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Ijaim 04 2014 0027
Ijaim 04 2014 0027
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IJAIM
23,2
International insurance audits
and governance
Gin Chong
College of Business, Prairie View A&M University, Prairie View,
152 Texas, USA
Received 19 April 2014
Revised 15 May 2014
Accepted 15 May 2014 Abstract
Purpose – This paper aims to assess 12 audit procedures that deemed challenging to insurance audits.
Design/methodology/approach – This paper uses grounded theory as a framework for conducting
series of semi-structured interviews with six technical audit partners, two from Big Four and four from
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non-Big Four. The interview agendas are drawn from the 12 audit approaches suggested by Practice
Notes 20 (The Audit of Insurance in the United Kingdom) issued by the Auditing Practices Board (UK).
Findings – Without an audit standard, practitioners will exercise excessive professional judgments
and deviate from audit approaches.
Research limitations/implications – Though the findings are solely drawn from the insurance
sector rather than a wide spectrum of sectors, they have huge ramifications to accounting and audit
professions, stakeholders and regulators.
Practical implications – This paper reveals differences in audit approaches between the theoretical
context and practical perspective.
Social implications – The paper showed that impact of audit failure leads to litigation, financial
losses and loss of faith in audit quality and approaches.
Originality/value – This paper suggests a hybrid approach on the grounded theory, provides an
extensive overview of the sector’s audit approaches and issues and unravels an urgent need for a
concerted international auditing standard.
Keywords Grounded theory, Audit practice notes, Audit standards, Insurance, Audit
Paper type Research paper
1. Introduction
The insurance sector plays an important role in a country’s economy, social supports
and gross domestic product (GDP). However, the International Federation of
Accounting Confederation (IFAC) has yet to issue a standard to guide auditors in the
sector. Lack of a concerted audit standard is due to complexity of the sector’s accounting
and recording processes[1]. This paper fills the gap with feedbacks from six separate
semi-structured interviews with technical partners of two of the Big Four firms and four
non-Big Four audit firms in the People’s Republic of China. I select China due to its
economic advancements, eagerness to adopt the international auditing practices and
accessibility of data. I use semi-structured interviews to allow interviewees freely
express their views and suggestions, while not confine to a particular client, situation or
International Journal of event, issue or work environment or questions that were raised in an survey instrument.
Accounting & Information
Management Freedom in expressions helps reveal issues that may otherwise not be apparent in the
Vol. 23 No. 2, 2015
pp. 152-168
literature and expectations. All the interviews were conducted in a conducive
© Emerald Group Publishing Limited
1834-7649
environment and the results are reported on a collective, rather than on an individual
DOI 10.1108/IJAIM-04-2014-0027 and identifiable, basis. I initiate the process by calling each interviewee by telephone and
by making arrangements to meet them at a venue and on a date of mutual convenience. International
Grounded theory allows one-on-one dialogues and observes interviewees’ body insurance
language. The whole process is to ensure that both the interviewer and interviewees are
comfortable with the meeting atmosphere. I give a written assurance that I will not
audits and
reveal any confidential details in this paper. governance
Though informal, I forward a list of 12 auditing issues drawn from Practice Note 20
(PN) two weeks prior to the interviews and remind them of the date and venue two days 153
prior to the meeting. These 12 issues are approaches on engagements, documentations,
fraud, legal requirements, planning of the audits, risk and materiality, external
confirmations, analytical review procedures, accounting estimates, related parties
transactions and subsequent events. In the letter, I emphasize that the list is meant to be
a guide and by no means a comprehensive list of issues. Practice Note 20 (PN) (2007)[2],
The Audit of Insurers in the United Kingdom (Auditing Practices Board) is the only
guide for auditors in the insurance sector.
