Organizational Solutions Inc.’s CADMAT©. tool uses evidence based best practice to evaluate your disability management program. It identifies strengths and gaps and results in the formulation of solutions to more effectively manage disabilities and the resultant costs.

Insurance Company Audits

The primary purpose of plan audits or claims activity analysis is to complete a comprehensive independent review of disability or WSIB / WCB / CSST plans and their administration.

An in depth claims analysis can assist in ensuring all claims are managed in accordance with the contract / legislation in order to minimize cost and reduce ongoing lost time.

Claim reviews can also identify trends that may otherwise go unnoticed. Once errors and trends are identified, a program can be developed to improve processes and reduce costs.

Among the many benefits of having an Audit done by Organizational Solutions Inc. are:

Ensuring your workplace meets exacting insurance standards for plans and administration

Reducing costs by improving efficiency while identifying errors

Can aid the morale and retention of your employees by ensuring the proper roles and responsibilities are assigned

Gives you the solutions to have your optimum workplace

The key objectives of these reviews include:

Problem and solution identification

Claims Activity Analysis

Review of work practices & procedures

Identification of trends for development of prevention programs

Establish baseline performance and benchmarking with best practices

Financial Analysis

Formulation of action plans to improve claim handling and contain costs

Benefits of Audit and Claims Activity Analysis include:

Improved efficiency by the insurance carrier

Realignment of roles and responsibilities to improve efficiency (internal or external)

Correction of erroneous claim handling issues (WSIB / WCB / CSST or Insurance)

Recommendations for a superior system of handling claims

Reduction in LTD reserves and the resultant premium costs

Reduction in WSIB / WCB / CSST costs