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Workmen's Compensation Claims Audit (May 2013)

Name

Workmen's Compensation Claims Audit (May 2013)

Description

Testing Objectives:
1 Investigations and compensability decisions have been made timely.
2 Reserves were set timely.
3 All indemnity payments are accurate and have been properly authorized.
4 The indemnity benefits are continuously monitored.
5 TPA benefits are accurately monitored.
6 activities are properly monitored.
7 Overpayment waivers are monitored.
8 Fraud Considerations.

Includes steps for using ACL data analytics testing

Standard (Non-IT) Audit Program

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