25D - AGMT WORK COMP ADMIN - Laserfiche WebLink

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(14) Make available time, electronic files, and necessary staff for meetings with the City and attendance at applicable meetings for settlement authority, claim resolution strategy, and periodic claim audits; (15) After collecting member data, Administrator shall determine whether claimants are Medicare beneficiaries. If claimants are found to be Medicare beneficiaries, Administrator as part of any settlement with the claimant shall onbehalf of the City take all steps necessary to protect Medicare's interests. This shall include, but is not necessarily limited to, confirming that all known liens or claims by Medicare shall be satisfied from the settlement, and making all reasonable efforts to determine whether Medicare will be asserting any future liens or claims against the City, and if so, to satisfy as part of the settlement any such liens or claims to the extent they can be determined, through a Medicare Set Aside or other appropriate procedure or mechanism; and (16) Maintain complete records of payments from an approved trust account, established by the Administrator on behalf of the City for the purpose of paying all claims related costs. b. Litigation Management. (i) Administrator shall assist in the implementation and conform to the procedures of the City Attorney's Office and BICEP's Litigation Management Program. (ii) The duties of Administrator shall include, but not be limited to: (1) Monitor defense counsel and assist in the implementation of the BICEP's Litigation Management Guidelines incorporated herein by reference; (2) With approval of the City Attorney and BICEP (when applicable), assign the defense of litigated cases to the defense firm selected; (3) Assist defense counsel, at the direction of the City, in obtaining facts or circumstances of a claim, including assistance in answering interrogatories; (4) Supplying and collecting the case analysis and performance evaluation forms from the defense firms; (5) Review legal bills for accuracy, for compliance with the Litigation ManagementGuidelines, and use of cost effective processes; (6) Maintaining, in coordination with the City and BICEP, an evaluation file on each defense firm with respect to each defense assignment; and (7) Providing any and all information, reports, and data to the City and BICEP as may be requested from time to time. (8) Allow access to City files for BICEP annual audit. Page 3 of 13 25D-9