What should you do if you find missing indemnity files while auditing claims?

Study for the California Workers Compensation exam. Use flashcards and multiple choice questions, each with hints and explanations. Be ready for your test!

When conducting an audit of claims and discovering missing indemnity files, the appropriate action is to contact the prior administrator to report the findings. This choice is correct because it is essential to ensure that all necessary documentation related to claims is accounted for, particularly when it concerns indemnity—which directly affects an employee's compensation.

Contacting the prior administrator is crucial because they may have insights into why the files are missing or can assist in retrieving them. This collaboration helps maintain the integrity of the claims process and ensures that employees receive their entitled benefits without unnecessary delays. Additionally, the prior administrator may have obligations to retain records and can help resolve the issue based on established processes.

Addressing missing files responsibly, rather than ignoring the problem or notifying the employees involved, demonstrates due diligence and commitment to ethical claims handling practices. Filing a complaint with the insurance board may be more suitable in cases of systemic issues or suspected fraud but is not the immediate first step when simply discovering missing files during an audit.

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