Insurance Review - Pricewaterhousecoopers (PWC) PDF 176 KB

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2. Background and scope Background The Council has a five year insurance contract in place with Zurich. The contract was awarded in 2007 and is due to for re-tender in December 2012. Overall management of insurance is the responsibility of the Council’s dedicated Risk and Insurance Manager however the processing of claims is the responsibility of individual services. The objective of this review was to ensure the efficient and effective arrangement and administration of the Council's insurance portfolio and claims management system. Scope and limitations of scope Scope We have reviewed the design and operating effectiveness of controls identified relating to Insurance. The sub-processes and related control objectives included in this review are: Sub-process Control objectives Roles and responsibilities Roles and responsibilities are clearly defined. Communication Adequate processes and procedures are in place in relation to the administration and maintenance of insurance policies and records. Effective communication systems are in place to ensure officers are aware of how claims should be processed and where queries should be logged. Insurance cover There are adequate/appropriate levels of sums insured/indemnity limits. Financial Regulations Insurance covers are arranged and administered in accordance with Financial Regulations, and the Council’s Constitution. Claims Claims are submitted to the insurer in the appropriate format with any necessary supporting documentation, within any locally or statutory agreed timescales. Post claim operations Claims are reviewed to identify lessons learnt and future plans put in place to mitigate against the risk occurring again. Fraudulent claims are identified and investigated. Insurance PwC 4
Maintenance of details The insurance system is protected against unauthorised access/ processing and is secure against loss or damage of data. Management information Insurance activity is monitored and reported on a periodic basis in line with set time scales. Limitations of scope The scope of our work was limited to those areas outlined above. Insurance PwC 5
Page 1 and 2: Oxford City Council Insurance Revie
Page 3: 1. Executive summary Report classif
Page 7 and 8: 2. Incomplete claims listing - Cont
Page 9 and 10: 4. Management information - Control
Page 11 and 12: 6. Annual review of insurance polic
Page 13 and 14: Report classifications Findings rat
Page 15 and 16: Limitations of scope The scope of o
Page 17 and 18: Appendix 3: Limitations and respons

Insurance Review - Pricewaterhousecoopers (PWC) PDF 176 KB

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