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m. Arrange for and supervise all necessary investigations to determine eligibility for compensation <br /> benefits and liability of negligent third parties. <br /> n. Establish procedures to support the payment of all benefits and allocated expenses together with <br /> appropriate documentation necessary to reconcile a trust fund checking account provided by the <br /> City of San Leandro. <br /> o. Report all excess claims to excess reinsurance carrier. <br /> p. Host quarterly claim reviews for the City of San Leandro, with participation of the claim adjuster(s) <br /> and as needed. defense attorneys. <br /> q. Coordinate an annual stewardship meeting to present service performance metrics, benchmarking <br /> and claim trending/loss analysis reports. <br /> Bill Review <br /> a. Review all bills in a timely manner for compliance with applicable fee schedules and reduce <br /> nconrrlinnlu <br /> b. Identify and reduce all duplicate billings. <br /> c. Deny charges for all items not required for injury described. <br /> d. Identify all unauthorized charges to insure billing does not exceed parameters of injured workers' <br /> treatment plan. <br /> e. Provide reports on a monthly and annual basis outlining bill review activity, savings and costs. <br /> Provide ad hoc reports as requested. <br /> f. Handle all provider inquiries regarding bill reductions, <br /> Medical management <br /> a. Provide medical management of all cases to assure cost-effective and appropriate treatment, <br /> including assurance that treatment is related to the compensable injury or illness. <br /> b. Approve or disallow service requests within the applicable time standards and provide medical <br /> advice as warranted. <br /> c. Provide timely reports to the City of San Leandro outlining utilization review requests. approvals. <br /> denials and costs/savings. <br /> d. Arrange for medical/legal opinions in disputed cases, conferring with medical examiners, <br /> professional personnel, City of San Leandro and legal counsel where indicated. <br /> Consulting Services Agreement between June 1, 2014 <br /> City of San Leandro and JT2 Integrated Resources- Exhibit A Page 2 of 4 <br />