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The Claim Audit Process Presented by: Rich Diaz March 15, 2016.

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Presentation on theme: "The Claim Audit Process Presented by: Rich Diaz March 15, 2016."— Presentation transcript:

1 The Claim Audit Process Presented by: Rich Diaz March 15, 2016

2 Questar III Claims Auditor  I work exclusively at the pleasure of the Questar III Board of Education.  Currently I am responsible for the claims audits for Questar III, Tech Valley High School, Health Insurance Trust, Chatham CSD, Shenendehowa CSD, and back up Claims Auditor for the CBO.  This year the New York State Comptroller’s auditors have audited the Chatham CSD, Questar BOCES’s Procurement Process, and Shenendehowa’s CSD is currently being audited.  Trainings brought to the BOCES pertaining to Claims Auditing & Extra Classroom Activity Funds.  Annual Training for the Claims Auditor to stay on top of new regulations.  Trainings on the Claims Auditing and Procurement process will be available to the BOCES staff shortly after Julie & I come up with some dates. All Administrative Assistants should attend these trainings.

3 What to look for in Claims Auditing? The audit of claims is an investigated and thorough process to determine if the proposed payment is proper, just and Compliant. A claims package/voucher should contain enough detail and back up documentation so the Claims Auditor/virtual Board can either approve or disapprove the claim for payment. Some items to look for: 1) Purchase Order/Payment Authorization form/Detailed Invoice 2) Packing slip/order confirmation if purchased online 3) Receipts (purchases, food items/dining out, gas purchases, parking, hotel reservations & checkouts, travel agency info, etc. 4) Authorized signatures/okay to pay/please sign don’t stamp 5) Conference Request Approval/Conference Flyers, etc. 6) Was a food plan included as part of attending the conference?

4 Claim Auditor Criteria  Valid and legal purpose, were Federal, State, IRS regulations, and Questar’s policies observed.  Incurred by an authorized official of the organization  Were goods or commodities received or, for services, as in contracted consultants, were the services rendered?  Review contracts, Consultant Contracts, letters of agreement i.e., travel expenses, Capital Projects, give example of recent contracted issue  Does not exceed the available financial budget appropriation;  Mathematically correct;  Excludes any charges for taxes from which the District is exempt;  Includes any discounts to which the District is entitled; exclude any vendor surcharges within reason  Utilizing correct budget codes to pay expenditures

5 Elements of a Complete Claim  Purchase Order/Official Claim form  Was the procurement process/policy administered  Matching Support (i.e. detailed invoice/back up documentation)  Approval for payment by Treasurer/Administrator  Timeliness of submission (i.e. mileage reimbursements.) Reason???  Proper appropriation of funds for designated budget codes  Questar III Workshops & Conferences where food is served, include flyer with info on event & attach a sign in sheet to the voucher for payment

6 Riskier Claims  Credit or Gas Cards, turning in receipts and submitting payment on time extremely important to avoid late charges.  Mileage/ Travel/ Conference Reimbursements  Specific purchase orders must remain specific  Extra Classroom Activity Fund Clubs  Claims submitted for payment that include contracts

7 Problem Claims  Lack original documentation  Mathematically incorrect  Original invoice does not sufficiently itemize goods purchased or services rendered  Travel/conference/mileage expense reimbursements not substantiated or not in compliance with policies (i.e. Commuting Miles)  Duplicate or partially paid claims (Win Cap helps with this)  Refer to the Claims Auditor Checklist

8 Claims Auditing Questions  Q & A


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