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Agmt05 Claims Management Inc
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Agmt05 Claims Management Inc
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Last modified
4/24/2007 9:04:37 AM
Creation date
7/22/2005 8:55:38 AM
Metadata
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Template:
Agreement
Contractor Name
Claims Management Inc
PROJECT NAME
third party administrator
RMP File Number
304
Date
7/20/2005
MO Ref
05-105
Box
6360
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<br />Exhibit B <br /> <br />CITY OF REDWOOD CITY <br />WORKERS' COMPENSA TION CLAIM A DMINIS TRA TION <br />PERFORMANCE BASED COMPENSA TlON <br />2005 - 2006 <br /> <br /> <br /> Initial contact(includes attempts) on <br /> Initial Claim Contact I 95% I all lost time non-litigated claims <br /> within 2 business days of receipt of <br /> claim <br /> Subsequent contact with injured <br /> 2 I Subsequent Claim Contact I 90% I worker( non represented) every 30 <br /> days while receiving TO or 4850 <br /> 3 Continuous Efforts at 96% Maintain C! 100% closing ratio on all <br />,\ I Finalization of Claim indemnity claims <br /> I UR results in savings of at least <br /> 4 Utilization Review Pass/Fail 200% of cost of UR. <br /> 5 Bill Review Results Pass/Fail Maintain 45% in net savings <br /> Complete status reports every 90 <br /> 6 I Status Reports I Pass/Fail I days <br /> on each Indemnitv claim <br /> <br />$2,000 <br /> <br />$2,000 <br /> <br />$1,000 for each % point above 96% ( not including future medical <br />. F claims) <br /> <br />$2,000 <br /> <br />$2,000 <br /> <br />$2,000 <br /> <br /> 10% reduction in each of the <br />7 I Program Management I Pass/Fail I following; $1,000 for each category <br /> . Based on Redwood City Employee <br />8 I Client! Customer satisfaction I Pass/Fall I Survey "B" or better overall rating <br /> <br />1. lost time days.2. litigation costs 3. medical costs 4. litigation rate <br /> <br />$2,000 <br /> <br />-1 <br /> <br /> <br />
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