Item 22 - Agreements for Third Party General Liability and Workers Comp Claims Administrative Services

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SCOPE OF SERVICES- GENERAL LIABILITY CLAIMS ADMINSTRATION 1. Description of Services. The responsibilities of Consultant are divided into the following categories: claims administration, litigation management, subrogation and reporting of claims activities. Consultant agrees to perform these services in accordance with the Best Practices and Performance Standards for Third Party Administrators. a. Claims Administration. (i) Consultant shall provide the City with sufficient qualified personnel, including at least one senior claims adjuster, to efficiently and effectively meet the responsibilities as defined below and any other duties incidental, or in addition, to those responsibilities. The senior claims adjuster shall have a minimum of three years' experience in adjusting liability claims for public entities. Consultant shall also provide a supervisor/account manager who shall oversee the servicing of the City's claims. The account manager shall have at least six years' experience in adjusting liability claims, 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 Consultant 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 in an expeditious manner and taking into account the statutory time frame for responding to a government tort claim; (3) Periodically, determine potential liability and establish, review, and update reserves for each reported claims and advise the City of any changes as they occur; (4) Notify Independent Cities Risk Management Authority (ICRMA) Litigation Manager of a claim as required by the ICRMA Liability Program Memorandum of Coverage (MOC) and coordinate with the City's Risk Management Division, City Attorney's Office and ICRMA Litigation Manager and any applicable excess insurance representatives 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 reserves, minimally at 90-day intervals;