Independent Claims Audit Program
Following conclusions issued by the bankruptcy court, in which they released a new opinion on the Garlock matter that documented a "startling pattern of misrepresentation”, Trusts have increasingly been seeking to increase transparency and develop a more robust claims process.
As an independent auditor implementing a claim audit program, Mazars:
- Performed and developed statistically relevant methods of claims sampling.
- Developed methods for auditing (i) the reliability of medical evidence, including additional reading of X-rays, CT scans and verification of pulmonary function tests, and (ii) the reliability of evidence of exposure to asbestos, including exposure to asbestos-containing products.
- Ensured precise and targeted identification of main issues of concern.
- Reviewed and analysed individual claims files, including open, closed and reopened cases.
- Performed reviews of law firm internal audit operations.
- Audited over 100 law firms across the US, including reviewing their claim submission practices, claimant on boarding, and fraud prevention controls.
- Provided individual claim reporting, expert reports, and high level statistical reporting for stakeholders.
Additionally, Mazars has a proprietary software tool, The Claim Audit Program Collaboration Site, which allows for the secure hosting, storing and transmission of data, as well as the detail of the audit on a per claim level. The Claim Audit Program Collaboration Site allows for live, real time claim reporting and analysis, accessible to all relevant stakeholders.
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