AR 071806 Tristar Risk Management

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1.10 If necessary, provide notification to all employees and providers of services of the change in workers' compensation claims administrated by the City. This notification shall include a statement indicating that all outstanding billings on any City claim should be submitted to the new administrator for processing. The providers of services shall also be furnished with file folder labels imprinted with the new Administrator's name and address for=trse in the reporting and billing information. 2. Audit - The City shall, at its option, have the right to have ai claim audit performed on a random selection of files once yearly. The audit will be gesrerally dire,00,4 to the following areas: 2.1 Compliance with contra(slualand fiduciary obligations; 2.2 Compliance with; the City's case management staxtdazds and accuracy of loss runs and records; 2.3 Application of all current W C:A.B. rules and regulations and case law. 3. Case File Review — A quarterly meeting shall be held between the Consultant (administrator) and Human Resource staff. This review will be primarily directed to the evaluation of open indemnity claims including litigated cases. The purpose of the review shall be to outline losses and identify problems, examine reserves, identify current trends, discuss changes in the Labor Code, apply new case law to existing claims, discuss the need for improving or altering claims management, and to make recommendations for improvement in communication between the claims administrator and the City. 4. Periodic Meetings — The Consultant shall meet with City staff periodically (at least 4 times) per year to: 4.1 Assist the City in developing and modifying internal procedures. 4.2 Provide orientation and training to City personnel involved in the administration of the Program. 4.3 Discuss general trends in the Workers' Compensation Program. 5. Advisory Services — The Consultant shall provide written bulletins to inform the City of the adoption, amendment or repeal of all statutes, rules and regulations which directly affect the Program. 6. Compliance with Law — The Consultant shall administer the Program in full compliance with all laws, rules and regulations governing Workers' Compensation and self-insurance. 7. Required Forms — The Consultant shall provide the City will all forms required by the State in connection with the Program. RVPUMNGS\529334 A-2 (BBK revised July 2, 2001)