Claims Auditing by Industry-Leading Auditors.

AG initials

Investing in claim auditing services is a proactive and cost-effective way for a carrier to measure best practice claims that positively impact its bottom line. Claims Auditing practice covers virtually all lines of Property & Casualty Insurance, including environmental, mass tort, product liability, auto, construction defect, workers’ compensation, health care, professional liability, and commercial property.

Our auditors average over twenty-five years of experience, and many have held senior management positions at major Property & Casualty carriers. This experience gives us a complete understanding of the issues and problems that our clients are faced with.

Services Performed

Sample Engagements

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Global Client Operational Audit

An operational audit of an international client’s claim department resulted in a complete reorganization of staffing levels and procedures.

Based on Alan Gray file audit, reserve reductions totaling over $25M were realized, and the open file inventory was reduced by 35%.

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Complex Reinsurance Contract (Healthcare)

A client requested an audit of claims under a complex reinsurance contract involving a large hospital group and multiple years of medical malpractice coverage.

The audit identified a significant claim with serious coverage issues under the client’s contract, resulting in savings of $10M for the client.

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Audit Identifies Significant Percentage of Claims as Non-products

A global insurer conducted an audit and analysis of claim files and job sites to develop a model for non-product asbestos claims.

Finding that the insured mislabeled many losses as product-related, the insurer used this insight to negotiate a settlement, saving over $10M.