Using Claims Verification to Improve the Audit Webinar
Tuesday, 10/29/2019 at 1:00 PM (EDT)
In the past 10 years, there has been a higher emphasis on claims coding. This is coming from bureau crits, test audits, and expanded premium audit training. The key point is that the practice of matching claims data with premium audit data has greatly improved both the accuracy of claims data and the quality of the premium audit. We’re going to walk through the process that the auditors do to check the claims class codes and review several examples to show how the claims data gives you the tools needed to uncover misclassifications, improve the data reported to bureaus and in many cases, increases the company’s revenue.
Objectives:
Present an in depth understanding of how claims relate to the audit.
Learning how to add value to your audit department with claims verification.
Joyce Rose has worked in the audit field for over 35 years in various roles from inside audit processing, training, and field auditor, to branch manager of a vendor company. She earned her APA and has served on the General Liability, Workers Comp and Planning committees for PAAS for the past several years. She has been active in her local and regional auditor’s associations, holding offices and giving educational presentations. She is currently working as a Premium Audit Director and National Account auditor at Arch Insurance.
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