1. 410.2P
    2. COMPLIANCE AND RISK MANAGEMENT
    3. Claims Audits





    410.2P

    Page 1 of 1


     

     





    COMPLIANCE AND RISK MANAGEMENT

     

     



    Claims Audits


     

    The Trustees shall obtain a claims audit of claim reserving, adjusting, and payment procedures every three years at a minimum. The claims audit shall be conducted by a qualified claims auditor not affiliated with the Trust, its broker of record, or its third-party administrator. Such review shall be in writing and identify strengths, areas of improvement, findings, conclusions and recommendations. Such review shall be provided to the Trustees and retained for a period of not less than six years. The scope of the claims audit shall include the claims administration procedures in Procedure No. 410.1P. The Trustees will obtain more frequent claims audits if required by the state risk manager.
     
     
    Cross Reference: Trust Policy 410  Claims and Appeals
     
     
    Legal Reference: WAC 200-110-120  (Applies only if the Trust self-insures any Trust benefits.) Standards for claims management—Claims administration
     
     
    Adopted:
    January 24, 2011
    Revised:
    October 16, 2013

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