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Upon completion of each interview, I summarize key discussion points and confirm
with the interviewee to ensure no major omissions, misunderstandings and errors. I
transcribe the interviewing notes and send them to the interviewees for reviews and
changes. Findings from these interviews have greatly helped in understanding the audit
approaches and internal controls systems of the sector, and have revealed ramifications
to stakeholders, in particular stockholders, regulators and audit profession.
(Chong, 2008). Grounded Theory is a research method that seeks to generate theory from
data that are systematically obtained and analyzed (Glaser and Strauss, 1967). There are
two distinct approaches on translating a theory in practice (Heath and Cowley, 2003).
Though both approaches intend to capture the data, the sequence of and purpose of
capturing the data differ. In the first approach, also called Strauss’ approach,
researchers are aware of and use prior procedures, theories and literature, use a densely
codified set of procedures or theories, to capture data (Goulding, 1998). In other words,
researchers use a densely codified set of procedures or theories as the starting point to
capture data.
In the second approach, also known as Glaser’s approach, researchers do not refer to
the existing theories, prior procedures or literature as the bases for capturing the data.
Instead, they use the captured data to assess validity of the existing theories or, if
needed, to establish a new theory or framework (Stern, 1994). Put together, in the first
approach, researchers recognize the roles of prior theory, and capture data based on past
results, experiences, experiments or theories, whereas in the second approach,
researchers enter the field with a blank slate on the ground that prior results,
experiments or theories may or may not exist. Though different in approaches, Gurd
(2008) concludes that most researchers favored the Strauss’ approach, that is based on
the past theories and literature to capture data. Grounded theory starts with a
systematic process for data collection and analysis, that is starting with data and
progressively transforming them into refined theoretical concepts through three main
processes of coding: open, axial and selective (Strauss and Corbin, 1998).
Rather than based solely on theories to capture data (Strauss’ approach), or use data
to frame or reframe theories (or Glazier’s approach), researchers should consider a third
approach or a hybrid approach. In this approach, researchers will first review prior
theories and procedures for background knowledge, and then proceed with data
collections. While collecting the data, researchers need to update and modify the data
mining process, review and even update the theoretical framework. This approach
expands flexibilities on assessing both the theoretical framework and data collection
process simultaneously.
In practice, data collection and analysis are interlinked. Data are first collected
and analyzed, and the findings may lead to further data collections and analysis
until the research is completed and a theoretical understanding is reached.
Glaser and Strauss (1967, p. 71) explain the continuing loop of procedures aiming at International
discovering or firming up the theoretical frameworks. To do so, this requires an insurance
on-going process of data collection, coding and analysis. These three tedious
procedures will continue until researchers are comfortable with the findings that
audits and
could hold support or reject an existing theory or, in some cases, enrich the existing governance
theories or develop a new theory (Chong and Opara, 2009). For social interactions,
theory is grounded in data obtained from interviews and observations, rather than 155
by testing the existing theory or simply describing the empirical phenomena.
Grounded theory will yield two key advantages. First, it allows interviewees to be in
their normal everyday world, it recognizes that they subjectively construct their own
organizational realities with an objective of developing rich descriptions and insights
and the daily practices have been observed in their naturally occurring context (Parker,
2001; Chong, 2008). In short, an interview allows the interviewing process to take place
in a relaxed and familiar environment, and to provide space and opportunities for
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PN specified that at least a member of an audit team must has an appropriate level of
capabilities, qualifications, competence and time to perform the audit engagement, and
upholds professional standards, and regulatory and legal requirements (para 47). Apart
from knowing the client’s business activities, the engagement partner needs to ensure
members of the team have sufficient knowledge of the regulatory framework within
which insurers operate, and one of the members with actuarial expertise (para 48). These
ensure engagements are completed by competent and qualified professionals.
