December 17, 2017

CA DWC Posts 2015 Audit Unit Annual Report and Ranking Report

San Francisco, CA – The Division of Workers’ Compensation (DWC) has posted the 2015 DWC Audit and Enforcement Unit annual report on its website. The annual report provides information on how claims administrators audited by the DWC performed and includes the Administrative Director’s ranking report for audits conducted in calendar year 2014.

The 2015 Audit and Enforcement Unit annual report details the results of audits conducted in 2014 and provides the name and location of each insurer, self-insured employer and third-party administrator audited during that time. This report to the Legislature summarizes audits conducted in accordance with Labor Code §§129 & 129.5 to assure that injured workers, and their dependents in the event of their death, are provided with all benefits due them in an expeditious manner.

The audit findings, by law, must detail the number of files audited, the number and type of violations cited and the amount of an undisputed compensation found due and unpaid to the injured worker. The audit findings presented in this report are statistical and do not identify any individual injured worker. The Labor Code provides that contents of the claim files and the Audit Unit working papers are confidential.

Performance of insurers, self-insured employers, and third party administrators subject to profile audit review and full compliance audit is rated in accordance with the performance standards set annually by the Administrative Director. The DWC Administrative Director’s 2015 Audit Ranking Report lists, in ascending order by performance rating, the administrators audited in calendar year 2014.

To view the report, click here: CA DWC Audit and Enforcement Unit annual report (PDF).

Source: CA DWC

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