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<br />20. <br /> <br />21. <br /> <br />Sllhroe;;'ltion' In all cases where a third party is responsible for the injury to the employee, the TPA <br />shall contact the City indicating they will pursue subrogation unless instructed otherwise by the <br />City. When subrogation is to be pursued, the third party shall be contacted within ten (10) days of <br />identification, with notification of the City's right to subrogation and the recovery of certain claim <br />expenses. If the third party is a governmental entity, a claim shall be filed with the governing board <br />within six (6) months of the injury or notice of injury. <br /> <br />Periodic contact shall be made with the responsible party and/or insurer to provide notification of <br />the amount of the estimated recovery to which the City will be entitled. <br /> <br />---If the injured worker brings a civil action against the party responsible for the injll.ry, the TPA <br />shall consult with the City about the value of the subrogation claim and other considerations. <br />Upon the City's authorization, subrogation counsel shall be assigned to file a Lien or a <br />Complaint in Intervention in the civil action. <br /> <br />Whenever practical, the TP A should take advantage of any settlement in a civil action by <br />attempting to settle the workers' compensation claim by means of a Third Party Compromise and <br />Release. If such attempt does not succeed, then every effort should be made through the WCAB <br />to offset claim expenses through a credit against the proceeds from the injured worker's civil <br />action. <br /> <br />Voc;'Ition;'ll Reh;'lhilit;'ltion- In accordance with all applicable California laws in place at the date of <br />injury, the TPA shall: <br /> <br />A. Determine the Qualified Injured WorkerlNon Qualified Injured Worker status; <br />B. Advise the injured worker of his/her right to rehabilitation benefits; <br />C. Provide appropriate vocational rehabilitation benefits; <br />D. Control rehabilitation costs; and <br />E. Attempt to secure the prompt conclusion of vocational rehabilitation benefits. <br /> <br />22. <br /> <br />CJ;'Iim Reconcili;'ltion- All claim files shall be reconciled to ensure all, indemnity payments have <br />been made correctly. The reconciliation should verify that payments were in the correct amount <br />and from the correct claim file. The physical file should be verified with the computer <br />information. All open claim files shall be reconciled at the time of a request for settlement <br />authorization and at the time of submission for closure. Proof of the reconciliation should <br />remain in the claim file. <br /> <br />23. <br /> <br />Excess TnsllT;'Ince' Cases that have the potential to exceed the City of Redwood City's self-insured <br />retention shall be reported in accordance with the reporting criteria established by the Local Agency <br />Workers' Compensation Excess Joint Powers Authority (LA WCX) and any other excess insurance <br />policies. All cases that meet the established reporting criteria are to be reported within five (5) days <br />ofthe day on which it is known the criterion is met. <br /> <br />24. <br /> <br />A w;'lrcl P;'Iyment. Payments on awards, computations, or Compromise and Release agreements will <br />be issued within ten (10) days, or sooner if necessary to ensure payment within twenty (20) days of <br />the WCAB approval date, following receipt of the appropriate document. <br /> <br />City of Redwood City Performance Standards <br /> <br />Page 5 of7 <br /> <br />April 28, 2006 <br />