Agmt15 York Risk Services Group, Inc.

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4. Adjusting and managing assigned claims to assure that PRINCIPAL and claimants receive high quality service; 5. Establishing, monitoring and timely revisions of case reserves; 6. Settling claims within the applicable coverage terms and conditions; 7. Maintaining current knowledge of applicable adjustment practices and procedures, local practices, applicable insurance coverage, court decisions, current guidelines in the claims function, and Program changes and modifications (as advised by PRINCIPAL); 8. Assisting in the preparation of claims for suit, hearing, trial, or subrogation as appropriate; 9. Acting as PRINCIPAL'S liaison with medical personnel, first notice of loss reporting services and defense counsel; 10.Reviewing bills of service providers; 11.Preparing and submitting status and administrative reports in accordance with YORK's established practices, 12.Preserving subrogation rights and overseeing subrogation recovery. C. "CLAIMS" shall mean claims, arising under the Program and which are referred to YORK for adjusting during the term of this Agreement. D. "INFORMATION" or "CONFIDENTIAL INFORMATION" shall mean documentation, data or information relevant to PRINCIPAL or claimant that is created by YORK or that comes into its possession as a result of the rendering of services by YORK to PRINCIPAL, pursuant to the Agreement. E. "CONFIDENTIAL INFORMATION" is information not publicly available and includes, without limitation, the work product, investigation materials, trial preparation materials including but not limited to opinions and mental impressions of YORK personnel, communications with defense and coverage counsel and non-public personal information of insureds. F. "LOSS ADJUSTMENT EXPENSE" shall mean, in addition to fees to be paid in accordance with items listed or inferred herein Agreement, all reasonable expenses necessary to the adjustment of a claim in accordance with this Agreement, including but not limited to, legal fees, court costs and fees for court reporters, expert witnesses, investigation, photocopies, subpoenas, photographs, maps, accounting, chemical or physical analysis, independent medical exams or other evaluations, depositions, appraisal fees and expenses, bill review, utilization review and any other similar cost, fee or expense reasonably chargeable to the investigation, negotiation, settlement or defense of a claim or loss or subrogation actions. Upon agreement with the PRINCIPAL, YORK may, but need not, elect to utilize its own staff to pertorm these services. ATTY/AGR/2015.068/YORK TPA REDWOOD CITY REV:04-20-15 MLG Page 2 of 17