Issue 130 – December 2022
NEWS: WORTHY

2022 Liability Claims Audit
By Paul Zeglovitch, Liability Program Manager
Each year, the California JPIA engages the services of an independent auditor to review and grade the level of service our third-party liability claims administrator, Carl Warren & Company, is providing. For the past ten years, the Authority has utilized Independent Consulting and Risk Management Services (ICRMS) to fill this role. ICRMS provides a detailed analysis of the quality of the claims handling and completes an overview of the program as a whole, and provides recommendations to facilitate improvement.
This year’s audit took place virtually, from October 24 to November 9, 2022, with more than 100 files examined. The audit evaluates investigation, reporting, litigation management, reserving, technology, and several other areas.
“The audit provides a comprehensive look at the Authority’s claims management process, and it offers insights into any areas we may need to improve,” said Paul Zeglovitch, liability program manager. “It’s a good indication of how our claims were handled during the year.”
The Authority is pleased to advise that Carl Warren & Company (CWC) obtained an overall score of 98.2 percent on this year’s audit. During the ten years that ICRMS has provided auditing services, CWC has consistently achieved scores above 90 percent and above 95 percent for the past five years.
ICRMS continues to be very complimentary of the fine work that CWC performs on behalf of the Authority. Mark Nestor is the President of ICRMS and conducts claims audits nationwide. He indicated that the dedicated group of CWC staff that handles Authority claims—adjusters, supervisors, and an account manager—is the best he evaluates.
We hope your experience with our dedicated CWC unit has been as successful as the audits we have conducted. For any issues relative to liability claims handling, please feel free to contact our Liability Program Manager, Paul Zeglovitch.
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