How do you identify and recover workers’ comp premium overcharges?

How do you identify and recover workers’ comp premium overcharges?

Identifying and recovering workers’ comp premium overcharges is a meticulous process I undertake to save businesses significant costs. I start by reviewing your workers’ comp policy, recent audit reports, payroll records, and NCCI classification codes.

Common overcharge causes include misclassified employees (e.g., clerical staff coded as high-risk), incorrect payroll inclusions (e.g., subcontractors), or misapplied experience modification rates (EMR). For instance, a construction client was overcharged $25,000 due to misclassified laborers.

I cross-reference your records with NCCI guidelines and state regulations to pinpoint discrepancies, using job descriptions and payroll breakdowns as evidence.

Next, I compile a detailed audit correction report, outlining errors and recommended adjustments. This report supports negotiations with your insurer or audit firm, where my claims adjuster background ensures effective advocacy. Most overcharges are resolved within 30-60 days, with recoveries directly reducing your premiums. If disputes persist, I guide you through state appeal processes, such as filing with the insurance commissioner. To prevent future overcharges, I train your team on audit preparation and record-keeping. My deliverables include the audit report, a letter to your insurer, and preventive guidelines, all actionable without dependency.

A retail client recovered $15,000 and avoided future errors through my recommendations. By combining thorough analysis, strategic negotiations, and proactive training, I ensure businesses reclaim overpaid workers’ comp premiums and maintain cost-efficient programs compliant with state laws.