Claims and Audit

Independent assurance across reserves, claims, and reporting.

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Claims outcomes and reserve adequacy are central to financial reliability, regulatory confidence, and stakeholder trust. Effective claims analysis and independent audit support ensure that liabilities are recognised appropriately, processes operate efficiently, and reported figures are supported by sound methodology and governance. In regulated environments, clarity and consistency in claims assessment and reserving are essential to maintaining credibility with auditors and regulators.

A structured actuarial approach to claims and audit combines quantitative analysis with process review and independent validation. This supports accurate loss reserving, identification of operational inefficiencies, and robust review of actuarial assumptions and models. By strengthening transparency and audit readiness, organisations are better positioned to manage risk, meet regulatory expectations, and support reliable financial reporting.

Who Will This Service Help?

Tailored solutions for stakeholders across the financial reporting ecosystem.

Life Insurance

Claims experience analysis and reserve review for audit assurance.

Health Insurance

Claims diagnostics, fraud analytics, and reserving validation.

General (Non-Life) Insurance

Triangle-based reserving, stochastic analysis, and regulatory reserve reviews.

Reinsurance

Claims recovery validation and independent reserve assessments.

Loss Reserving (Triangle Methods, Stochastic)

Accurate loss reserving underpins reliable financial reporting and solvency assessment. Deterministic and stochastic reserving techniques are applied across lines of business to estimate outstanding claims liabilities. Methods include traditional triangle-based approaches as well as stochastic techniques such as bootstrapping, enabling assessment of reserve adequacy and variability. The analysis supports management, auditors, and regulators in understanding reserve uncertainty and financial resilience.

Reliable claims

reserve estimation

Claims Process Diagnostics & Fraud Analytics

Claims efficiency and control directly influence profitability and risk exposure. Claims processes are reviewed end-to-end to identify operational bottlenecks, leakage, and inefficiencies. Data analytics are applied to claims experience to detect anomalous patterns and potential fraud indicators. The outcome supports stronger claims governance, improved turnaround times, and enhanced operational integrity.

Claims efficiency

 and integrity

Claims Process Diagnostics, Fraud Analytics

Claims efficiency and control directly influence profitability and risk exposure. Claims processes are reviewed end-to-end to identify operational bottlenecks, leakage, and inefficiencies. Data analytics are applied to claims experience to detect anomalous patterns and potential fraud indicators. The outcome supports stronger claims governance, improved turnaround times, and enhanced operational integrity.

Claims efficiency

 and integrity

Actuarial Reserve Reviews for Auditors and Regulators

Independent actuarial reserve reviews provide assurance over the appropriateness of booked reserves. Reviews cover reserving methodologies, key assumptions, data quality, and consistency with regulatory and accounting expectations. Findings are presented in a structured manner to support audit opinions, regulatory reviews, and management oversight.

 Independent reserve

adequacy assurance

IFRS 17 Actuarial Audit

IFRS 17 introduces increased complexity in actuarial measurement, disclosures, and controls. Support is provided to audit teams through independent review of actuarial models, assumptions, data flows, and disclosures. The focus is on transparency, consistency, and compliance with IFRS 17 requirements, supporting reliable financial statements and audit readiness.

IFRS 17

audit readiness

IFRS 17 Actuarial Audit

IFRS 17 introduces increased complexity in actuarial measurement, disclosures, and controls. Support is provided to audit teams through independent review of actuarial models, assumptions, data flows, and disclosures. The focus is on transparency, consistency, and compliance with IFRS 17 requirements, supporting reliable financial statements and audit readiness.

IFRS 17

audit readiness

Meet the Experts

The consultants behind our precision

Ms. Suruchi Bhargava

Partner/ Actuary

Lead – Non-Life Insurance

suruchi@ka-pandit.com

Ms. Bhakti Gaitonde

Actuary

Senior Consultant

bhakti@ka-pandit.com

Mr. S. Manikandan

Lead – Life Insurance

s.manikandan@ka-pandit.com

Mr. Salil Mulay

Senior Actuarial Consultant

salil@ka-pandit.com

Mr. Santosh Kumar Yadav

Associate Consultant

gi@ka-pandit.com

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Insights

Actuarial Thinking for Business Brilliance

Our Insights blend analytical rigor with strategic foresight, helping businesses navigate uncertainty with confidence. By quantifying risk and modeling future outcomes, it empowers smarter decisions, sustainable growth, and long-term value creation.

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Volatility in the Interest Rate March 2017 v/s June 2017

Employee Benefit Obligations are to be valued based on G-Sec rate of estimated term as prevalent at the end of the reporting period.

Topic to be covered: Volatility in the Interest Rate March 2017 v/s September 2017

Employee Benefit Obligations are to be valued based on G-Sec rate of estimated term asprevalent at the end of the reporting period.

KAP’s Interest Rate Updates For Employee Benefits as on 30th June 2025

Summary of G-sec rates and par yields for employee benefits as of 30th June 2025.

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