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i <br /> i <br /> SCOPE OF SERVICES-GENERAL LIABILITY CLAIMS ADMINSTRATION <br /> 1. Description of Services. The responsibilities of Consultant are divided into the <br /> following categories; claims administration,litigation management,subrogation and reporting of <br /> claims activities. Consultant agrees to perform these services in accordance with the Best Practices <br /> and Performance Standards for Third Party Administrators. <br /> a. Claims Administration. <br /> (i) Consultant shall provide the City with sufficient qualified personnel, <br /> including at least one senior claims adjuster,to efficiently and effectively meet the responsibilities <br /> as defined below and any other duties incidental, or in addition, to those responsibilities. The <br /> senior claims adjuster shall have a minimurn of three years' experience in adjusting liability claims <br /> for public entities. Consultant shall also provide a supervisor/account manager who shall oversee <br /> the servicing of the City's claims. The account manager shall have at least six years' experience <br /> in adjusting liability claims, five of which involved adjusting liability claims for public entities. <br /> No adjuster or supervisor/account manager shall service the City's account without prior approval <br /> by the City. <br /> (ii) The responsibilities of Consultant shall include, but not be limited <br /> to,the following, <br /> (1) Establish and maintain an electronic file for each claim <br /> reported,to include a diary review system by both the examiner and supervisor;statistical data for <br /> each claim should be stored electronically and shall include all data required to comply with federal <br /> and state requirements including Medicare secondary payer laws and regulations; <br /> (2) Provide comprehensive claim investigative services in an <br /> expeditious manner and taping into account the statutory time frame for responding to a <br /> government tort claim; <br /> (3) Periodically, detennine potential. liability and establish, <br /> review, and update reserves for each reported claims and advise the City of any changes as they <br /> occur; <br /> (4) Notify Independent Cities Risk Management Authority <br /> (ICRMA) Litigation Manager of a claim as required by the ICRMA Liability Program <br /> Memorandum of Coverage (MOC) and coordinate with the City's Risk Management Division, <br /> City A.ttorney's Office and ICRMA Litigation Manager and any applicable excess insurance <br /> representatives in the defense,settlement, and payment of claims. Prepare and submit information <br /> to the Litigation.Manager, and upon request insurance carrier(s), on all claims that fall within the <br /> reporting requirements set forth by the MOC or the insurance carrier(s); <br /> (5) Document sufficiency of reserves, minimally at 90-day <br /> intervals; <br /> I <br /> i <br /> i <br /> l <br />