AgdaPkt 2009-06-15 clsd and spc - Laserfiche WebLink

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6.1D Page 7 outlining work to be done, by whom, and in what time frame. All assignments, instructions and communication with defense counsel must be documented in the claim file and computer note pads. Administrator shall manage defense counsel on an ongoing basis and obtain status reports from defense counsel every sixty (60) days. Administrator shall actively manage litigated files and not perform functions and shall not require defense counsel to perform activities which can be accomplished effectively by claims staff. Administrator shall obtain defense counsels' written evaluation within sixty (60) days of submission, including evaluation of liability, verdict potential, settlement value, and case strategy. g. Disburse payment on behalf of Employer out of the bank trust account funded by Employer. all "Allocated Loss Expenses", which is defined to include all costs incurred on behalf of Employer specifically related to an individual claim, including but not limited to, attorneys, independent adjusters or investigators, expert witnesses, copying records or transcripts, court costs or Appeals Board fees or other costs deemed proper and necessary to represent Employer. h. Use best efforts to achieve an average monthly closure ratio of one hundred percent 11 00%) over the term of this Agreement. i. Examine on behalf of Employer all reports of industrial injury or illness relating to Employer's employees or former employees and reported to Administrator and to conduct investigations on such cases by Administrator's salaried employees as in Administrator's judgment is deemed necessary. j. Pay compensation, medical expense, "Allocated Loss Expense", and all other benefits as prescribed by law out of funds provided by Employer. Payments made by Administrator without Employer approval. where approval is required elsewhere in this Agreement. shall be the responsibility of the Administrator. k. Maintain a claim file on each reported claim which shall be available to Employer at all times for inspection and to conduct. at a time and frequency to be determined by Employer, claim file reviews with Employer at either Employer'S or Administrator's offices. I. Subscribe to on Employer's behalf, enrollment in the Index Bureau System and to report to the Index Bureau on each and every Indemnity Claim. The cost of Index Rlings will be allocated to each individual claim file. m. Create reserve and enter required claim data into Administrator's computer system within five (5) working days of receipt of notice of claim from Employer. Enter all payments, reserved revisions, and file closings into the information system within three (3) working days. n. Review employer's medical bills and other medical charges and treatment relating to Employer'S claims of industrial injury or illness, for causal relationship to all claims of injuries/illness. and reasonableness of treatment prior to payment. Solicit all medical bills, medical reports and records, and documentation of alleged wage loss prior to settlement negotiations. City of Redwood City - Claim Service Agreement - 2009 through 2010 4