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Agmt14 Athens Administrators
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Agmt14 Athens Administrators
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Last modified
1/12/2015 5:23:36 PM
Creation date
1/12/2015 5:23:34 PM
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Agreement
Contractor Name
Athens Administrators
PROJECT NAME
Claims Administration Services
RMP File Number
304
Date
6/5/2014
MO Ref
14-089
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• <br /> and computer note pads. Administrator shall manage defense counsel on an ongoing basis <br /> and obtain status reports from defense counsel every sixty (60) days. Administrator shall <br /> actively manage litigated files and shall not require defense counsel to perform activities <br /> which can be accomplished effectively by claims staff. <br /> Administrator shall obtain defense counsels' written evaluation within sixty (60) days of <br /> submission, including evaluation of liability, verdict potential, settlement value, and case <br /> strategy. <br /> g. Disburse payment on behalf of Employer out of the bank trust account funded by Employer, <br /> all "Allocated Loss Expenses", which is defined to include all costs incurred on behalf of <br /> Employer specifically related to an individual claim, including but not limited to, attorneys, <br /> independent adjusters or investigators,expert witnesses,copying records or transcripts,court <br /> costs or Appeals Board fees or other costs deemed proper and necessary to represent <br /> Employer. <br /> h. Use best efforts to achieve an average monthly closure ratio of one hundred percent(100%) <br /> over the term of this Agreement. <br /> i. Examine on behalf of Employer all reports of industrial injury or illness relating to Employer's <br /> employees or former employees and reported to Administrator and to conduct investigations <br /> on such cases by Administrator's salaried employees as in Administrator's judgment is <br /> deemed necessary. <br /> j. Pay compensation, medical expense, "Allocated Loss Expense", and all other benefits as <br /> prescribed by law out of funds provided by Employer. Payments made by Administrator <br /> without Employer approval,where approval is required elsewhere in this Agreement,shall be <br /> the responsibility of the Administrator. <br /> k. Maintain a claim file on each reported claim which shall be available to Employer at all times <br /> for inspection and to conduct,at a time and frequency to be determined by Employer,claim <br /> file reviews with Employer at either Employer's or Administrator's offices. <br /> I. Subscribe to on Employer's behalf, enrollment in the Index Bureau System and to report to <br /> the Index Bureau on each and every Indemnity Claim. The cost of Index Filings will be <br /> allocated to each individual claim file. <br /> m. Create, reserve and enter required claim data into Administrator's computer system within <br /> five(5)working days of receipt of notice of claim from Employec Enter all payments,reserved <br /> revisions, and file closings into the information system within three (3)working days. <br /> n. Review employer's medical bills and other medical charges and treatment relating to <br /> Employer's claims of industrial injury or illness, for causal relationship to all claims of <br /> injuries/illness, and reasonableness of treatment prior to payment. Solicit all medical bills, <br /> medical reports and records, and documentation of alleged wage loss prior to settlement <br /> negotiations. <br /> The City of Redwood City- Claim Service Agreement- 2014-2015 <br /> 4 <br />
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