Workers Comp Premium Auditor Does Not Know My Final Bill Amount?

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Workers Comp Premium Auditor Billing Question From LinkedIn 

Recently, one of our devout employer article readers posed a workers comp premium auditor question to me through LinkedIn.  By the way, my LinkedIn profile is located here.   You can follow me on LinkedIn for posts and newsletter updates. 

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The LinkedIn reader wanted to know – I just called/emailed my workers comp premium auditor about our final bill.   She was in six weeks ago to do our final premium audit for the year.   She said that she had no idea on the final premium audit bill amount.   I am flabbergasted.   She did the audit, but cannot discuss the bill – why?   Was that not her job? 

Answer – I do not want to disappoint, but she correctly answered your inquiry.   The job of the premium auditor almost always does not include anything to do with the billing of the final premium audit.   The final tally comes from a totally different department – the premium audit billing department.  

The premium auditor’s main job consists of reviewing your company records to come to a final audit amount – not the final bill.   If there was something inaccurate on the premium audit itself, then you can dispute it within the rules of your policy.   A premium audit dispute can correct what you may think is inaccurate with your bill.   

The work comp premium auditor’s job stops just short of calculating your final bill.  However, the final bill does come directly from the premium auditor’s work.   The main information that you should request from the premium auditor is the auditor’s workpapers.   The workpapers usually show step-by-step of how your premium audit was conducted.    You do have a right to ask for the workpapers.   

The premium auditor WILL NOT be able to provide you with a final bill.  Your company will usually receive a premium audit adjustment statement along with the audit.   The workpapers usually are not included with the premium audit statement (PAS).  

Phone calls are not recommended if you have a dispute or question or your bill amount.   Email or write your questions to the address or email address on the Premium Audit Bill or Statement.  Why do I not recommend phone calls?  Your dispute rights are not preserved with a phone call. 

 

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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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