The Stakes: A concrete manufacturer with $15M in revenue saw their Mod jump from a credit (0.90) to a debit (1.20). This seemingly small shift triggered a $12,000 annual premium hike, with no clear explanation.
The Investigation: The Advisor conducted a forensic audit of the Mod data. They isolated the culprit: a severe leg injury claim that had been open for two-and-a-half years.
The Breakthrough: The investigation revealed that the claim had actually been paid and settled by the general contractor years ago, but the insurance carrier never updated their books. The claim was a “zombie”—dead in reality, but alive in the data. The Advisor convened a conference call with NCCI and the carrier to force the file closed.
The Result: The manufacturer received a massive retroactive refund of $150,000 for the years they were overcharged. The Mod dropped back to 1.03.