Auditing and Governance Risk and Compliance

Auditing Insurance Operations

Insurers face specific risks in underwriting, claims, reinsurance and reserving. This course covers auditing insurance operations: underwriting authority and pricing, policy administration, claims handling and fraud, reinsurance arrangements, distribution and commissions, reserving processes and regulatory requirements.

5 days Classroom or live online English

Smart Horizon Certified - Global Leadership Consultants

Take the course details with you.

Download the full standard outline: why attend, methodology, objectives, audience, competencies, the daily outline and current plans.

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Why attend

From knowledge to real-world impact.

Weak underwriting and claims controls directly affect insurer profitability. You will learn audit techniques tailored to insurance.

Workplace challenges

Professional Problems This Course Is Designed to Solve

The programme explores practical approaches to the following challenges. Results depend on how the learning is applied in your organisation.

Difficulty translating subject knowledge into practical workplace decisions.
Inconsistent approaches to the activities covered in the course outline.
Lack of a structured plan for applying and reviewing new skills.

Course methodology

How you will learn.

Process reviews, claims file testing, case studies and analytics exercises.

Course objectives

What you'll take away.

By the end of this course, participants will be able to:

Understand insurance business risks
Audit underwriting authority and pricing
Review policy administration
Test claims handling and fraud controls
Audit reinsurance and commissions
Review reserving processes and controls

Target audience

Who should attend.

This course is suitable for:

Internal auditors in insurance
Risk and compliance managers
Claims and underwriting managers
Actuarial control staff
Audit managers

Target competencies

Capabilities you will build.

Participants will develop competencies in:

Insurance process knowledge
Underwriting review
Claims testing
Reinsurance review
Reserving controls

Course outline

Your learning journey.

A focused, practical outline with time to explore, apply and reflect.

Day 1Insurance Business

09:00–10:08Business model
10:08–11:00Key risks
11:00–11:30Coffee break
11:30–11:45Key risks (continued)
11:45–12:53Regulation
12:53–14:00Exercise

Day 2Underwriting

09:00–10:08Authority limits
10:08–11:00Pricing
11:00–11:30Coffee break
11:30–11:45Pricing (continued)
11:45–12:53Policy administration
12:53–14:00Workshop

Day 3Claims

09:00–10:08Claims process
10:08–11:00Fraud controls
11:00–11:30Coffee break
11:30–11:45Fraud controls (continued)
11:45–12:53File testing
12:53–14:00Exercise

Day 4Reinsurance and Distribution

09:00–10:08Reinsurance
10:08–11:00Brokers and agents
11:00–11:30Coffee break
11:30–11:45Brokers and agents (continued)
11:45–12:53Commissions
12:53–14:00Case study

Day 5Reserving

09:00–10:08Reserving process
10:08–11:00Data and controls
11:00–11:30Coffee break
11:30–11:45Data and controls (continued)
11:45–12:53Reporting
12:53–14:00Action plan

The timings provided are estimates and may vary depending on the number of participants and the discussions taking place during the sessions. They are indicative only and do not constitute a binding commitment.

Dates & venues

Find a session that works for you.

Confirmed dates accept registration requests. Tentative dates are enquiry only.

Good to know

A few things to know.

How is the course delivered?

Our classroom programmes combine facilitated discussion, case studies, exercises and reflection. The precise format will be confirmed before enrolment.

Can you deliver this programme for our team?

Yes, you can enquire about a tailored programme. Share your goals, group size and preferred dates with our learning team.

Will I receive a certificate?

Participants who complete the programme receive a Smart Horizon certificate of attendance. Smart Horizon programmes are not externally accredited and do not award a professional qualification, licence or designation. Where a course title or outline refers to a professional certification (for example, AACE International's Certified Cost Professional), the programme supports learning and preparation only; the credential itself is awarded solely by the relevant professional body under its own application and examination requirements.

What should I confirm before booking travel?

Please confirm the session, exact venue, accessibility arrangements, fees and any visa requirements with the team before arranging travel. Tentative dates are not confirmed sessions.

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