ISO ClaimSearch audits: What you need to know

By Kate O'Kelly October 24, 2014

“Kate_o-kellyISO ClaimSearch® randomly audits customers to assure compliance with numerous protocols. Our audits — conducted on-site or online depending on company size — help verify the accuracy and legitimacy of records entered into the system, ensure privacy and procedural compliance, verify that user access authorization is accurate and up to date, and confirm that your company is in compliance with the ISO Privacy & Security Policies and participation agreements.

Are you ready for an audit? Take a look at the elements of ISO ClaimSearch audits to make sure you’re prepared:

Claim Inquiry Review

Auditors will review a random sampling of completed inquiries to ensure that your company has reported the claim being searched to ISO ClaimSearch. We require that the claim be reported into the ISO ClaimSearch system before an inquiry can be completed.

Inquiry Material Relevance

Auditors review inquiries to confirm there’s a relation between the elements searched and the details of the subject claim file.

User Access Check

The auditor will review a listing of all active ISO ClaimSearch users assigned to the audited office to confirm that access has been granted appropriately and that the employees who use the system maintain and still require their current level of access.

Decision Net® Relevance Review

If your company uses Decision Net®, auditors may review searches for material relevance.

Training Is Available

Is your company ready for an ISO ClaimSearch audit? If you’re unsure, then you may wish to sign up for free training. Our training sessions offer a thorough overview of our audits and provide you the opportunity to ask questions regarding the process. If you’re interested or in need of training, please contact info.claimsearch@iso.com.


Kate O'Kelly

Katherine O’Kelly is the ClaimSearch compliance manager. She is responsible for compliance and state regulatory matters involving ISO ClaimSearch, the property/casualty insurance industry’s “all claims” database. Katherine has five years of claims experience in the property/casualty industry, with a specialization in workers' compensation.