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2018/05/23 Council Agenda Packet
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2018/05/23 Council Agenda Packet
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Council Agenda Packet
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5/23/2018
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11. Comply with reporting requirements of the City's workers'compensation excess <br /> carrier. Provide assistance and reports for excess workers' compensation renewal <br /> and budget purposes. <br /> 12. Advise the City's Workers'Compensation Staff about assigning case managers, <br /> counselors,independent medical examiners,therapists, etc.in a timely manner,as <br /> indicated or directed. <br /> 13. Notify the Workers'Compensation Staff immediately,both electronically and in <br /> writing,of any litigation,regardless of reserve. <br /> 14. Advise the City's Workers'Compensation Staff of any assignment of a nurse case <br /> manager and consult before assigning a vocational counselor or attorney. <br /> Document all assignments in progress notes. The City has the right to stipulate <br /> the use of specific attorneys and/or vocational rehabilitation counselors. <br /> 15. Attend trials and settlement conferences. <br /> 16. Identify potential third-party subrogation. Pursue reasonable subrogation and <br /> distribute any recovered sums. <br /> 17. The following reports will be provided monthly: Open claims run, all claims run <br /> for current and most recent past fiscal year,OSHA Log,Loss Run Summaries and <br /> Check Log. Billed/Paid Comparison reports and Loss Analysis reports will be <br /> provided quarterly. Reports will be mailed within five working days of the end of <br /> each calendar month. Additional reports are available at rates to be agreed to by <br /> the parties. <br /> 18. Prepare documentation necessary for the payment of temporary and permanent <br /> disability benefits and other claims related expenses if supported by appropriate <br /> medical certification. <br /> 19. Prepare documentation necessary for the payment of authorized medical expenses <br /> in compliance with the current State medical fee schedule. <br /> 20. Prepare documentation necessary for the payment of all other claims related <br /> expenses,including those for investigations,vocational services, legal services, <br /> expert witness fees and other similar expenses. <br /> 21. At the City's request,a quarterly claims review with the City's assigned Claims <br /> Administrator is included in the basic service program. <br /> 22. With the exception of a one-time fee for data conversion,all miscellaneous <br /> administrative support costs, including administrative costs,data information and <br /> analysis are included in the basic service fee program. <br /> Page 13 <br /> Workers Compensation PSA 2017 <br /> 22 <br />
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