Abstract: A system, computer-implemented method and computer program product for auditing insurance claims is provided. The system comprises a source data extractor configured to extract one or more claim records from one or more sources. The system further comprises a transformation engine configured to transform the one or more received claim records to a data model and load the data model to a claims audit database. Furthermore, the system comprises a segmentation engine configured to interrogate the claims audit database and categorize each claim record within the loaded data model into one or more pre-defined categories. The system also comprises a claims audit engine configured to execute one or more audit rules and generate at least one of: audit information and one or more alerts corresponding to each of the one or more claim records based on results of the one or more executed audit rules.