The California Division of Workers’ Compensation audit of 48 claims adjusting locations in 2022 identified $293,928 in unpaid benefits and led to fines against two firms totaling $155,659.
Under the division's profile audit review rules, all audited firms are ordered to pay any outstanding benefits that are identified. Firms that scored 1.68032 or lower on the initial review in 2022 were not assessed penalties.
When subjects fail the initial review, the division initiates a full compliance audit. Firms that scored 1.95657 or lower on the first stage of the full compliance aud...
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