i. Review all claim and loss reports received from City during the term of the contract and process each claim or loss report in accordance with applicable statutory and administrative regulations. ii. Investigate of each reported claim or loss under subparagraph (1) above (hereinafter referred to as a “qualified claim or loss”) to the extent deemed necessary by Contractor in the performance of its obligations hereunder. iii. Arrange for independent investigators or medical or other experts to the extent deemed necessary by the Contractor in connection with processing any qualified claim or loss. iv. Pay medical and death benefits, temporary and permanent disability compensation and other losses and expenses, but only if in the sole judgment of Contractor, such payment would be prudent for the City and the anticipated amount thereof does not exceed the limit specified or the City specifically approves or directs such action in writing. v. Perform reasonable and necessary administrative and clerical work in connection with qualified claims or losses including the preparation of checks bearing the name of City and drawn on the account or accounts.. vi. Maintain a file for each qualified claim or loss which shall become the property of City, and which shall be available for review by the City at any reasonable time. vii. Notify excess insurers of all qualified claims or losses with values that may exceed the City’s retention, providing such insurers with necessary information on the status of those claims or losses, unless relieved of this obligation by the City. viii. Review all open claims, at least monthly to make certain that claims and expense reserves are accurately set at the ultimate expected cost (no step reserving). ix. Assist the Risk Management and City Attorney with selection of outside counsel to defend qualified claims or losses, if requested by the City. x. Assist the City’s counsel, if requested, in preparing the defense of litigated cases, negotiating settlements and pursuing subrogation or contribution actions.