Behn et al. (2008) report audit quality relates directly with quality of financial
statement reporting, in particular specialized audits. Insurance falls within a specialized
sector, and it is essential that auditors perform high level of audit procedures and
reporting quality. Auditors are responsible for stockholders, but in many cases, also to
analysts and stockholders, in particular on earnings, liquidity and performance. In fact,
auditors should excel in all their assignments irrespective of whether the engagements
are meant for a specialized or an ordinary business. Interviewees C and E feel a shortage
of skilled and experienced professionals leads to unfulfilled high quality of audits and
potential audit negligence. Increasing high level of expectations from stakeholders has
increased the level of audit risk. This has directly dissuaded many audit firms from
accepting assignments in the sector. Higher level of compensations may help fill the gap
but in a long run, colleges and universities need to meet the demand for qualified
professionals by including insurance courses in their curriculum.
4.3 Documentations
Paragraph 49 of PN requires auditors to comply with ISA 230 (IFAC, 2012b, Audit
documentation) when collecting audit evidence for supporting audit opinions. These
evidence need to be sufficient, reliable, accurate and relevant. PN further requires
auditors to ensure that they have included actuaries’ reports and notes of meetings or
discussions between auditors and actuaries in the working papers. PN does not specify
the types of reports, in particular extent of notes that need to be disclosed. Varying
degree of disclosures further the confusions among auditees. For the actuaries, nothing
has been mentioned about the qualifications, skills, experiences, competence and
independence from the management team. These individual issues or a combination of
these issues will greatly impact on integrity of the actuarial teams and reliability of their
reports.
IJAIM Payne and Ramsay (2008) report that auditors who prepare detailed working papers
23,2 and spend more time to examine auditees’ records of transactions tend to succeed in
identifying errors and patterns of errors, and weaknesses in the internal control
systems. Summarized memo is an efficient and effective tool in jogging memory and
better in error detections. Documenting detailed working papers helps enhance patterns
of reviews and follow-ups, support audit opinions and offer references for current and
158 future assignments. All interviewees agree on the notion that a well-referenced
documentation helps support the decision-making process.
This go-forward and back between theoretical concept based on PN and data
collections through interviews supports the hybrid approach on grounded theory,
whereby interactions between literature were based on audit standards and guidelines,
and data collection processes were based on interviews. It is essential for audit team
members to meet, brainstorm and update each other before and during a field work.
Brainstorming helps identify ideas and approaches that would otherwise not be
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4.4 Fraud
PN 20 considers the following situations as significant fraud risks:
• policy holder fraud;
• fraud by directors and employees; and
• fraud by agents, intermediaries and other related parties (para 50 and 58).
Management and those charged with governance are responsible for instituting a
proper and reliable system of internal control, detecting fraud and errors and exercising
due care, diligence, skills and integrity to discharge their duties (para 51). Auditors need
to make necessary enquiries with auditees’ management team, internal auditors and
others within the firm to determine whether they have knowledge of any actual,
suspected or alleged fraud affecting the firm. This should not exclude external
stakeholders including vendors, insurance claimants and lenders.
Carpenter (2007) finds that brainstorming among audit team members will help
identify fraud and errors. Brainstorming sessions stimulate interactions and generate
fresh ideas, in particular weaknesses in the control systems that would otherwise be
ignored in the course of an audit. Chong (2013) argues that though not the responsibility
of an auditor for detecting fraud and errors, external auditors should pay attention and
report to audit committees for any consistent errors and weaknesses in the internal
control systems. Auditors should justify the allegations with supportive evidence, and
communicate the findings with authorized parties. Depending on where an audit is
being audited, authorized parties in the USA include government agencies like the
Internal Revenue Services, the Federal Bureau of Investigation and the European Court,
and lenders.
Interviewees A, B and D reiterate that “it is not the responsibility of the auditors to International
detect fraud but to test reliability of the client’s control systems”. Auditors need to flag insurance
fraud cases to the management or those responsible for governance, unless it was the
management themselves who were in default. If so, auditors need to seek legal advice
audits and
before reporting to audit committees, and consider qualifying their reports. governance
(2007) conclude that auditees that operate within a structured and obligatory regulated
environment tend to comply with the legal framework during the first year of an audit.
