WC Jeopardy Vol 1

Giraffe

100

Where is the PAS located on a manual Audit? 

Seit 

200

WOS request in TX, do I click Blanket or Specific Waiver? 

Specific Waiver 5%

300

I have a MSWC policy and the audit has been processed but the payroll or classification may be incorrect. What do I do? 

• For all post audit MSWC questions, Reassign Case to BL-Audit-Backend-MSWC. Please include customer questions in Case

400

Who is the 3rd party vendor who processes WC claims on behalf of SF? 

Who is Sedgwick

500

What is FE 4892

CA Landlord waiver. 

Zebra

100

What should we do if a RUSH to Production is needed? 

Pal Chat - reassign case to RG to liep to production after reviewing the policy request. 

200

Caller is asking for a copy of the claims kit. How do I assist? 

Walking the caller through the Claims Kit info in BLRC tool - if unable to print reassign the case to USU. 

300

Customer would like to reopen the audit after the AO receives a BOD message on the Unobtainable audit received. What action do I take ? 

• Determine if audit can be re-opened (1st Request to Re-open):
• 
  
  • If yes, advise the customer to submit an Audit Re-open Request form found in ABS (Business Lines > Tools > P&C Underwriting Request link)
    Note: BLRC does not have access to this form
  • If no, Transfer to Underwriting

400

On MSWC policy with 5 or more risk what do we do? 

• For inquiries about a MSWC policy with 5 or more risks:
• 
  
  • Include contact questions/details on case
  • Reassign Case to BL-Audit-Frontend-MSWC/SFPP

500

Policyholder recently completed the audit & the cta. Agents office called to verify why the insured is being charged double the policy premium in the most recent dec page received. 

What is the Audit Noncompliance Endorsement.

Hyaena

100

UW approves a WOS in CA for typing, but they needed to provide what detail. 

The Form - FE 4892 Landlords or WC 04 0306 for WOS

200

Where can I see the estimated payroll prior to the audit? 

AUD F20

300

Agents' office indicates that the insured would like a vendor audit after receiving notice of a SFSA, what do I do? 

• Customer asks for a new vendor/auditor:
  • Reassign Case to Auditable Underwriting

400

Requesting a quote on a policy with a Med deductible? What do I do? 

Check to see if the Med ded is manually rated the n process batch quote. 

• The system will only calculate deductible for 4 states automatically (Delaware, Florida, Hawaii, and Illinois). All other states will be manually rated

500

Manual audit processed 11/25/23, but there is no PAS in Seit. What resource do we check before reaching out in PAL? 

BLSU InTake Tool 

Hawk

100

I need to quote a MSWC policy, what do I advise the agency/caller? 

Request a Quote Link in BLRC 

200

If customer is requesting a quote to add Waiver of Subrogation to a Workers Comp policy:

• Determine if Waiver of Subrogation is available for the policy state (WC Resources > Workers Compensation Information > Waiver of Our Right to Recover from Others)
• If available, request customer complete Waiver of Subrogation questionnaire (BLRC Home Page > Workers Comp drop down > New Business > Workers Comp > #4 Include > Waiver of Subrogation)
  Note: Contract amount is required
• Reassign Case to RG Service

300

What is the Payroll Class Code description for the Policy RG has? 

FLORIST - STORE - & DRIVERS

400

Agents office calls to check the status of a coverage change on the policy. 

Verify Necho PT has been submitted, look for underwriting instructions & ask probing questions for RUSH criteria. 

500

Policy had SFSA and agent is requesting a copy of the audit? What do we do? 

Do not send Production Worksheet, pull PAS and send to AO. 

Lion

100

I need the renewal billing for a WC policy. What do I do? 

Pal Chat RG - RG will forward the renewal billing from Control D report. 

200

Agents office advises "I just submitted an application but I need to quote an additional payroll line, and change the liability. Can you quote that change? 

Request a Quote through the BLRC tool - AO should also be able to quote in office. 

300

What is the min charge for WOS in Wisconsin? 

$50

400

Policy has not renewed yet. Agent's office wants to know why there is no renewal as policy expires 3/15/24. What do I do? 

Check policy notes for a NR, Check hist recent reinstatement, check ROUTE for renewal errors - then reach out to RG in pal if needed. 

500

Underwriting contacts service for a RUSH on Alternate Employers Endorsement. What do we do? 

Refer Underwriting to send to production unless the Alternate Employers Endorsement is listed on the policy.