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2024-237
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2024-237
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Last modified
10/21/2024 11:45:59 AM
Creation date
10/21/2024 11:41:35 AM
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Template:
Official Documents
Official Document Type
Agreement
Approved Date
09/24/2024
Control Number
2024-237
Agenda Item Number
8.P.
Entity Name
Davies Claims North America, Inc.
Subject
Third Party Claims Administration Services Agreement for the Self-Funded Workers’
Compensation and Liability Program
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penalties will be credited to future amounts invoiced by the TPA to IRC. <br />The Performance Reviews will measure objective performance standards which are easily identified <br />and measured. After each Performance Review is performed, the TPA will meet with the IRC Risk <br />Manager and/or designee to discuss initial evaluation results. The TPA will be given an opportunity to <br />factually rebut the initial findings. Thereafter, a final tally of the review results will be prepared. <br />A minimum Total Weighted Review Points of 80 is expected in the first annual period of the <br />contract. The minimum Total Weighted Review Points is raised to 90 on the second annual period, <br />and 95 for periods thereafter. Failure to meet these average compliance expectations will result in <br />the penalty noted above. <br />THIRD PARTY LIABILITY CLAIM FILE REVIEWS <br />The Claim File Review will include 20 randomly selected claim files. The make-up of the files <br />selected for each review will be at least 50% open files. At least 50% of the selected files will have <br />recent (within performance period) dates of occurrence and remaining selected files will have dates <br />of injury more than 12 months prior to the performance period. <br />Each claim will generate a score ranging from 1 to 100 points. All timeliness standards of <br />performance are stated in business, not calendar, days. In any instances where a standard is not <br />applicable to a particular claim file, the file will be awarded the appropriate point(s) for that <br />standard. Only transactions that are paid or processed during the performance period will be subject <br />to scoring. <br />1. Claim Receipt, Recording & Contact Assigned (20 Points) <br />The TPA will document claims intake information on all liability claims, enter the claim <br />into the system, properly code claim, assign claim number and assign adjuster. This <br />information will be available electronically within one business day of receipt of claim <br />intake information. <br />A minimum of "three attempts" by the claims adjuster to contact the appropriate claimant(s), <br />employees, and/or supervisor will be considered a "contact," if followed up with appropriate <br />correspondence and documented in the file within the measurement period. <br />2. Document Subrogation Recovery Potential (10 Points) <br />Adjusters will document subrogation, contribution, and/or coordination of benefits <br />recovery potential in the claim file within fourteen (14) days of claim receipt. <br />3. Litigation Management and Comm unication/Documentation (10 Points) Claims <br />adjusters will "address" litigation within two (2) days of litigation receipt. This will <br />Page 23 <br />
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