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.>9,1 ~!~~_~~ :g ~ ADjvJINI5Tr-<ATClI~5 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 prescn'bed 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 responsibi1i~ oftheAdministrator. 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. 1. Subscn"be to on Employer's beha1( enrollment in the Index Bureau System and to report to the Index Bureau on each and every Indemnity Claim. The cost of Index Filings will be allocated to each individual claim file. In. Create reserve and enter required claim data into Administrator's computer system within five (5) worldng 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 il\jury or illness, for causal relationship to all cliims .ofinjurieslillness. and reasonableness of1re8tment prior to payment Solicit all Diedical bil1s~ medical reports' and records, and documentation of alleged wage loss prior to seUlement negotiations. o. Make all disability payments and send all notices in a timely manner, abidina by all applicable provisions of the California Labor Code and California Workers' Compensation Laws, Rules and Regulations. p. Make payments of bills within thirty (30) days of receipt, and assure timely review and payment of all medical bills in accordance with statutory deadlines and requirements. q. Acknowledge to Employer all claims reported to Administrator within three (3) worldng days of receipt oftb.e notice of claim and to notify Employer and injured workers within five (5) worlcing days of the notice of claim to Employer, whether the claim has been accepted, delayed for :further investigation, or denied. r. Convert all Medical Only Claims to Indemni~ Claims status when the paid amount reaches two- thousand-five-hundred ($2.500) dollars or when the claim remains open in excess of one (I) year. s. Recognizo and where appropriate investigate all subrogation and/or contribution possibilities, preserving evidence and utilizing appropriate investiga~ and experts, as nee()ed, after first obtaining Employers permission to engage such investigators/experts. As respects subrogation and contribution cases. any compromise settlements or lien reductions will be discussed with the Employer. t. SCHIP Reporting - Administrator has contracted with Gould & Lamb, LLP as our preferred provider for Medicare Set Aside Allocations. Gould & Lamb, LLP is also our preferred partner in all SCHIP reporting efforts. Unless specifically approved in advance by Employer, Adminis1ratorwill exclusively utilize the services of Gould & Lamb, ILP to satisfy and comply with all SCHIP reporting requirements. 4.03 Administtator agrees to monitor relevancy of medical treatment by the following: a. Maintain continual contact with medical practitioners in order to monitor claimant treatmentprocess and a timely return to work. Administrator shall make a good faith effort to establish contact with attending City of Redwood City. Claim Service ~ent. 2009 through 2010 4