Workers’ Compensation Claim Audit Services

A SECURE, EFFICIENT, FAST PROCESS TO OBTAIN REFUNDS & REDUCE FUTURE PREMIUMS.

PROGRAM HIGHLIGHTS

Corrects Claim Data, Payroll Classifications, and State Tax Charges Used to Calculate Policy Premiums
Fast Turnaround – Process is Completed in About 90 Days
Risk-Free Performance-Based Fees
No Disruption to Existing Relationships or Coverage
Client Paperwork Takes About 15 Minutes

QUALIFICATIONS

Client’s Annual Workers’ Comp Premium is $150,000 or more
Experience Modification Rating Factor has Increased
Operations Have Expanded into New States
Recently Left a Workers’ Compensation Trust, Employee Leasing Relationship, or Self-Insured Fund
Changes in the Ownership of the Business and/or Changes to the Business Operation
Excessive Claims Activity
Mergers Within the Last Three Years

BENEFITS

In Most Cases, Workers’ Comp Audits Help Clients:
- Secure Premium Refunds
- Reduce Future Premiums

All Services are Contingency Based – NO FEES Unless We Secure a Refund
Minimally Invasive Process – 10 Minutes for Client to Complete Paperwork
No Risk Involved – Process has NO Detrimental Effect with Carriers
All Work Handled by ‘Best in Class’ Risk Professionals

PHASE 1

Preparation & Documentation

Provide Authorization to Obtain Information Necessary to Complete the Audit
The Authorization Does Not Affect Client’s Existing Coverage or Broker Relationship
Client Provides Information on the Current Policy along with any Deductibles, Dividend Plan, or Retrospective Adjustments

PHASE 2

Review Policy Rating Data

Review Claim Data Directly with the Insurance Carriers
Review Rating Classifications and Other Data Used to Calculate Premiums Directly with the Insurance Carriers
Submit Adjustments to National Rating Organizations

PHASE 3

Apply for Refunds & Adjustments for Future Policy Terms

Revised Experience Modification Information and Rating Data is Submitted to the Carriers
Final Refunds and Adjustments are Calculated

PHASE 4

Refunds & Final Adjustments Issued

Refunds are Issued
Fee Is Based Only on the Amount Received
Future Policies will Reflect the Corrected Data and Premiums will be Reduced
No Fee for Future Savings

WORKER’S COMP SAMPLE CLIENT RESULTS

INDUSTRY	RESULTS
HEALTHCARE	NURSING HOME & ASSISTED LIVING CENTERS Client Operates 60 facilities in 9 states. Workers’ Comp Premium Refund: $500,000.
HOSPITALITY	HOTEL MANAGEMENT COMPANY Client thought they had the appropriate safeguards in place and mods were correct. Workers’ Comp Premium Refund: $300,000.
INVESTIGATION SERVICES	SECURITY COMPANY Client retained us to find out if they were overpaying for workers’ compensation. Workers’ Comp Premium Refund: $148,000.
COMMERCIAL SERVICES	ELEVATOR REPAIR COMPANY Client retained us to find out if their experience mods and premiums were correct. Workers’ Comp Premium Refund: $147,000.
HEALTHCARE	REHABILITATION CENTER Workers’ comp premiums were increasing and client needed to reduce costs. Workers’ Comp Premium Refund: $135,000.
MEDICAL	AMBULANCE/EMS COMPANY Client is always concerned that their mods are correct, our audit lowered them. Workers’ Comp Premium Refund: $124,000.
TRANSPORTATION	FOOD DISTRIBUTOR Client curious about costs, our audit reduced premiums and generated a refund. Workers’ Comp Premium Refund: $106,000.
MANUFACTURING	DAIRY PLANT Client retained us to find out if they were overpaying for workers’ compensation. Workers’ Comp Premium Refund: $65,000.
WHOLESALE-RETAIL	FRUIT & VEGETABLE WHOLESALER Client wanted to conduct audit to see if they were overpaying their broker. Workers’ Comp Premium Refund: $54,000.
CONSTRUCTION	CEMENT COMPANY Unhappy with their prior broker the client requested an experience mod review. Workers’ Comp Premium Refund: $32,000.
TRANSPORTATION	SCHOOL BUS COMPANY Client retained us to find out if their experience mods and premiums were correct. Workers’ Comp Premium Refund: $30,000.
EDUCATION	SCHOOL DISTRICT Looking to reduce operating costs, we conducted an experience mod review. Workers’ Comp Premium Refund: $28,000.