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Agency Risk Management and Internal Control Standards (ARMICS)

COMPLIANCE

VWC’s Compliance Process

Educate

Monitor

Investigate

Respond

Guidance on electronic

claims submissions,

coverage requirements,

and regulations is

provided to

stakeholders.

Employer and carrier

compliance is enforced

through various

processes including

report cards for EDI

submissions, and an

investigative team for

insurance compliance.

Monitoring compliance

of responsible parties

is handled by multiple

departments on a

regular basis.

VWC strives to

maintain open

communication with

partners through direct

contact, outreach

materials, and training

opportunities.

VirginiaWorkers’Compensation Commission | 2016 Annual Report

19

During 2016, the Commission identified 144 significant processes, conducted an agency-wide risk assessment, completed

Strengths, Weaknesses, Opportunities, and Threats (SWOT) analysis, and tested controls of high-risk processes. Other

supporting processes included assessing the Code of Ethics effectiveness as well as designing and testing controls vulnerable

to fraud. This agency-wide initiative provided support that operations are effective, allowing the Commission to file the

ARMICS Certification Statement –

No Significant Weaknesses in Internal Control

.

Operational benefits generated by ARMICS requirements included procedures for the 2016 implementation of Oracle™

PeopleSoft (Cardinal) financial system, discovery of department synergies, and agency-wide segregation of duties.