The following is a general scope of what is required to manage a cost effective Workers’ Compensation Program. There may be services your vendor may provide not listed, please outline those in detail as well. Act as administrator of the City of Scranton’s Workers’ Compensation Program, pay claims and expenses on the City of Scranton’s behalf and provide monthly financial reports. Establish records of all claims, including those resulting in no payment (“Record Only”), medical only and compensable, including allocated loss adjustment expenses (ALAE). Complete any regulatory reporting forms, or other documents required by governing authorities. Establish claimant contact in a timely fashion, and make necessary medical and loss time payments to claimants and medical providers. Employ third party vendors and special investigators when necessary. The City of Scranton reserves the right to select those vendors. Attempt to achieve the return to work of injured employees, and render advice to the City regarding the return to work and light duty options that could be utilized. Establish appropriate reserves and maintain records of all payments for medical indemnity, and expenses for each Worker’s Compensation claims. Meet with City of Scranton personnel at least once per quarter to review the status of the claims administration process and other matters pertinent to the services being performed. Conduct an annual stewardship meeting reviewing the services performed the previous year, the status of open claims, loss payment history and trends, and incurred loss experience and trends, with recommendations for the upcoming year. Report claims to the excess insurer in accordance with the requirements of the policy. Provide claim status reports as requested by the City. Attached as Exhibit “A” please find a copy of the evaluation performed by Gary R. Abramson, ACAS, MAAA, which provides a reserve analysis and loss forecast of the City’s Self Insured program, along with claims data.
