Actuarial Auditing for Workers' Comp
Stop overpaying premiums. We audit claims, correct your X-Mod, and reduce redundant reserves through a rigorous SOP.
The X-Mod Multiplier Effect
Your Experience Modification Factor is a direct multiplier on your premium. A single mismanaged claim can inflate this number for three years.
Annual Premium Impact
Comparison of annual premiums based on a standard rate of $100,000 before modification.
The Hidden Cost
Many companies view the X-Mod as a fixed tax. In reality, it is a variable performance metric. An X-Mod of 1.25 means you are paying a 25% penalty on every dollar of payroll.
Our Strategy
We audit the Unit Statistical Reports (USR) filed by carriers. Corrections to past data immediately lower your current and future X-Mods, resulting in direct refunds.
Claims Reserve Analysis
Carriers often over-reserve funds to protect their own solvency. This "bloat" sits on your books, inflating your X-Mod.
Where Errors Hide: Claim Types
Distribution of open claims by type. Indemnity claims often hold the highest potential for reserve reduction.
- Medical Only
- Indemnity (Lost Time)
- Litigated Claims
- First Aid / Report Only
Indemnity reserves are subjective. Actuarial review often finds these are overstated by 30%+.
Impact of Active Auditing
Projected reduction in Total Incurred Value (Reserves + Paid) over a 4-quarter audit cycle.
- Standard Carrier Trajectory
- Easeworks Audit Trajectory
The gap between the "Passive" and "Easeworks Audit" lines represents direct savings on your X-Mod calculation.
The Audit SOP
A systematic approach to identifying errors, challenging reserves, and enforcing compliance.
Data Intake
Collect Loss Runs, USR filings, and policy documents.
Actuarial Review
Compare reserves against medical prognosis and statutes.
Carrier Challenge
Formally dispute exaggerated reserves and negotiate reductions.
Recovery
Confirm X-Mod reduction and receive premium credit.
Audit Vulnerability Matrix
We score your program across 5 key dimensions to identify the "low hanging fruit" for cost recovery.
- Litigation: Unchecked legal spend.
- Medical: Treatment vs. Guidelines.
- Subrogation: Missed 3rd party recovery.
- Typical Program
- Optimized Target
Ready to reduce your Workers' Comp spend?
Implement the Easeworks SOP today. Let our actuaries review your loss runs and uncover the hidden capital in your reserves.