25D - AGMT WORK COMP ADMIN - Laserfiche WebLink

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five of which involved adjusting liability claims for public entities. No adjuster or supervisor/account manager shall service the City's account without prior approval by the City. (ii) The responsibilities of Administrator shall include, but not be limited to, the following; (1) Establish and maintain an electronic file for each claim reported, to include a diary review system by both the examiner and supervisor; statistical data for each claim should be stored electronically and shall include all data required to comply with federal and state requirements including Medicare secondary payer laws and regulations; (2) Provide comprehensive claim investigative services; (3) Periodically, determine potential liability and establish, review, and update reserves for each reported accident and advise the City of any changes as they occur; (4) Notify Big Independent Cities Excess Pool (BICEP) Litigation Manager of a claim as required by the BICEP Liability Program Memorandum of Coverage (MOC) and coordinate with the City Risk Management Division, City Attorney's Office and BICEP Litigation Manager in the defense, settlement, and payment of claims. Prepare and submit information to the Litigation Manager, and upon request insurance carrier(s), on all claims that fall within the reporting requirements set forth by the MOC or the insurance carrier(s); (5) Document sufficiency of reserve minimally at 90 -day intervals; (6) Provide the City with a recommendation to accept or deny a claim within the statutory period in the California Government Tort Claims Act; (7) Provide immediate notification to the City of offers to settle; (8) Obtain settlement authority from City, BICEP (when required),and the excess carrier where applicable; (9) Obtain releases and other necessary forms from all appropriate parties upon settlement of a claim prior to issuing a settlement check; (10) Upon the City's request, assist with preparation for appearances in small claims court, court hearings and City Council meetings at no additional charge to the City; (11) Prepare and, where needed, obtain approval for issuance of checks, drafts, or other documents in the payment of claims with electronic copies sent to the City; (12) Promptly determine any potential to tender a claim to third parties and the feasibility of subrogation, and take appropriate steps to subrogate, where such action is appropriate; (13) Promptly close each claim as soon as possible, but no later than 30 days after final check issuance; Page 2 of 13 25D-8