THE OFFICE OF THE INTERNAL AUDITOR STATUS UPDATE MARCH 17, 2015 Since the last Audit Committee meeting, the OIA has focused on providing consultative support to management and the Corporation and finalizing the execution of audits against the approved audit plan. 2014 Annual Report Florida statutes require the Chief of Internal Audit to submit an annual report on or before February 15, summarizing the activities of the OIA during the preceding fiscal year. Per statute this report should include, but not be limited to, the following: An evaluation of the effectiveness of Citizens’ internal controls Recommendations for corrective action, if necessary Summaries of the audits, reviews and investigations conducted by the office We delivered this report to Citizens’ Board of Governors, the Executive Director, the members of the Financial Services Commission, the President of the Senate and the Speaker of the House of Representatives to comply with Florida statutes and to provide information on how the OIA accomplishes its mission. A copy of the report is included later in the Audit Committee materials. 2015 Audit Plan Execution OIA follows a risk-based approach in developing and monitoring progress in delivering the audit plan. As we reassess our understanding of the enterprise risks managed within the organization and consider the changing operational challenges, we continually reassess our plan, thereby confirming that it continues to provide the expected assurance and that audit resources remain appropriately focused. Since the previous meeting, we assessed the overall plan coverage for 2015 and identified some additional focus areas for inclusion in the plan. These include a targeted review of a vendor scoring spreadsheet in development; and an audit of a newly developed Claims Quality Assurance Program. In order to provide for these projects we deferred an audit of the Special investigations Unit (SIU). Following discussion with executive management, we reassessed audit engagements on the plan and agreed to cancel the following projects following risk mitigation action taken by the respective business units: an assessment of the CORE Project spending, and an audit of the Sinkhole Managed Repair Program. Progress against Plan During the course of December and early January, we focused on the completion of audits remaining on the 2014 audit plan. The following graph represents progress to date on the 2015 audit plan. We have thirty-four audit engagements scheduled for the year, and so far, we completed three engagements with six others in progress. 1 Progress Against Plan 9% 6% 18% Completed Draft Report In Progress To Do 67% We completed five audit engagements since the last Audit Committee meeting: Network Assessment (Audit) Legal Firm Reimbursement (MAS) Sinkhole Settlement Process (MAS) Vendor Scoring Spreadsheet (MAS) Audit work completed in assistance to the External Auditors OIA further contracted with a vendor and provided consulting services to IT Risk and Security with the development of a comprehensive Enterprise Data Incident Response Plan. Summary of Audit Results The following represents a brief summary of the audit work completed and presented to management. Detailed copies of the reports and memorandums have been included in this presentation for your consideration. Network Assessment (Needs Improvement) - The objective of the audit was to evaluate the adequacy and effectiveness of vulnerability management processes implemented to safeguard Citizens’ computer network and ensure that the network security and availability adequately support the objectives of the business. A specialist vendor supported the audit and the scope of the work included comprehensive assessments of potential external, internal and Wi-Fi vulnerabilities. Results from our work confirmed that a number of security enhancements have been made in the cyber security realm over the past two years. Following the onboarding of a Director of IT Security and Risk, a greater focus has been placed on the management of privacy and security risks with the implementation of a privacy framework comprised of a privacy policy, an information security policy and an information classification and handling policy. Greater emphasis was placed on enhancements and tools associated with vulnerability management and penetration testing processes. Notwithstanding these changes, this audit highlighted the need to further improve and develop network security in order to adequately secure against penetration risk. Management agreed with the details of our findings and corrective action. 2 Legal Firm Reimbursement (Memo) - The objective of this review was to evaluate the adequacy and effectiveness of the recently developed reimbursement process to ensure appropriate recording and monitoring of reimbursement payments. We concluded that the practices in place for the management of reimbursements from the legal defense firm are informal and incomplete and management corrective action plans are currently underway to resolve it. Sinkhole Settlement Process (Memo) - The objective of this review was to evaluate adequacy of the control design for the processes specifically developed to handle the claims covered by the global sinkhole settlement agreements. We confirmed that adequate procedures were developed and appropriate controls are in place to manage the intake and validation of settlement agreement participants, pay policyholder’s attorney fees, set appropriate reserves, and provide communication with policyholders and external stakeholders. In addition, we noted that development began on a Quality Assurance program, with the objective to assess samples of claim files to ensure compliance with the settlement agreements. Vendor Scoring Spreadsheet (Memo) - Purchasing requested that OIA review the functionality and mechanics of