Reinsurance Claims Auditor

🕒 April 30

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Pro Global

WebsiteLinkedInAll Job Openings

501 - 1000 employees

Founded 1993

💳 Fintech

📋 Compliance

Insurance • Fintech • Compliance

Pro Global is a leading provider of global MGA solutions, specializing in transforming and innovating insurance operations through technology and automation. Their team of experts offers a wide range of services including compliance assurance, audit services, broker services, claims management, digital services, and financial and technical accounting. Pro Global partners with insurers, reinsurers, brokers, and InsurTech companies to enhance operational efficiency and compliance.

📋 Description

• 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

🎯 Requirements

• 5+ years of (re)insurance claims experience • Demonstrable track record of auditing or quality assurance reviews • Strong evidence of business and client relationship development • Bachelor’s degree in business administration or similar field • One or more industry designations Chartered Property Casualty Underwriter (CPCU), Associate in Claims (AIC), Associate in Reinsurance (ARE), etc. • Excellent working knowledge of reinsurance claims • Highly structured and conceptual mindset coupled with strong quantitative and analytical problem-solving aptitude • Excellent written and oral communication skills • Detail orientated, with excellent organizational and planning skills • Ability to work independently, with a team, and with initiative is essential • Ability to travel within the USA up to 10% of the time

🏖️ Benefits

• Client-facing role • Travel opportunities • Opportunities to grow and maintain client relationships