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ORIGINAL CITY OF REDWOOD CITY WORKERS' COMPENSATION PROGRAM PERFORMANCE STANDARDS The following Claims Administration Performance Standards have been adopted by the City of Redwood City and the BCJPIA: 1. Caseload: Each examiner shall have a caseload not to exceed 175 open indemnity claims. Each claims assistant shall have a caseload not to exceed 300 open medical only claims. The supervisor shall have a caseload not to exceed 30 open indemnity claims. 2. Forms: The TP A shall provide all forms necessary for the processing of benefits or claims information including the Employer's Report ofInjury, DWC Form 1, return to work slips, vouchers, checks, and other related forms. The cost of providing these forms shall be included within the contract price. 3. Claim File Set Up and Diary Review: Upon receipt of the Employer's Report of Injury, the TP A will prepare an individual claim file within two (2) working days for each claim. All claim files shall be reviewed at least every forty-five (45) calendar days for active claims and at least every six (6) months for claims that have settled but are open for the employee's future medical care. The examiner shall distinguish the regular diary review from routine file documentation in the computer notepad. The supervisor shall monitor the diary reviews by printing a "No Activity" report each month to identify any files that have fallen off the diary system. 4. Employer Contact: The TP A shall request the Employer's Report of Injury form when or if notification of an injury or incident by any source is received first (i.e., Application of Adjudication, notice of legal representation, Doctor's First Report of Injury, etc.). The TPA will confirm the DWC Form 1 was given to the employee within one (1) working day of knowledge of the injury. If there is no evidence the form was provided, the TP A will provide the form with the initial contact letter to the employee within three (3) business days of receiving the claim. The TPA shall contact the member city within one (1) working day of receipt of notice of a lost time claim by any source. Such contact with the member city shall be documented in the computer notepad after the claim has been created in the system. When a claim reaches or exceeds one half of the member city's SIR in total incurred value, the TPA shall report to the member city, with a copy to the Workers' Compensation Program Manager, every ninety (90) days regarding the status of the City of Redwood City - Performance Standards Page 1 of8 July 1, 2004 --., -