Workers’ Comp Audit Review for a Large U.S. Carrier

Workers’ Comp Audit Review for a Large U.S. Carrier — 55 Claims Auditors

As success and growth place extra pressure on operating platforms, how do leading alternative investment providers transform their businesses?

The challenge

A major national carrier faced a critical deadline: completing a comprehensive review of 10,000 historic workers’ compensation claims under strict audit requirements linked to a pending carve-out sale. The review demanded specialist technical knowledge, rigorous coordination, and an accelerated timeline that exceeded the carrier’s internal capacity.

Our approach

Davies mobilised a team of 55 experienced workers’ compensation audit specialists within three weeks. We managed every aspect of delivery, including onboarding, credential checks, workflow design, and project governance. To ensure quality and consistency, we implemented a multi-layered QA framework, daily performance reporting, and weekly client governance reviews.

Our team conducted a full audit of historic claim files. This included assessing compensability decisions, reserves, payments, litigation involvement, recoveries, and documentation integrity. This detailed review uncovered critical data gaps and highlighted reserving trends, both over and under, which informed the client’s financial adjustment strategy for the transaction.

Our impact

The project was completed within three months, enabling the client to meet all audit and transaction deadlines. Beyond delivering a high-quality review, Davies provided actionable insights that improved the client’s reserving methodology and strengthened internal audit processes for the future. Our ability to deploy skilled talent rapidly and manage complex workflows under pressure gave the client confidence during a high-stakes transition and set a new benchmark for audit efficiency.

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