However, probability of these firms violating the legal framework tends to increase in
the second and subsequent years of an audit, though these firms remain within the same
regulatory environment. The study concludes that though there is an expected increase
in violations, the amount of underpayment for insurance has significantly reduced in the
second year and beyond. This could be due to firms wanting to rebuild their brands,
integrity, accountability and confidence with their stockholders, and to avoid threat
from their auditors for issuing a revised audit opinion.
Auditors should formulate their approaches due to changes in the legal environment.
Compliance serves as a defense mechanism for firms against any future litigation.
Interviewees B, D and E feel that auditors need to update their testing procedures in line
with on-going changes of Insurance Act and related statutes, and professional
pronouncements. Firms should allocate adequate resources, both time and manpower,
to cope with changes in legislations, and educate audit team members. Audit profession
should hold regular dialogues with its stakeholders including educators and investors to
ensure the stipulated audit guidance is applicable in the real world and meets the
continuing challenges.
Nature of a sector’s activities compels auditors to adequately evaluate the level of audit
risk and extent of materiality (Chong, 1992). Audit risk includes inherent risk, control
risk and detection risk. Inherent risk arises due to nature and complexity of auditees’
business activities, while control risk refers to auditees’ systems of internal control, and
detection risk occurs due to auditors’ failure to detect fraud or errors in the course of
sampling the population. In most situations, it is difficult to ascertain the extent of each
component that may impact upon the overall audit risk, as an audit may involve
professional judgments. Professional judgment depends on risk appetite of the auditors
and extent of possible litigations. Litigations and class actions by stakeholders, in
particular stockholders, may plague the auditors’ reputations and branding, and any
spillovers will contaminate the audit profession and sector.
Materiality is reversely related to audit risks, and arises due to omissions and
misstatements of significant items in the financial statements (Chong and Vinten, 1996).
Impact of materiality depends on its absolute amount or relative percentage to an item
or a combination of items. Failure to ascertain both audit risk and materiality affects
truth and fairness on presenting financial information and decision-making processes of
the users. Bell et al. (2008) evaluate the importance and contributions of business risk
audit (BRA) approaches adopted by audit firms. Under BRA, auditors respond to the
increasing level of complexity of auditees’ financial reports by having a deep and
comprehensive understanding of the auditees’ sector, strategies and business models
and processes. Using proprietary data for 165 audits, the study conclude that BRA
audits use a greater proportion of higher-ranked labor. Firms tend to allocate more
higher-ranked labor than pre-BRA benchmarks, and both total fees and fees per hour
increase with assessed BRA for the first-year auditees but not for the continuing
auditees. The finding supports the notion of BRA’s impact on audit effectiveness and
efficiency.
For insurance audits, interviewee D feels that “there is a constant challenge to assess
audit risk due to auditees’ exposure to external and economic uncertainties”. Auditors
should be aware of auditees’ risk exposure and hurdle rates when calculating their net
present values. Auditors could not reduce inherent risk, but could lower detection and
control risks through larger audit sample sizes and ascertain the auditees’ staff with
appropriate skills, experiences and integrity. Auditors need to review adequacy of their
own insurance coverage on liability claims. Interviewees B and F assert that “audit
decisions involve professional judgments though audit risk and materiality play an International
important role”. insurance
For materiality threshold, PN 20 suggests audit firm use the current year’s profit as
a benchmark. For a loss-making year, auditors need to average the past profits or assets
audits and
(para 158). All interviewees are not confident with using profit as the solely governance
measurement, and instead should consider other financial indicators like turnover, net
assets and even non-financial factors including market size, customers’ bases, 161
complexity of the clients’ activities and reliability of internal controls. Existing and
predicted market and economic situations should be part of the thresholds’
computations (Interviewees A and E).
and receivables comprise insurers’ recoverable claims from the re-insurers. Relevant
re-insurers are unlikely to be in a position to confirm the amounts until validity of these
claims has been assessed, the amounts payables determined and agreed upon by the
re-insurers. A relevant re-insurer may not provide sufficient evidence when responding
to a confirmation request (PN 20, para 185). This is:
[…] due to timing difference and cut off procedures, management may find difficulties to
ascertain the exact amount of claims at the balance sheet dates. However, auditors need to
check the accuracy and reliability of these estimations and to reconcile these to subsequent
receipts and payments in the bank statements (all interviewees).
