It is expected that the Firm will provide usual and customary claims administration services that will include, at a minimum, the following: Assume the complete handling of all prior claims as well as new claims originating from the effective date of this contract. It is required that claims data and all other documentation (open and closed) associated with all claims occurring prior to October 1, 2025, be transferred into the new Claims Administrator’s computer information system to ensure future City loss runs will contain a complete history of all claim years. The transfer of all claims data shall be completed no later than December 31, 2025. Review all claims and loss reports filed by the City. Thoroughly investigate all claims made against the City through appropriate claim procedures as necessitated by the severity of the injury and ensure correct payment of medical and time loss claims. Provide cost containment services, including medical fee reductions and a preferred provider network; provide quarterly report of cost containment services. Attend trials, mediations and/or settlement conferences as necessary. Develop and maintain an investigative file on each claim. Files are to be readily available for the City’s review and shall be well documented and up to date. Notify excess insurance carriers of claims and or occurrences at predetermined levels required by excess insurers. Provide information and status of claims as requested by the excess insurance carrier. Develop and maintain a claims database to be used in the administration of the claims and to generate reports to the City. Within fifteen (15) days following the end of each month, submit a report to the City of account for individual claims. This report shall show the status of each open claim and experience year-to-date of all claims. Open and administer a bank account with a qualified public depository (QPD) on behalf of the City for claims disbursements/receipts, to include granting online electronic inquiry access to said account for designated City employees, preparing monthly bank reconciliations and obtaining the Public Deposit Identification and Acknowledgement Forms signed by bank officials for the account on an annual basis.
