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What is an insurance audit and why is it critical to your business being profitable?

By October 5, 2022December 28th, 2022Insurance

What is an Insurance audit?

Insurance audits are a crucial part of the industry’s regulatory framework. Audits can be performed at any time, and should happen regularly in order to identify fraudulent behaviour and prevent serious claims costs from running off the board. An audit could reveal potential issues with the way an organization handles claims and ensure that everyone is on the same page about what each policy does, so you can make sure there will not be any surprises at renewal time.

An insurance audit is a process, be it an internal or external audit, that helps you to read the fine print of all your policy contracts and establish if you are covered for all risks that could potentially impact your business. As a business owner, your most valuable assets are likely your employees. If they are injured and cannot work, this can be critical to sustaining your business being profitable. Through an audit, an agent examines the insurance files of its clients to determine whether the company is providing policies that are sufficient, appropriate, and legally compliant in coverage.

 

Why is an insurance audit critical to your business being profitable?

Insurance audits are crucial to ensure the business’s wellbeing.

  1. Insurance audits are a great way to ensure that your business is protected from loss. If you have employees, they need to know how much money they are entitled to receive if something happens to them while at work. You should also make sure that your business is covered for any damages that may occur outside of working hours.
  2. An insurance audit can help you identify potential risks that could lead to financial losses. By identifying these risks early on, you can take steps to avoid them.
  3. A good insurance audit can help you save money. If you find out that you’re paying too much for insurance, you’ll be able to lower your premiums.
  4. An insurance audit can give you peace of mind. Knowing that your business is well-protected can help you sleep easier at night.

 

What are the benefits of an insurance audit?

The benefits of an insurance audit are many. An insurance audit is performed to determine if the policyholder is paying their premium correctly. If they have not been paying their premiums correctly then the insurance company may cancel the policy. Insurance companies do not want to lose money. So, they perform audits to make sure that they are getting paid what they are owed. Audits are also done to ensure that the policyholder is following the terms and conditions of the policy. If the policyholder is not following the terms and conditions, then the insurance company could void the policy.

Auditing is also done to ensure that there are no errors in the policy. Errors in the policy could cause the insurance company to deny coverage or charge higher rates. There are different types of audits. A property audit is where the auditor looks at the physical condition of the building. A liability audit is where the auditor checks to see if the policyholder is covered for any claims. A claim audit is where the auditor reviews the claims that were submitted under the policy.

An insurance audit is a good way to find out if you are being charged correctly for your insurance. You should always check your insurance policies and make sure that you are being charged correctly. If you are not being charged correctly then you need to contact your insurance agent immediately.

 

What are the critical components of an insurance audit?

1. Insurance company representative

An insurance company representative is someone who works directly for the insurance company. These representatives work at the local office level and are responsible for handling claims and customer service. They may have some knowledge about the policy and how it works, but they do not necessarily know much about the specifics of the claim.

2. Claims adjuster

A claims adjuster is a person who handles the paperwork associated with a claim. They are often called upon to make sure that the information provided by the insured is accurate and complete. If the information is incorrect, the adjuster will need to contact the insured to get additional details.

3. Claim specialist

Claim specialists are people who specialize in certain types of claims. They may be able to answer questions about specific policies or help determine if a claim falls under the umbrella of their specialty.

4. Adjuster supervisor

Adjuster supervisors oversee the work done by claims adjusters. They ensure that the adjusters are doing everything correctly and that the claims are being handled properly.

5. Underwriter

Underwriters are the people who decide whether or not a claim should be paid out. They look over the documentation submitted by the insured and make sure that the claim is legitimate.

6. Claims manager

A claims manager oversees the entire claims process. He or she makes sure that all parties involved understand what is going on and that everyone is working together toward the same goal.

7. Claims analyst

A claims analyst analyzes the data collected by the claims department. He or she looks at trends and patterns to determine if any changes need to be made.

 

Why is it essential to have an insurance audit performed by a professional?

Insurance audits are an important part of our service offering. We conduct routine and ad hoc audits that help keep your business running smoothly. Protecting your company from the risk of insurance fraud, and helping to prevent losses from tragic accidents, is one of the most important jobs we do – after all, it’s what keeps us in business. Whether this is for a Home and Auto policy or one for Commercial Property, an insurance audit should be done on a regular basis to ensure that the company is being charged properly.  A cost-effective way to help insurance companies manage their risk, audits are an essential tool for onshore and offshore accounting teams. They will assess your financial position against internal policies within the government guidelines to ensure you are compliant with any financial regulations. Insurance audits are created to determine how much of your premium actually reaches its intended purpose. 

 

Conclusion

Insurance audits are often overlooked, but they are extremely important to ensure that your business is protected. An insurance audit is a thorough examination of your current policies and procedures, and how they compare to industry standards. A professional insurance auditor will review your policy documents and determine if any changes need to be made. We can help!