1999 AGN JUN 01 I16 - Laserfiche WebLink

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(d) Determine eligibility for and make timely payments of, valid claims for compensation, medical and rehabilitation benefits, and other required benefits under applicable Workers' Compensation insurance laws, together with all allocated claim services as referenced in Section 4.3 of this AGREEMENT. (e) Engage and supervise the services of persons or firms outside its organization for work in connection with claims requiring legal or rehabilitation services. (f) Maintain an accurate and complete file on each reported claim which shall be available during normal business hours for inspection by the CLIENT, its representatives or by appropriate regulatory authorities. (g) Protect any subrogation rights to the CLIENT which may arise upon Payment of claims and notify the CLIENT of any such rights which may be available to the CLIENT. II. OTHER SERVICE PROVISIONS OF TRISTAR 2.1 Monitor all medical treatment associated with claims for appropriateness of medical treatment and relatedness of such treatment to the compensable injury. 2.2 Review and make recommendations to the CLIENT, as necessary, on the use of in-house medical experts. 2.3 Authorize examinations as required to determine the nature and extent of disabling injuries. 2.4 Provide guidance to the CLIENT with respect to any physical limitations and/or restrictions which may arise due to injuries and which may impact return to work activities. 2.5 Investigate or arrange for investigation of questionable claims as necessary. 2.6 Provide information and guidance to the CLIENT as required, or requested, regarding Workers' Compensation benefits, injuries and permanent disability ratings. 2.7- Provide the CLIENT with information updating the status of individual claims, including periodic meetings to discuss losses. 2.8 Submit monthly loss statistical and/or narrative reports to the CLIENT.