Common use of Claims Management Services Clause in Contracts

Claims Management Services. The Association agrees to provide the following services, and may elect to do so through the engagement of a professional claim management firm: a) Maintain records on each assigned Washington State claim and regularly manage and review all workers’ compensation claims which adversely affect the plan year results of the Member and the Association; b) Represent the Member’s interest and take appropriate action to minimize charges against the Member’s L&I industrial insurance account; c) Verify the facts surrounding each time loss claim and arrange for medical, vocational or other expert review as necessary; d) Conduct interviews, and/or take statements from, the claimant, witnesses, medical providers, vocational counselors, and other experts or representatives as necessary; e) Monitor the treatment programs of claimants as necessary; f) Assist the Member in arranging claimant rehabilitation, retraining, or light duty as appropriate; g) Provide regular statistical and narrative reports concerning the status of industrial insurance claims which impact Program results; h) Provide services that are in compliance with Washington statutes and administrative codes; i) ERNW shall not provide services that are deemed to be the practice of law.