Claims audit

{
  "id": "MLC-T-INS-000760",
  "term": "Claims audit",
  "field": "Insurance and risk management",
  "definition": "A systematic review and evaluation of an insurer's or third-party administrator's claims handling practices, procedures, and outcomes. This process assesses compliance with policy terms, regulatory requirements, and internal guidelines, as well as the accuracy of claim payments and reserves. Claims audits identify areas for improvement in efficiency, consistency, and adherence to best practices.",
  "url": "https://mlchart.com/terminology/insurance/claims-audit/"
}