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Workers Comp Audit Stress Reducer
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Workers Comp Audits – ‘Tis The Season

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Upcoming Workers Comp Audits

Most of the Workers Comp Audits are performed in February and March. Why? Most policies expire January 1 of each year. The insurance carriers will finish most of the premium audits for these expired policies by the end of March. We receive most of our inquiries and phone calls in February, March, and April each year. They usually occur when the premium bill arrives with a 10 day notice to pay.

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I will cover some of the ways to help your company with the audits over the next few days and weeks. The main piece of advice that I can give is to not let a premium audit bill sit or ignore it. If you have any questions on the audit or bill, write the carrier a letter and fax it immediately. Telephone calls may not preserve your dispute rights.

Make sure that you have a legitimate concern when you dispute a premium audit or bill. The one quick and sure way to ruin the relationship that you have with your Workers Comp carrier is to dispute the bill or audit as being too high without justification.

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Some of the carriers will allow payment plans if you ask within the time limit on the bill. You may have a longer period than the 10 days to dispute the bill, but not to ask for a payment plan. I had just talked with a collection agent with ACE USA today. We were informed that one of our clients had been offered a payment plan, but no payments were ever made on the premium bill.

As I have mentioned often in the past, please do not use the dispute process as a way to delay paying a bill. This is a great recipe to having your current Workers Comp policy canceled. If you have any questions or premium audits or billings, please feel free to ask me. I may post them to the blog which will help everyone.

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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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