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<br />~ lð- /4 <br /> <br />33 <br /> <br />.<, . <br /> <br />34. <br /> <br />computer generated loss data reports requested by the Citiy shall be provided within twenty (20) business <br />days. <br /> <br />. . <br /> <br />28. <br /> <br />Claims ReDOrtina: The TPA shall maintain all loss information as required by the Wor1<ers' Compensation <br />Insurance Rating Bureau. . <br /> <br />The TPA shall assist in the preparation of all reports that are now, or will be requ:red by the State of <br />California or other government agencies with respect to self-insurance programs. The TPA will also assist <br />in the preparation of all reports or databases required by the California Institute for Public Risk Analysis <br />(CIPRA) or other statistical database organizations as requested by the City. .' . <br /> <br />29. <br /> <br />Record Retention: All claim files shall be maintained in accordance with staMory time requirements and <br />the City's Record Retention Policy. <br /> <br />30. <br /> <br />Claim Supervision: The TPA shall provide supervisory staff that will regularly review the work product of the <br />claims examiners. The supervisor shall review at least ten percent (10%) of each examiner's caseload <br />each month to ensure each examiner is following the performance standards outlined in this document. In <br />addition, the supervisor shall conduct a regular quarterly review of all open indemnity claims with reserves <br />in excess of $,100,000 and all problem or complex claims. <br /> <br />31. <br /> <br />Availability of Personnel: The TPA shall ensure at least one (1) or more of the examiners assigned to the <br />. City are on-site and available to the City every business day throughout the term of the approved contract <br />between the City and the TPA. <br /> <br />32. <br /> <br />Examiner Trainina: The TPA shall annually certify to the City that each claims examiner handling the City's <br />claims is in compliance with all legal and regulatory licensing and continuing educational requirements as <br />presently or in the future shall be promulgated and required by the State of California. Where required by <br />law or regulation, copies of all such certifications shall be provided at least annually by the TPA to the City. <br /> <br />. ~ <br />Member Services: The TPA shall provide special on-site training services when requested by the City to <br />ensure that the people who process workers' compensation claims are effectively carrying out the <br />procedures required for a successful program. <br /> <br />The TPA shall require one of the dedicated unit examiners to meet with city personnel, at the city's location, <br />at least once annually to review program. procedures regarding workers' compensation reporting <br />requirements and other program matters that require the timely participation of the city's personnel. <br /> <br />The TPA shall require an examiner to be available and readily respond to a member city's request for <br />assistance with problem cases, including on-site visits to the city. <br /> <br />The TPA shall provide the City with information regarding statutes, proposed changes to statutes, and <br />changes to the rules and regulations affecting the City and its responsibility as a legally uninsured workers' <br />compensation joint powers authority. <br /> <br />Employee Services: As required, The TPA will develop, for review by the City, materials which will provide <br />information and guidance to member cities' employees regarding workers' compensation and the self- <br />insurance program. <br /> <br />City of Redwood City WCP Performance Standards <br /> <br />Page60f7 <br /> <br />July 1, 2005 <br />