My WebLink
|
Help
|
About
|
Sign Out
Home
Browse
Search
06/18/2019 (2)
CBCC
>
Meetings
>
2010's
>
2019
>
06/18/2019 (2)
Metadata
Thumbnails
Annotations
Entry Properties
Last modified
12/31/2019 1:23:16 PM
Creation date
10/7/2019 6:02:17 PM
Metadata
Fields
Template:
Meetings
Meeting Type
BCC Regular Meeting
Document Type
Agenda Packet
Meeting Date
06/18/2019
Meeting Body
Board of County Commissioners
Jump to thumbnail
< previous set
next set >
There are no annotations on this page.
Document management portal powered by Laserfiche WebLink 9 © 1998-2015
Laserfiche.
All rights reserved.
/
480
PDF
Print
Pages to print
Enter page numbers and/or page ranges separated by commas. For example, 1,3,5-12.
After downloading, print the document using a PDF reader (e.g. Adobe Reader).
View images
View plain text
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 reportingaddress and <br />phone number of all carriers, policy number, effective dates, limits of liability, deductibles, specific <br />retentions and loss funds. Actual polices will be provided. This information is required for each <br />claim year that TPA is handling for IRC. If this information is not made available as outlined in <br />this paragraph, TPA will not be responsible for any penalties, interest, or reductions in excess <br />recoveries because of late reporting. <br />8. Within 24 hours after notification of a serious (one requiring more than first aid) third party bodily <br />injury claim, contact the claimant by telephone or in person. Within two working days after <br />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 of <br />any claim will exceed a discretionary limit of $10,000, IRC shall be notified and the final decision <br />for settlement shall rest with IRC or its designee. Any settlement is to include preparation and <br />actuation of all necessary compromise and release agreements. <br />10. Conduct such investigation, field or telephonic, as in the exercise of professional judgment would <br />seem necessary. Follow specific written investigation procedures for any case for which the <br />excess insurer requires specific notification. <br />11. IRC may select and employ outside professionals such as surveillance personnel, expert witnesses, <br />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 />106 <br />
The URL can be used to link to this page
Your browser does not support the video tag.