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<br />. <br />. <br /> <br />, <br /> <br />a [-::~N~::A~~ <br /> <br />and computer note pads. Administrator shall manage defense counsel on an ongoing basis <br />and obtain status reports from defense counsel every sixty (60) days. Administrator shall <br />actively manage litigated files and not perform functions and shall not require defense <br />counsel to perform activities which can be accomplished effectively by claims staff. <br /> <br />Administrator shall obtain defense counsels' written evaluation within sixty (60) days of <br />submission, including evaluation of liability, verdict potential, settlement value, and case <br />strategy. <br /> <br />g. Disburse payment on behalf of Employer out of the bank trust account funded by Employer, <br />all "Allocated Loss Expensesll, which is defined to include all costs incurred on behalf of <br />Employer specifically related to an individual claim, including but not limited to, attorneys, <br />Independent adjusters or investigators, expert witnesses, copying records ortranscripts, court <br />costs or Appeals Board fees or other costs deemed proper and necessary to represent <br />Employer. <br /> <br />h. Use best efforts to achieve an average monthly closure ratio of one hundred percent (100%) <br />over the term of this Agreement. <br /> <br />i. Examine on behalf of Employer all reports of industrial injury or illness relating to Employer's <br />employees or former employees and reported to Administrator and to conduct investigations <br />on such cases by Administrator's salaried employees as in Administrator's judgment is <br />deemed necessary. <br /> <br />j. Pay compensation, medical expense, "Allocated Loss Expense", and all other benefits as <br />prescribed by law out of funds provided by Employer. Payments made by Administrator <br />without Employer approval, where approval Is required elsewhere In this Agreement, shall be <br />the responsibility of the Administrator. <br /> <br />k. Maintain a claim file on each reported claim which shall be available to Employer at all times <br />for inspection and to conduct, at a time and frequency to be determined by Employer, claim <br />file reviews with Employer at either Employer's or Administrator's offices. <br /> <br />I. Subscribe to on Employer's behalf, enrollment In the Index Bureau System and to report to <br />the Index Bureau on each and every Indemnity Claim. The cost of Index Filings will be <br />allocated to each individual claim file. <br /> <br />m. Create, reserve and enter required claim data into Administrator's computer system within <br />five (5) working days of receipt of notice of claim from Employer. Enter all payments, <br />reserved revisions, and file doslnss Into the Information system within three (3) working days. <br /> <br />n. Review employer's medical bills and other medical charges and treatment relating to <br />Employer's claims of industrial injury or illness, for causal relationship to all claims of <br />injuries/illness, and reasonableness of treatment prior to payment. Solicit all medical bills, <br />medical reports and records, and documentation of alleged wage loss prior to settlement <br />negotiations. <br /> <br />The CIty of Redwood CIty - ClaIm Service Asreement - 2010 - 2012 <br /> <br />4 <br />