Florida Regulations 69L-24.0211
From Wcc
§ 69L-24.0211 Monitoring.
| (1) The Division shall continually monitor the performance of carriers, self-insurers, employers and servicing agents to ensure compliance with the performance standards prescribed in Rule 69L- 24.021, F.A.C., and to assist these entities in improving their overall performance.
(2) Such monitoring will include the automated carrier performance system indicators as listed below: (a) Timeliness and accuracy of all indemnity and medical payments; (b) Timely and accurate reporting of required information; (c) Volume and nature of employee complaints regarding the workers� compensation injury; (d) Timeliness and accuracy of reporting coverage and changes in coverage; (e) Compliance with rehabilitation status reviews and reporting requirements; (f) Timeliness and accuracy of refunding overpayments; (g) Effectiveness of utilization review program; (h) Volume and cost of litigation in processing initial claims; (i) Effectiveness in returning employees to work; (j) Employee customer service ratings; (k) Employer customer service ratings; and (l) Amount of average medical costs and average total costs per claim. In addition to the data in the Automated Carrier Performance System, review will be based on data received on referrals of questionable carrier practices received from other units of the Division, governmental entities, the Department of Financial Services, claimants, and other interested parties. Specific Authority 440.20(15)(f), 440.591 FS. Law Implemented 440.20(15) FS. History-New 8-29-94, Amended 5-14-95, Formerly 38F-24.0211, 4L-24.0211. |
