1. DWC

Audit and Enforcement Unit

The DWC Audit and Enforcement Unit audits insurance companies, self-insured employers, and third-party administrators to ensure that they have met their obligations under the Labor Code and the California Code of Regulations under the direction of the Administrative Director of the Division of Workers’ Compensation. The DWC Audit and Enforcement Unit conducts compliance audits for a random selection of claim files. The Audit Unit assesses penalties and orders that unpaid compensation be paid. This unit ensures that proper benefits are delivered accurately and in a timely manner.

Annual report to the legislature, including the administrative director's annual ranking report

• 2022 Audit Unit annual report - Administrative director's 2022 audit ranking report
• 2021 Audit Unit annual report - Administrative director's 2021 audit ranking report
• 2020 Audit Unit annual report - Administrative director's 2020 audit ranking report
• 2019 Audit Unit annual report - Administrative director's 2019 audit ranking report

Annual audit performance standard

• Profile audit review and full compliance audit performance standards for 2025

Audit Program Description

• Audit Program Description for 2025

Working with the Audit Unit

Filing

• Annual report of inventory

File a complaint with the Audit Unit

• How to file a complaint with the Audit Unit - Spanish
• Audit referral form - Spanish

Availability of Audit Unit staff for training in claims handling issues

• Availability of Audit Unit staff for claims training 2025

Utilization review administrators (URAs)

• 2023 URAs
• 2022 URAs
• 2021 URAs
• 2020 URAs

Laws and Regulations

• Labor Code § 129 & § 129.5
• California Code of Regulations, Title 8, § 10100-10115
• Benefit Notice Manual

Audit Unit offices

E-mail: DWCAuditUnit@dir.ca.gov

What's

New

• Division of Workers’ Compensation Announces 2025 Profile Audit Review and Full Compliance Audit Performance

October 2024