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INNOVATIVE CLAIM SOLUTIONS (ICS)
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INNOVATIVE CLAIM SOLUTIONS (ICS)
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Last modified
6/28/2024 8:55:17 AM
Creation date
6/28/2024 8:55:02 AM
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CONTRACTS
Description Type
Professional Services
Contract Type
Amendment
NAME
INNOVATIVE CLAIM SOLUTIONS (ICS)
Contract Record Series
704-05
Munis Contract #
2022107
Contract Expiration
6/30/2025
NOTES
WORKER'S COMPENSATION ADMINISTRATIVE SERVICES
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EXHIBIT A <br />Scope of Consultant's Services <br />I.ICS BASIC SERVICES <br />The services as described shall be performed in all material respects in accordance with <br />applicable laws, rules, regulations and standards of governmental authorities including, in <br />particular, applicable Workers' Compensation Laws of the State of California. The following <br />more fully details those services: <br />A. Staffing Adequacy and Performance—Innovative Claim Solutions' ("ICS") <br />policy is to assure that adequate staff is maintained to adjudicate claims in a timely and <br />efficient manner. <br />B. Coordination - ICS shall consult and coordinate with the City of Pleasanton's <br />CLIENT'S") staff, or its designated contact, charged with responsibility for workers' <br />compensation matters. ICS shall be responsible for keeping such staff, or its designated <br />contact, informed of changes in the laws and regulations affecting the CLIENT'S <br />responsibilities under its self-insured workers' compensation program. <br />C. Claims Administration - ICS shall administer on behalf of the CLIENT all <br />claims for workers' compensation in all material respects pursuant to all applicable laws, <br />regulations and rules. On behalf of CLIENT, ICS shall perform the following services in <br />connection with CLIENT'S Workers' Compensation Program: <br />1. Review and process reported claims for workers' compensation benefits <br />that have not been closed as of the Effective Date of this Agreement and closed <br />claims that reopen on or after the Effective Date. <br />2. Determine liability for claimed injuries and illnesses in accordance with <br />California Workers' Compensation Laws. <br />3. Review and process all claims in accordance with rules and regulations <br />established by the Division of Industrial Relations, Department of Self-Insurance <br />Plans, and in accordance with the CLIENT'S policies. <br />4. Establish files containing medical and factual information on each <br />reported claim together with complete accounting records and maintain same in <br />accordance with statutory time requirements. <br />5. Make all workers compensation disability payments, and send all notices, <br />in a timely and accurate manner and in conformance with all applicable <br />provisions of the California Labor Code laws, rules and regulations. <br />Wage <br />DocuSign Envelope ID: 177B557A-79FB-4E9E-B338-6359A5FCBAB8
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