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How Can I Question My Premium Audit Without Filing A Dispute?

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Can I Question My Premium Audit Without A Dispute?

How can I Question my premium audit without going through a formal dispute process?

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This is a question that came in from a few of the blog readers over the last two weeks.  Most Workers Compensation premium auditors are very reachable if you have questions about your audit.  Calling or emailing them with a question does not violate any rules.  I always recommend emailing the questions as premium auditors are very busy and are usually overloaded with audits on their schedule.

This is the main reason that we always advise our clients to ask for their Workers Comp audit workpapers that are filled out by the premium auditor.  The workpapers can sometimes explain the thought process of the auditor.  Filing a premium dispute is the last thing that should be done if your company simply has questions about the premium audit.  There are a few premium auditors that only want premium disputes if you have a question.  I do not understand why certain auditors require premium disputes.  As I mentioned previously, emailed questions will usually suffice.

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Emailing a question or disputing the fact that your premium audit bill just seems high may only muddy the waters as you need to be very specific in your questions.  Then again, we see so many companies just writing a check when they receive a premium audit bill without even questioning the basis of how the premiums were calculated.  The premium audit bill is like any other account balance.  It should be reviewed thoroughly before any payments are made on the policy.

If you feel there is something wrong or are in over your head, please consult with a non-agent expert.  I have posted very often that when CFO’s, Risk Managers, Owners, etc. have a gut feeling that something is wrong they are usually correct. Please do not just set the premium audit bill aside as there are time limits on making a payment or filing a dispute.

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James Moore

Raleigh, NC, United States

About The Author...

James founded a Workers’ Compensation consulting firm, J&L Risk Mgmt Consultants, Inc. in 1996. J&L’s mission is to reduce our clients’ Workers Compensation premiums by using time-tested techniques. J&L’s claims, premium, reserve and Experience Mod reviews have saved employers over $9.8 million in earned premiums over the last three years. J&L has saved numerous companies from bankruptcy proceedings as a result of insurance overpayments.

James has over 27 years of experience in insurance claims, audit, and underwriting, specializing in Workers’ Compensation. He has supervised, and managed the administration of Workers’ Compensation claims, and underwriting in over 45 states. His professional experience includes being the Director of Risk Management for the North Carolina School Boards Association. He created a very successful Workers’ Compensation Injury Rehabilitation Unit for school personnel.

James’s educational background, which centered on computer technology, culminated in earning a Masters of Business Administration (MBA); an Associate in Claims designation (AIC); and an Associate in Risk Management designation (ARM). He is a Chartered Financial Consultant (ChFC) and a licensed financial advisor. The NC Department of Insurance has certified him as an insurance instructor. He also possesses a Bachelors’ Degree in Actuarial Science.

LexisNexis has twice recognized his blog as one of the Top 25 Blogs on Workers’ Compensation. J&L has been listed in AM Best’s Preferred Providers Directory for Insurance Experts – Workers Compensation for over eight years. He recently won the prestigious Baucom Shine Lifetime Achievement Award for his volunteer contributions to the area of risk management and safety. James was recently named as an instructor for the prestigious Insurance Academy.

James is on the Board of Directors and Treasurer of the North Carolina Mid-State Safety Council. He has published two manuals on Workers’ Compensation and three different claims processing manuals. He has also written and has been quoted in numerous articles on reducing Workers’ Compensation costs for public and private employers. James publishes a weekly newsletter with 7,000 readers.

He currently possess press credentials and am invited to various national Workers Compensation conferences as a reporter.

James’s articles or interviews on Workers’ Compensation have appeared in the following publications or websites:

  • Risk and Insurance Management Society (RIMS)
  • Entrepreneur Magazine
  • Bloomberg Business News
  • WorkCompCentral.com
  • Claims Magazine
  • Risk & Insurance Magazine
  • Insurance Journal
  • Workers Compensation.com
  • LinkedIn, Twitter, Facebook and other social media sites
  • Various trade publications

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