{"id":8342,"date":"2022-12-16T11:16:56","date_gmt":"2022-12-16T17:16:56","guid":{"rendered":"https:\/\/www.bbrown.com\/case-study\/claim-review-reveals-misallocated-charges-and-helps-reduce-annual-premium\/"},"modified":"2022-12-16T11:16:56","modified_gmt":"2022-12-16T17:16:56","slug":"claim-review-reveals-misallocated-charges-and-helps-reduce-annual-premium","status":"publish","type":"case_study","link":"https:\/\/www.bbrown.com\/ca\/case-study\/claim-review-reveals-misallocated-charges-and-helps-reduce-annual-premium\/","title":{"rendered":"Claim Review Reveals Misallocated Charges and Helps Reduce Annual Premium"},"content":{"rendered":"<div class=\"wpb-content-wrapper\"><p>[vc_row row_style=&#8221;page-hero&#8221; full_width=&#8221;stretch_row_content_no_spaces&#8221;][vc_column]\n\t<div class=\"hero hero--wrap    \">\n\n\t\t<div class=\"hero--background-image hero--background-image-blur\">\n\t\t\t<div class=\"hero--overlay\"><\/div>\n\t\t\t\t\t\t\t<div class=\"hero-background\" style=\"background: url(https:\/\/www.bbrown.com\/wp-content\/uploads\/2022\/12\/AdobeStock_387227165-scaled.jpeg) center center no-repeat; background-size: cover;\"><\/div>\n\t\t\t\t\t<\/div>\n\n\t\t<div class=\"hero--container\">\n\t\t\t<div class=\"container\">\n\t\t\t\t<div class=\"hero--inner width-100\">\n\n\t\t\t\t\t\n  <div class='content-heading  100%  '>\n    <p class='text-white subheading'>Case Study<\/p>\n    <h1 class='text-white    '>\n      Claim Review Reveals Misallocated Charges and Helps Reduce Annual Premium\n    <\/h1>\n\t\n  <\/div>\t\t\t\t\t\n\t\t\t\t\t\n\t\t\t\t\t\t\t\t\t<\/div>\n\t\t\t<\/div>\n\t\t<\/div>\n\n\t<\/div>\n\n\t\n[\/vc_column][\/vc_row][vc_row row_padding_bottom=&#8221;pb-2&#8243; full_width=&#8221;stretch_row&#8221; equal_height=&#8221;yes&#8221; content_placement=&#8221;bottom&#8221;][vc_column width=&#8221;1\/4&#8243;][vc_single_image image=&#8221;791&#8243; img_size=&#8221;full&#8221;][\/vc_column][vc_column width=&#8221;3\/4&#8243;]\n  <div class='content-heading  100% content-heading--ruled '>\n    \n    <h2 class='text-brand-dark-blue    h2'>\n      The Request\n    <\/h2>\n\t\n  <\/div>[vc_column_text]<\/p>\n<h3><span class=\"TextRun SCXW226794831 BCX0\" lang=\"EN-US\" xml:lang=\"EN-US\" data-contrast=\"auto\"><span class=\"NormalTextRun SCXW226794831 BCX0\">Brown &amp; Brown participate in triannual claim review<\/span><\/span><\/h3>\n<p>[\/vc_column_text][\/vc_column][\/vc_row][vc_row row_padding_top=&#8221;pt-1&#8243; equal_height=&#8221;yes&#8221; content_placement=&#8221;bottom&#8221;][vc_column][vc_column_text]<\/p>\n<h4><strong>Company Profile<\/strong><\/h4>\n<p><strong>Industry: Staffing &amp; Recruiting<\/strong><br \/>\n<strong>Employees: 1,329<\/strong><br \/>\n<strong>Locations: 20<\/strong><\/p>\n<p><span class=\"TextRun SCXW171750275 BCX0\" lang=\"EN-US\" xml:lang=\"EN-US\" data-contrast=\"auto\"><span class=\"NormalTextRun SCXW171750275 BCX0\">A loss<\/span><span class=\"NormalTextRun SCXW171750275 BCX0\">&#8211;<\/span><span class=\"NormalTextRun SCXW171750275 BCX0\">sensitive customer hired Brown &amp; Brown as <\/span><span class=\"NormalTextRun SCXW171750275 BCX0\">its <\/span><span class=\"NormalTextRun SCXW171750275 BCX0\">broker and<\/span> <span class=\"NormalTextRun SCXW171750275 BCX0\">requested<\/span><span class=\"NormalTextRun SCXW171750275 BCX0\"> the team <\/span><span class=\"NormalTextRun SCXW171750275 BCX0\">participates<\/span><span class=\"NormalTextRun SCXW171750275 BCX0\"> in triannual claim reviews.