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�.�- �.s <br /> claim. Such report shall include the examiner's plan of action for the future handling of <br /> the claim. <br /> The examiner will provide on-site file reviews quarterly if requested by the member city. <br /> Other periodic on-site file reviews will be scheduled based upon the needs of the member <br /> city. <br /> 5. Employee Contact: In all non-litigated, lost time cases, where the employee has <br /> not returned to work, telephone or personal contact will be established with the injured <br /> employee within two (2) working days of receipt of notice of claim. Such contact will <br /> continue as often as necessary, but at least monthly until the employee returns to work. <br /> Such contact with the employee shall be documented in the computer notepad. <br /> Return phone calls to employees will be accomplished within one (1) working day. <br /> All conespondence from employees will be responded to within five (5) days of receipt. <br /> 6. Reserves: Reserves shall be established based upon the ultimate probable cost of <br /> each claim. All reserve categories shall be reviewed on a regular basis but at least every <br /> ninety (90) days. Such review shall be indicated in the computer notepad. The examiner <br /> shall utilize a reserve worksheet which has been approved by the Local Agency Workers' <br /> Compensation Excess Joint Powers Authority (LAWCX) pursuant to that JPA's <br /> Resolution Establishing a Claims Management Policy. Any changes to reserves shall <br /> include an explanation for the change. <br /> A claims assistant shall have authority to establish reserves not to exceed $3,000. An <br /> examiner shall have authority to establish reserves not to exceed $50,000. A senior <br /> examiner shall have authority to establish reserves not to exceed $75,000. The supervisor <br /> shall have authority to establish reserves not to exceed $150,000. A director, vice <br /> president, or president of the TPA shall review and approve all reserves in excess of <br /> $150,000. <br /> 7. Medical Administration: The TPA shall select a panel of general practitioners, <br /> specialists, hospitals, and emergency treatment facilities to which injured employees <br /> should be referred, as approved by the City, and the TPA shall regularly review and <br /> update the panel. <br /> The physician's office will be contacted within five (5) days of notice of all indemnity <br /> claims. Such contact will continue as needed during the continuation of temporary <br /> disability to assure that treatment is related to a compensable injury or illness. <br /> The TPA shall maintain contact with treating physicians to ensure employees receive <br /> proper medical treatment and are returned to full or modified employment at the earliest <br /> possible date. <br /> City of Redwood City - Performance Standards Page 2 of 8 )uly 1, 2004 <br />