Workers Comp Premium Audit Error Rates = 70+% – Really?

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Workers Comp Premium Audit Error Rates Sometimes Overinflated

As in the period from 2008 – 2013, many websites that want clicks are stating that workers comp premium audit error rates exceed 70%.  Of course, the website owners and article writers want to sensationalize the numbers to have insured employers click on the article or look more closely at their website.

pic pumpkin pie workers comp premium audit error rate
Wikimedia Creative Commons License – Famartin

In the previously mentioned period of 2008 – 2013, two different websites said the workers comp premium audit error rates exceeded 80%. Due to legalities, I will not link to those websites to show the examples.

After performing premium audits for employers that number in the 1000’s, we at J&L do not ascribe to sensationalism for clicks – better known as clickbait.  To me, this erodes the reputation of the premium audit industry including the premium auditors for carriers.

No, the workers comp premium audit error rate does not approach 70%.  Let us cover “why” very quickly.

Seeing is Believing

Let us look at the 80% number that one employer premium audit provider stated in their website and articles.  As an old friend – Carlos – that unfortunately passed away in 202o said (and I remembered) – paraphrased –

Yes, the provider is looking at a slice of the pie, not the whole pie.  The ones that the provider sees has already been screened by other parties including the insured itself or agent or other entities. The ones that the provider usually reviews does not constitute all the workers comp premium audits – only the ones with concerns or questions.  

The provider sees only a certain set of premium audits, not the whole set of all the audits.  I agree with Carlos’s statement.

If one reviews only 1% of the pie (and that is a big number) – their incoming business from employers’ premium audits, one cannot assume that 80% have errors.  Now, I am hungry for leftover pumpkin pie.

True Workers Comp Premium Audit Error Rate

The true number that I have seen covers 33% to 50%.  Hold on, though, would someone want to pursue an error of $250 on a $175,000 policy?  That counts as an error in the inflated error rates for clickbait, but which company wants to question their carrier and agent over $250?

The Unknown Number

No one person or company knows the exact workers comp premium audit error rate that is large enough to justify a dispute with the carrier.  My estimate would be 35%, not 80%.

The gut feeling of the owners, risk manager, or senior management always wins out.  If you feel something is wrong, then it may be worth the effort to have your premium audit reviewed by someone.

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James J Moore - Workers Comp Expert

Raleigh, NC, United States

About The Author...

James founded a Workers’ Compensation consulting firm, J&L Risk Management 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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