<\/span> <span class=\"NormalTextRun SCXW171750275 BCX0\">In preparation for the first <\/span><span class=\"NormalTextRun SCXW171750275 BCX0\">review<\/span><span class=\"NormalTextRun SCXW171750275 BCX0\">, Brown &amp; Brown <\/span><span class=\"NormalTextRun SCXW171750275 BCX0\">analyzed the<\/span><span class=\"NormalTextRun SCXW171750275 BCX0\"> large national carrier\u2019s online system for the selection of open <\/span><span class=\"NormalTextRun SCXW171750275 BCX0\">workers\u2019 <\/span><span class=\"NormalTextRun SCXW171750275 BCX0\">compensation claims identified for the review. <\/span><span class=\"NormalTextRun SCXW171750275 BCX0\">Using this <\/span><span class=\"NormalTextRun SCXW171750275 BCX0\">information<\/span><span class=\"NormalTextRun SCXW171750275 BCX0\">, Brown &amp; Brown obtained <\/span><span class=\"NormalTextRun SCXW171750275 BCX0\">an understanding of the claim<\/span><span class=\"NormalTextRun SCXW171750275 BCX0\"> and<\/span><span class=\"NormalTextRun SCXW171750275 BCX0\"> develop<\/span><span class=\"NormalTextRun SCXW171750275 BCX0\">ed<\/span><span class=\"NormalTextRun SCXW171750275 BCX0\"> an aggressive action plan that would <\/span><span class=\"NormalTextRun SCXW171750275 BCX0\">help <\/span><span class=\"NormalTextRun SCXW171750275 BCX0\">bring <\/span><span class=\"NormalTextRun SCXW171750275 BCX0\">it <\/span><span class=\"NormalTextRun SCXW171750275 BCX0\">to resolution. Additionally, all<\/span><span class=\"NormalTextRun SCXW171750275 BCX0\"> other<\/span><span class=\"NormalTextRun SCXW171750275 BCX0\"> payments and reserving practices were reviewed.<\/span><\/span><span class=\"EOP SCXW171750275 BCX0\" data-ccp-props=\"{&quot;201341983&quot;:0,&quot;335559739&quot;:0,&quot;335559740&quot;:240}\">\u00a0<\/span>[\/vc_column_text][\/vc_column][\/vc_row][vc_row row_padding_bottom=&#8221;pb-2&#8243; full_width=&#8221;stretch_row&#8221; equal_height=&#8221;yes&#8221; content_placement=&#8221;bottom&#8221; css=&#8221;.vc_custom_1638896243466{background-color: #eaeaec !important;}&#8221;][vc_column width=&#8221;1\/4&#8243;][vc_single_image image=&#8221;794&#8243; img_size=&#8221;full&#8221;][\/vc_column][vc_column width=&#8221;3\/4&#8243;]\n  <div class='content-heading  100% content-heading--ruled '>\n    \n    <h2 class='text-brand-dark-blue    h2'>\n      The Solution\n    <\/h2>\n\t\n  <\/div>[vc_column_text]<\/p>\n<h3><span class=\"TextRun SCXW170304144 BCX0\" lang=\"EN-US\" xml:lang=\"EN-US\" data-contrast=\"auto\"><span class=\"NormalTextRun SCXW170304144 BCX0\">Brown &amp; Brown\u2019s review revealed misallocated charges<\/span><\/span><\/h3>\n<p>[\/vc_column_text][\/vc_column][\/vc_row][vc_row row_padding_top=&#8221;pt-1&#8243; full_width=&#8221;stretch_row&#8221; css=&#8221;.vc_custom_1638896256859{background-color: #eaeaec !important;}&#8221;][vc_column][vc_column_text]<span data-contrast=\"auto\">In reviewing the 17 identified claims, Brown &amp; Brown noticed a payment trend. Charges for independent medical evaluations and any associated charges were being incorrectly accounted for as a medical expense rather than an allocated loss adjustment expense (ALAE).<\/span><span data-ccp-props=\"{&quot;201341983&quot;:0,&quot;335559739&quot;:0,&quot;335559740&quot;:240}\">\u00a0<\/span><\/p>\n<p><span data-contrast=\"auto\">The carrier was engaged to address its payment practices, as they were not up to the national council and state bureau standards. After reviewing those guidelines, the carrier agreed to reallocate all incorrectly coded charges from the previous four years.<\/span><span data-ccp-props=\"{&quot;201341983&quot;:0,&quot;335559739&quot;:0,&quot;335559740&quot;:240}\">\u00a0<\/span>[\/vc_column_text][\/vc_column][\/vc_row][vc_row row_padding_bottom=&#8221;pb-2&#8243; equal_height=&#8221;yes&#8221; content_placement=&#8221;bottom&#8221;][vc_column width=&#8221;1\/4&#8243;][vc_single_image image=&#8221;792&#8243; img_size=&#8221;full&#8221;][\/vc_column][vc_column width=&#8221;3\/4&#8243;]\n  <div class='content-heading  100% content-heading--ruled '>\n    \n    <h2 class='text-brand-dark-blue    h2'>\n      The Results\n    <\/h2>\n\t\n  <\/div>[vc_column_text]<\/p>\n<h3><span class=\"TextRun SCXW89962315 BCX0\" lang=\"EN-US\" xml:lang=\"EN-US\" data-contrast=\"auto\"><span class=\"NormalTextRun SCXW89962315 BCX0\">The <\/span><span class=\"NormalTextRun SCXW89962315 BCX0\">misallocated claims totaled $100k, and were adjusted<\/span><\/span><\/h3>\n<p>[\/vc_column_text][\/vc_column][\/vc_row][vc_row row_padding_top=&#8221;pt-2&#8243; equal_height=&#8221;yes&#8221; content_placement=&#8221;middle&#8221;][vc_column][vc_column_text]<span class=\"TextRun SCXW266176562 BCX0\" lang=\"EN-US\" xml:lang=\"EN-US\" data-contrast=\"auto\"><span class=\"NormalTextRun SCXW266176562 BCX0\">Brown &amp; Brown found 43 claims that required adjusting, totaling nearly $100k. These adjustments reduced the customer\u2019s experience modification by .03 for the current term and <\/span><span class=\"NormalTextRun SCXW266176562 BCX0\">its <\/span><span class=\"NormalTextRun SCXW266176562 BCX0\">annual premium by over $30k.