We were engaged as consulting experts by counsel for one of the largest commercial insurance providers in connection with multi-party, industrywide workers compensation insurance dispute. The dispute involved allegations of fraudulent, purposeful, and systemic underreporting of workers compensation premiums to the National Council of Compensation Insurance, Inc. and the National Workers Compensation Reinsurance Pool based upon the industry’s statutory reporting requirements.
Our team collected, managed, and analyzed voluminous transaction-level premium and claims data for a 13-year period. We forensically constructed accounting records and consolidated electronic data and hard-copy documentation for a variety of superseded systems and archived data sources dating back more than 25 years. We advised counsel on the court-mandated proposals for a customer account pilot sample, which led to expanded sampling procedures.