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6. Receive and examine on behalf of IRC all reports of third party claims including claims by an <br /> employee of one Insured against another Insured. <br /> 7. Report claims to IRC's excess insurer(s) in accordance with the requirements of the excess <br /> insurer(s). Provide a copy of the report to IRC. Follow specific written investigation procedures <br /> for any case for which the excess insurer requires specific notification. It is the responsibility of <br /> IRC to provide accurate coverage information regarding any insurance policies insuring claims <br /> covered by this contract. New insurance information on renewal years will be made within 90 <br /> days of renewal date. Excess information will include name and claims reporting address and <br /> phone number of all carriers, policy number, effective dates, limits of liability, deductibles, <br /> specific retentions and loss funds. Actual polices will be provided. This information is required <br /> for each claim year that TPA is handling for IRC. If this information is not made available as <br /> outlined in this paragraph, TPA will not be responsible for any penalties, interest, or reductions <br /> in excess recoveries because of late reporting. <br /> 8. Within 24 hours after notification of a serious (one requiring more than first aid) third party <br /> bodily injury claim, contact the claimant by telephone or in person. Within two working days <br /> after notification of any other third party claim, contact the claimant by telephone or in person. <br /> 9. Subject to the exercise of professional judgment,accept and settle or deny all third party claims <br /> on behalf of IRC. When it appears that the claim is questionable or contested or the final value <br /> of any claim will exceed a discretionary limit of$10,000, IRC shall be notified and the final <br /> decision for settlement shall rest with IRC or its designee. Any settlement is to include <br /> preparation and actuation of all necessary compromise and release agreements. <br /> 10. Conduct such investigation, field or telephonic, as in the exercise of professional judgment <br /> would seem necessary. Follow specific written investigation procedures for any case for which <br /> the excess insurer requires specific notification. <br /> 11. IRC may select and employ outside professionals such as surveillance personnel, expert <br /> witnesses, and attorneys to assist in the investigation, adjustment, and defense of claims. <br /> (a)IRC may select specific vendors and pricing schedules for the following services: Legal, <br /> Surveillance and Investigation services, and Medicare Set-Aside (CMS) services. <br /> (b)TPA will review all bills for such services for reasonableness and conformity to any pre- <br /> established rates or fees and have the ability to adhere to any set pricing schedules. <br /> (c) TPA will work collaboratively with these outside professionals. <br /> IRC will be involved in the selection process for such outside professionals and will be involved <br /> in establishing effective utilization decision making criteria. <br /> Page 20 <br />