<\/span><\/span><span class=\"EOP SCXW266176562 BCX0\" data-ccp-props=\"{&quot;201341983&quot;:0,&quot;335559739&quot;:160,&quot;335559740&quot;:259}\">\u00a0<\/span>[\/vc_column_text][vc_single_image image=&#8221;1423&#8243; img_size=&#8221;medium&#8221; onclick=&#8221;custom_link&#8221; img_link_target=&#8221;_blank&#8221; link=&#8221;https:\/\/www.bbrown.com\/wp-content\/uploads\/2022\/12\/Case-Study-\u2013-Claim-Review-Helps-Reduce-Annual-Premium-\u2013-Brown-Brown-Web.pdf&#8221;][\/vc_column][\/vc_row][vc_row][vc_column]\n  <div class='content-heading  100% content-heading--ruled '>\n    <p class='text-brand-blue subheading'>Ready to help minimize your risk and uncertainty?<\/p>\n    <h2 class='text-brand-dark-blue   text-bold h2'>\n      Contact us for more information.\n    <\/h2>\n\t\n  <\/div>\t<div class='wpb_content_element text-left btn-container'>\n\t\t\t\t\t<a class='btn btn-brand-green  '\n\t\t\t\thref='\/us\/contact' target='' data-toggle=''>\n\t\t\t\t<span class=\"btn-text-color--default\">Contact Us<\/span>\n\t\t\t<\/a>\n\t\t\t<\/div>\n[\/vc_column][\/vc_row][vc_row][vc_column][vc_separator][\/vc_column][\/vc_row][vc_row][vc_column][vc_column_text]<span style=\"font-weight: bold; font-style: italic; font-size: 10.0pt; background: white;\">DISCLAIMER:<\/span><span style=\"font-style: italic; font-size: 11.0pt; background: white;\">\u00a0<\/span><span style=\"font-style: italic; font-size: 9.0pt; background: white;\">Brown &amp; Brown, Inc. and all its affiliates, do not provide legal, regulatory or tax guidance, or advice. If legal advice counsel or representation is needed, the services of a legal professional should be sought. The information in this document is intended to provide a general overview of the topics and services contained herein. Brown &amp; Brown, Inc. and all its affiliates, make no representation or warranty as to the accuracy or completeness of the document and undertakes no obligation to update or revise the document based upon new information or future changes.<\/span>[\/vc_column_text][\/vc_column][\/vc_row]<\/p>\n<\/div>","protected":false},"excerpt":{"rendered":"<p>Learn how Brown &#038; Brown helped a loss-sensitive customer find 43 claims that required adjusting, totaling nearly $100k. Read more about the claims process review and our solutions.<\/p>\n","protected":false},"author":66,"featured_media":8343,"template":"","meta":{"_acf_changed":false,"inline_featured_image":false,"footnotes":""},"service":[10],"industry":[69],"location":[17],"class_list":["post-8342","case_study","type-case_study","status-publish","has-post-thumbnail","hentry"],"acf":[],"yoast_head":"<!-- This site is optimized with the Yoast SEO Premium plugin v27.0 (Yoast SEO v27.4) - https:\/\/yoast.com\/product\/yoast-seo-premium-wordpress\/ -->\n<title>Claim Review Reveals Misallocated Charges and Helps Reduce Annual Premium - Brown &amp; Brown<\/title>\n<meta name=\"robots\" content=\"index, follow, max-snippet:-1, max-image-preview:large, max-video-preview:-1\" \/>\n<link rel=\"canonical\" href=\"https:\/\/www.bbrown.com\/ca\/case-study\/claim-review-reveals-misallocated-charges-and-helps-reduce-annual-premium\/\" \/>\n<meta property=\"og:locale\" content=\"en_US\" \/>\n<meta property=\"og:type\" content=\"article\" \/>\n<meta property=\"og:title\" content=\"Claim Review Reveals Misallocated Charges and Helps Reduce Annual Premium\" \/>\n<meta property=\"og:description\" content=\"Learn how Brown &amp; Brown helped a loss-sensitive customer find 43 claims that required adjusting, totaling nearly $100k. 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