Claims Application Financial Audit
A full financial audit of insurance claims applications covering indemnity arithmetic, coverage alignment, and documentation completeness before settlement.
Who this audit is for
Claims managers, internal audit units, and corporate risk teams who need an independent financial audit of insurance claims applications before settlement authority is exercised. The work suits motor, property, and medical expense books where the application pack drives the indemnity figure.
Result you receive
A written findings memo that states:
- Whether the claimed amount is supported by the schedules and invoices on file
- Adjustments we recommend to indemnity or reserve
- Documentation gaps that should be closed before payment
- A short schedule of high-priority files for management follow-up
Scope included
- Recalculation of indemnity using the policy’s settlement basis
- Cross-check of peril, insured interest, and limits against the application narrative
- Review of medical invoices, repair estimates, salvage notes, and contribution clauses where present
- Sampling methodology agreed with you before work begins
Scope excluded
- Field loss adjusting or site inspection
- Legal opinions on coverage disputes
- Negotiation with claimants or repairers
- Ongoing claims handling after the memo is delivered
Provider and process
Senior auditors at Progressive Data Networks lead the engagement from our Sathorn office. After intake, we agree the sample, receive claim packs through a secure channel you approve, and work through each application against a fixed checklist. You receive a draft memo for factual comments, then a final version.
Timeline and preparation
Most samples of fifteen to forty applications take ten to twenty business days after we receive complete files. Please prepare policy extracts, loss notices, application forms, invoices, and any prior adjuster notes. Incomplete packs extend the calendar.
Constraints
We audit the financial and documentary integrity of applications; we do not replace your underwriting or claims authority. Findings are advisory unless your internal mandate states otherwise.
Next step
Request this audit with an approximate file count, line of business, and settlement deadline. We reply within two business days with a proposed sample and fee basis.