Finding and Fixing Audit Errors
A non-profit outpatient, long-term care facility with 512 employees in nine locations had a 1.71 Experience Mod with losses three times higher than expected. The CWCA reviewed the client’s program and found incorrect employee classifications, an inadequate deductible, and no injury management program in place. The CWCA recommended a higher deductible, an audit of current and two prior policy years, and safety programs be established. The deductible change and the audit review reduced the modification factor from 1.71 to ultimately 1.11.