For premiums receivables from the intermediaries, auditors need to evaluate the extent
of risk associated with misstatements, characteristics of the auditees’ business
environment and practice of potential respondents when dealing with requests for direct
confirmations (PN 20, para 186). If the annual premiums come solely from its parent firm
or related parties, interviewees B, E and D suggest that “direct confirmations help the
parent auditors to ensure accuracy of these amounts. Also check to subsequent bank
statements for any discrepancies between receipt books and reconciliations”. In cases
where the level of responses from external parties is very low, auditors need to follow-up
with reminders, emails and even phone calls. Though these additional procedures may
consume time and efforts, they deem important to support the audit opinions. Warren
(1974) sends 650 questionnaires to account holders appearing on the books of Michigan
State University Employee Credit Union on the importance of receiving confirmation
letters from auditors. The study finds that auditors should use positive confirmation
letters for large outstanding amount, and a negative approach for smaller items.
“External confirmations will substantiate audit evidence, and assess reliability,
accuracy and completeness of evidence presented by the management” (Interviewees A
and D).
Notes 165
1. Financial Reporting Council (UK) is the only accounting body that issues specific audit
guidance on auditing the insurers’ financial statements.
2. The UK Auditing Practices Board issues Practice Notes (PN) to assist auditors in applying
auditing standards of general application to particular circumstances and industries. PN 20
is specifically for guiding the audit of financial statements in the insurance sector. In the UK,
the Financial Reporting Council (FRC) oversees all the auditing guidance (issued by the APB)
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and accounting standards (issued by ASB). All the PNs, auditing guidance and accounting
standards are accessible at www.frc.co.uk
3. All the interviewees are audit partners with an average audit experience (of being a partner)
for 15.6 years, and 9.2 years of auditing financial reports of insurance firms, and two of the
interviewees are female.
4. This excludes interruptions due to urgent phone calls or unwarranted visits during the
interviews. On average, the interruption time was 22 minutes.
5. Prior to 1874, US statutes were not codified. That is, they were not set forth in one
comprehensive subject matter title, but were instead contained in the various acts passed by
Congress. Codifications of statutes (including tax statutes) undertaken in 1873 resulted in the
Revised Statutes of the United States, approved June 22, 1874, effective for the laws in force as
of December 1, 1873 (title 35 of which was the internal revenue title). Another codification was
undertaken in 1878. In 1919, a committee of the US House of Representatives began a project
to re-codify US statutes which eventually resulted in a new code in 1926 (including tax
statutes).
6. In the US, the Public Company Accounting Oversight Board (PCAOB) is a private, nonprofit
corporation created by the Sarbanes–Oxley Act of 2002 to oversee the auditors of public
companies. The PCAOB was created to protect investors and the public interest by promoting
informative, fair and independent audit reports.
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Further reading
International Federation of Accounting Confederation (IFAC) (2012c), Audit Materiality, ISA 320,
IFAC.
International Federation of Accounting Confederation (IFAC) (2012f), External Confirmations,
ISA 505, IFAC.
IJAIM International Federation of Accounting Confederation (IFAC) (2012k), Terms of Audit
Engagements, ISA 210, IFAC.
23,2
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Responsibility to Consider Fraud in an Audit of Financial Statements, ISA 240, IFAC.
supervises and examines PhD thesis. Gin Chong can be contacted at: hgchong@pvamu.edu
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