage decisions to evidence appropriate claims handling decisions
• Prepare clear, defensible audit reports and executive summaries; support client read ‑ outs and respond to follow ‑ up inquiries regarding findings and recommendations
• Liaise with Audit Administrator regarding audit preparations and reinsured/TPA readiness

Claims Auditor

Underwriting Support Assistant

Reinsurance Claims Auditor