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DCA Delegated Claims Administrators Audit

DELEGATED CLAIMS ADMINISTRATORS REVIEWS

OUR SERVICES

Our services are directed to (Re)Insurers, Lloyd’s Managing Agents and Company Market Insurers, that delegate claims handling and settlement authority to DCAs Delegated Claims Administrators (formerly known as TPAs, Third Party Administrators).

All aspects of the TPA agreements and claims handling procedures are considered during our reviews, from the acknowledgment of claim notifications, through the reserving philosophy and timely settlements, to any potential recovery.

Our audits are planned and prepared on the basis of our principals’ instructions. We accept assignments based on the Lloyd’s Coverholder Audit Scope (currently Version 3 Q4 2019) as well as any bespoke scope or specific instructions with the aim to suit the objectives and requirements of each Insurer.

In any case, we guarantee that our reviews are conducted professionally and effectively. Our reviews are:

  • Profitable: scope and instructions received are discussed and agreed with our clients. The review must fit the DCA business and delegated authorities.
  • Smooth: from the collection of all necessary documentation till the onsite visit, our audits are organised efficiently with the minimum disruptions for the DCA.
  • Fruitful: we endeavour to have an open and constructive dialogue with the DCA, prior to, during and after the onsite visit.
  • Transparent: a wrap up meeting with the DCA is always carried out to discuss all findings and proposed recommendations.
  • Swift: our best efforts are made to timely provide our instructing principals with the Audit report and recommendations.
  • Substantial: a peer review process guarantees that complete, clear and accurate reports are produced.

OUR EXPERTISE

We provide delegated authority audits since C&N establishment in 2004. Since then we conducted more than 800 audits in almost all EU and EEA countries. Our expertise in insurance and reinsurance spread over all classes of business: Professional Indemnity, E&O, D&O, General Liability, Medical Malpractice, Cyber, Commercial and Private Property, Fine Art and Specie, Yacht, Motor, Accident & Health, Bloodstock & Livestock, Space, Aviation, Marine Cargo, Title insurance and Warranties & Indemnity..

OUR CREDITS

In 2023 we conducted 25 singleton and coordinated audits to DCAs based in Italy, Ireland, Spain, Belgium, Malta and Switzerland. During our onsite/remote visits we reviewed over 500 claim files under 54 UMRs.

WE LOOK FORWARD TO WORKING WITH YOU.