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Accounting Lions

Workers' comp audits

Workers' comp audits, answered before the bill arrives.

Every employer with workers' comp insurance gets audited every year. The auditor's job is to find reasons your premium should be higher than it was. Our job is to make sure the audit reflects what you actually owe — not what the auditor's first pass assumes.

What this is

Reconciling what the insurer auditor found to what you actually owe.

Workers' compensation insurance premiums are estimated at the start of each policy year based on projected payroll. At year-end (or when the policy renews), the insurer audits actual payroll and classifications — and adjusts the premium up or down. The audit is sometimes a desk review, sometimes a remote interview, sometimes an on-site visit by an auditor reviewing payroll records and job descriptions. Most of the time the audit results in a premium increase, often because the auditor reclassified workers into higher-rate categories. Defending the original classification, organizing the payroll records, and challenging incorrect reclassifications is what this service covers.

What's involved

The pieces of a defended audit.

Each audit is different in size — a single-location small office vs. a multi-state contractor with subcontractors — but the playbook is similar.

Workers' comp audits

Pre-audit preparation

Before the auditor shows up, we organize payroll records, classifications, job descriptions, and subcontractor documentation. Most audit losses happen in disorganization, not in true reclassifications.

Workers' comp audits

Class code analysis

Each employee is assigned a workers' comp class code. The auditor will look for reasons to move workers to higher-rate codes. We document the actual duties and defend the original code where appropriate.

Workers' comp audits

Subcontractor documentation

If you use 1099 subcontractors, the insurer will treat them as employees for premium purposes unless you have certificates of insurance proving their own coverage. We organize the COIs ahead of the audit.

Workers' comp audits

Overtime exclusion

In most states, the overtime portion of wages (the extra 50% on overtime hours) can be excluded from premium base. Auditors sometimes miss this; we reclaim it.

Workers' comp audits

Audit response + disputes

If the auditor reaches conclusions we disagree with, we respond in writing with documentation and request review. Escalation to the insurance commissioner's office is available if needed.

Workers' comp audits

Year-over-year trend tracking

Tracking your audit results across multiple years helps catch insurer drift — when the same situation gets classified differently across audits, that's worth questioning.

Why this is its own service

Workers' comp audits sit at the seam between payroll and insurance.

Workers' comp auditors are insurance company employees with an incentive to maximize premium — that doesn't make them adversaries, but it does mean they bring a default lens to classification questions. Most business owners aren't equipped to argue about NCCI class codes or to recognize when an overtime exclusion was missed. The auditor's first pass often increases premium by 10–30%; a defended audit often reduces or eliminates that increase. We've watched contractors get reclassified from a $5/hundred class code to a $15/hundred class code because the auditor didn't understand the actual job — a difference that on a $500K payroll is $50,000/year. Worth the audit response.

Common questions

What people ask us about this.

Don't hand the auditor a blank slate.

Workers' comp audits go better when someone walks in with the records organized and the classifications defensible — instead of scrambling after a premium increase letter.