We read the file the way an auditor would, and write it up the way a manager can use.
A last independent read before a file closes, focused on coverage, reserves and documentation.
Whether the policy language actually supports how the claim was handled.
Missing statements, unsupported estimates, gaps that would not survive scrutiny later.
Calculation, deductible and offset checks against the file record.
Which files, which lines of business, and what the client wants the review to catch.
Reviewers read each file end to end and write findings with citations.
A file-level write-up plus a pattern summary the claims manager can act on.