an Excel spreadsheet (RFP 14-0019 – MasterBidTabSheet) to ensure individual and cumulative scores, including vendor ranking, are accurately calculated. The spreadsheet is designed to assist with the scoring of vendor of vendor responses during the solicitation process. We noted that the spreadsheet was well developed, appropriately protected and will satisfy the stated objective, A minor exception was noted and some enhancement recommendations, that would improve the mechanics of the spreadsheet, have been discussed and corrected. Audit work completed in assistance to the External Auditors (Memo) – In support of Johnson Lambert LLP and their annual financial attestation we completed specific audit procedures. Our work focused primarily on assessing the adequacy and effectiveness of key controls related to depopulation wire transfers, cash disbursements and loss reserves processes. We noted that controls associated with the processes audited are generally well designed and operating effectively. In addition, management and staff members are very knowledgeable and embodied a strong culture of ethics and control awareness. OIA has provided the testing work papers and results to Johnson Lambert LLP. Enterprise Data Incident Response Plan (Consulting) – In support of the business OIA contracted with a vendor to work with Citizens in the development of an Enterprise Data Incident Response Plan. Following a potential data security incident earlier in 2014, OIA noted that there is a need to formalize a process for classifying and responding to data security incidents at an enterprise level. Previously, a technical computer incident response plan had been developed but it was focused primarily on computer forensics response actions. OIA coordinated a project that included appropriate executives, business units and subject matter experts to develop a plan that would extend across the business and incorporate all potential areas of impact and coordinated response actions required for a data security incident. The plan was completed in January and Executive Leadership Team approval is forthcoming. The Director of IT Security and Risk will manage the Data Incident Response program and plan going forward. 3 Update on Citizens Internal Control Framework Project Since the last Audit Committee, meeting the project team completed a project scope and plan and agreed specific focus areas and timelines with stakeholders. At the same time, we have concluded our first process review using the Claims Litigation Support area as our project pilot. Thanks to the pro-active involvement of the Claims Litigation Support staff, as well as the hard work of the ICF support team, we were able to document the process in its entirety along with their respective objectives, risks, and controls, assess the design and operating effectiveness of those controls, identify any missing controls or potential control enhancements, and identify process improvement opportunities - all within planned timelines. Some positive highlights from that pilot program included a few control enhancements that, once implemented, would enhance information security and reporting accuracy. In addition, process efficiency enhancements were identified that could provide significant savings in time per matter processed by the various Litigation Support units. With the exception of the IT resource required to support the rollout of COBIT, the ICF team has been assembled and trained on their responsibilities and expectations. As a refresher, the team is comprised of: The project is jointly sponsored by The Chief Financial Officer and the Chief of Internal Audit. A Project Leader was provided by OIA while Finance, ERM and IT recruited (or are recruiting) staff to manage the project implementation and beyond. The Business Process Improvement unit has provided a dedicated specialist (sigma black belt) to assist with the documentation of the control processes and identification of potential process improvements. Finally, concerning the supporting risk & control management system, we are currently working with the Procurement function to release a solicitation with the intent to procure and implement a system during the 2nd quarter of 2015. Work In Progress OIA has six engagements in progress: Key Accounts (Draft report issued) IT GCC External Audit Support (Draft report issued) Independent Adjuster Spend General Expense Management Rate Accuracy Contract Administration Citizens Internal Control Framework Project 4 Staffing, Development and Training Within the department, we have three vacancies. We are currently searching for a Senior Internal Auditor with finance and insurance operational experience as well as two Senior Internal Auditors with forensic audit experience. We recently appointed Anthony Huebner as a Senior Internal Auditor. He has more than 10 years of insurance and reinsurance experience. Most recently, Anthony served as Senior General Auditor for Guardian Life Insurance Co., where he conducted operational and financial internal audits and performed external audit assurance testing. Prior to Guardian, Anthony served in various audit capacities at Swiss Re and White Mountain Re. Anthony is a Certified Internal Auditor and has provided internal audit support for underwriting, claims, reinsurance, finance, treasury, accounting, operational, Sarbanes-Oxley (SOX) and information technology audits. He earned his Bachelor of Science degree in finance and a minor in information systems from Clarkson University, Potsdam, NY. OIA is dedicated to the professional development of its staff to ensure continuous growth of knowledge, skills and other competencies throughout the year. For this purpose, each audit staff member developed an Individual Development Plan (IDP), in alignment with position specific competencies, which provides focused guidance