The WCIRB Policyholder Ombudsman is available as a resource to employers to navigate the often complex California workers’ compensation system.

 

For more information and resources, visit the Policyholder Ombudsman page.

Video Resources

Payroll Records – Not Available  
Understanding the Workers’ Compensation Dispute Process 
Standard Exception Classifications 
Time Card/Recordkeeping Requirements  

The WCIRB Policyholder Ombudsman assists employers with the following:

• How to obtain, evaluate and understand workers’ comp insurance information pertaining to loss experience, claims, classification assignments, experience modifications and other factors that impact your policy premium  
• Explain rules and decisions as well as the rights and options of all parties involved 
• Act as an intermediary between the employer and its insurance company and/or the WCIRB by clarifying the issues and putting the employer in contact with the appropriate individuals to resolve the dispute 

Please note: The WCIRB Policyholder Ombudsman is not permitted to be an advocate for any of the parties involved nor does the Ombudsman have direct authority to implement changes. 

The following videos have just been released as resources for policyholders: 

Payroll Records – Not Available  Top

Learn why it’s important for the insurance company to conduct an audit, the impact of unaudited payroll on the experience modification and about working with the insurance company to complete the audit. 

Run time: 10:21 

Understanding the Workers’ Compensation Dispute Process Top

Gain a better understanding of the WCIRB dispute process, the insurer dispute process and the appeal process. Also discussed are resources to help employers navigate the dispute process. 

Run time: 12:47 

Standard Exception Classifications Top

Learn about the classification requirements for Clerical Office Employees, Outside Salespersons and Clerical Telecommuter Employees as well as the application of the standard exception classifications. 

Run time: 14:06 

Time Card/Recordkeeping Requirements  Top

Learn about the importance of recordkeeping for the division of payroll and dual wage classifications. 

Run time: 13:06 

The WCIRB Policyholder Ombudsman can provide further online education to employers and insurance professionals on workers’ compensation topics such as classification basics, experience rating and ownership and combination of entities. Complete the online Policyholder Ombudsman Speaker Request Form or contact the WCIRB Policyholder Ombudsman directly by phone at 415.778.7159 or email at ombudsman@wcirb.com.