Dec 16, 2010

Workers Comp Term Of The Day - Quantitative Claim Auditing

This is one of the parts of a premium audit that can reveal surprising inaccuracies. Comparing the loss runs to what the NCCI or State Rating Bureau has on file can reveal inaccuracies in the Experience Modification Factor calculations. This is also part of a claims review that only deals with the numbers, not how well the claims were handled.

Labels: Term Of the Day - Quantitative Claim Auditing

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About Me

Name: James J Moore

Location: Raleigh, NC, United States

James has over 25 years of experience in insurance, specializing in Workers' Compensation. He has adjusted, supervised, and managed the administration of Workers’ Compensation claims and underwriting in 36 different states. His work experience includes being the Director of Risk Management for the North Carolina School Boards Association. He created a very successful Workers’ Compensation Rehabilitation Unit for school personnel in NC. James's educational background, which centered on computer technology, culminated in earning a Masters of Business Administration (MBA); an Associates in Claims designation (AIC); and an Associates in Risk Management designation (ARM). He is a Chartered Financial Consultant (ChFC) and a licensed financial advisor. He has been certified as an insurance instructor by the NC Department of Insurance. James is on the Board of Directors and is the Treasurer of the North Carolina Mid-State Safety Council. He has published a manual on Workers’ Compensation cost savings, three different claims processing manuals, and has written and has been quoted in numerous articles on reducing Workers’ Compensation costs for public and private employers.

Dec 16, 2010

Workers Comp Term Of The Day - Quantitative Claim Auditing

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