towards personal growth through targeted training. We encourage and periodically review achievement of identified training needs. OIA Administration OIA is continuously refining its audit processes and procedures (standards) in order to ensure that its’ work product aligns to acceptable audit practice and it remains a credible and sustainable internal audit function for Citizens. These standards are used to deliver audit engagements efficiently, effectively and in accordance with professional standards. Our engagement standards align with The Institute of Internal Auditors (The IIA’s) International Professional Practices Framework (IPPF). Annual Charter Update and Review Citizens Audit Committee Charter The primary function of the Citizens Property Insurance Corporation (Citizens) Audit Committee (Committee) is to assist the Board of Governors (Board) in fulfilling its oversight responsibilities for the financial reporting process, system of internal controls and risk management, Citizens’ compliance with legal and regulatory requirements, the qualifications, independence, and performance of the external auditors and internal audit function. The Audit Committee Charter is the formal written document that defines the authority and responsibility of the Committee as delegated by the Board. The Audit Committee Charter was originally approved during the March 13, 2008 Board of Governors meeting with subsequent approvals annually thereafter. This year’s review of the Charter did not reveal any specific need for revision. If there are no changes from the Committee, I recommended that the Committee approve the charter in its current form. Citizens OIA Charter The Office of the Internal Auditor departmental Charter is the formal written document that defines the OIA purpose, authority and responsibility. The charter establishes the OIA position within the organization, authorizes access to records, personnel and physical property relevant 5 to the performance of engagements, and further defines the scope of the OIA activities. The Audit Committee last reviewed and amended the charter in March 2014. This year’s review of the Charter did not reveal any specific need for revision. If there are no changes from the Committee, I recommended that the Committee approve the charter in its current form. Control Deficiency Resolution As of February 28, 2015, there are twenty-six remaining open items. Overall, open items generally receive adequate business focus and implementation of agreed corrective action is managed well. Of the remaining issues, there is one high rated item, which relates to the follow-up and possible recovery of overbilling by attorneys. Progress with this issue has been relatively slow with six attorney firms under review. We are conducting detailed file reviews, for each firm, in order to assess their billing practices. For three of the six firms we completed the detailed file reviews and presented a comprehensive demand. One of the firms settled the amount demanded in full while the other two firms are less responsive and may progress into litigation. Five open issues are currently past their target completion dates. These relate to: Specific security protection mechanisms have not been implemented based on the risk and sensitivity of certain data elements. In addressing the issue IT, management started a project to identify and mitigate security control gaps. This project is underway and, as a first step, management tasked the participants to develop a comprehensive remediation plan. We foresee that this issue will be closed by OIA once the plan is developed and remediation is in progress. Delivery of the planned initiatives will be monitored. The security controls over SQL database servers needs improvement. Best practices require that servers be installed with the minimal options required for functionality to ensure that systems are not more vulnerable to individuals using the weaknesses in those programs to access the systems. The implementation of initiatives to resolve this issue was delayed due to unexpected loss of key Database and System administrator staff members. Management has extended the project delivery date to June with approximately 30% of the project completed to date. Certain encryption controls require improvements within the Citizens Insurance Suite. IT management indicates that additional security controls have been added to this project, causing the delay. Management is targeting March month-end to complete the work. Segregation of duties related to the Citizens Data Warehouse (CDW) need to be revisited as developers have access to production systems. The CDW automation project, which would address segregation weaknesses, was deferred. In the interim, management indicates that a series of compensating controls have been developed along with a process document addressing separation of duties. A new target date is forthcoming. Although a social media policy was developed and implemented, an internal procedures document has not yet been created outlining specific internal processes specific to the program. The program is relatively new within the company, and as such, processes are still being developed and enhanced. 6 Open Items by Risk Rating 30 25 2 2 14 20 15 16 16 6 6 10 5 0 1 2 15 13 9/30/14 10/31/14 Low 10 12/31/14 2/28/15 Medium High Audit Dashboard The Office of the Internal Auditor February 28, 2015 audit dashboard reporting statistics are included in the Audit Committee materials for review. The productive hours reported are in line with projections and the OIA productivity percentage of 71% is within the targeted range of 7075%. Recommendations The Chief of Internal Audit recommends that the Audit Committee approve both the Audit Committee and the Office of the Internal Auditor Charters. 7
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