164-22 Exhibits to Agreement for Workers Compensation Third Party Administration - 2022.pdf

Managed Care Claims Resolution Corporation through its bill review division Matrix Review Services is committed to delivering cost efficient, outcome-based solutions to address todays managed care challenges. As medical costs continue to rise, employers and insurers must constantly balance the need for prompt quality care with the realities of meeting budgetary goals and objectives. Often clients are left to wonder if their managed care program is achieving the best possible financial results in comparison to the universe of managed care alternatives. Matrix Review Services takes the guesswork out of managed care through state of the art analytics and benchmarking services. From complete program design and implementation to periodic cost/benefit analysis to determine your ROI, Matrix Review Services has a custom tailored solution for you. We recognize that no two programs are identical so why should your managed care solution? Our team of seasoned professionals works directly with both employers and carriers to develop client-specific PPO mosaics, nurse case management triage and ancillary service networks designed to control the spiraling cost of care as well as the cost of managing that care. CRC utilizes a vast PPO mosaic which we have negotiated directly with PPO’s, PBM’s, and Specialty Networks with an average access fee ranging from 14%-24% Whether it's creating a new managed care program or benchmarking your current system, let the experts at Matrix Review Services help you. Technology Claims Resolution Corporation Inc. operates one of the most sophisticated and technologically robust software systems in the marketplace today. Our system provides our clients unparalleled access to their claims data and the ability to quickly drive meaningful analytics to better understand their claims experience and the drivers behind their loss trends. Through our data systems we have integrated a myriad of ancillary and critical services to streamline the disability management process while offering total flexibility in program design and implementation. From simple, easy to use First Report of Injury modules to virtually unlimited Ad-Hoc reporting to real time As- Of capabilities, our clients enjoy web based access 24/7. The system incorporates a fully HIPAA compliant security administration platform driven by access and security lock out down to the most

e As- Of capabilities, our clients enjoy web based access 24/7. The system incorporates a fully HIPAA compliant security administration platform driven by access and security lock out down to the most granular level. Standard features include: « Dashboard Views - user defined Task Panel management system « Fully Automated PEOSHA Reporting Fully integrated document imaging « First Report of Injury module MMSEA data exports e Dozens of standard reports Litigation management module

CRC operates one of the industry's most sophisticated web-based Risk Management Information Systems. We have the ability to custom tailor loss and financial data specifically for the City of Newark to support your overall tisk management objectives. Account Set-Up Meeting and Ongoing Training Customized Reporting Packet Direct Access to Reporting Platform Real Time Ad-hoc Reporting Capabilities Available in PDF and Excel Easy Chart Creation Feature Designated Account Manager Capabilities include: + Loss Runs + Reserve Change Analysis Safety Reports “ Predictive Analytics * Loss Triangle

Professional Information Claims Resolution Corporation, Inc, provides New Jersey public entities with customized claims management and managed care solutions designed to reduce their total cost of risk. Our team assists with development of efficient and effective claim servicing guidelines, and designs and implements managed care solutions targeting our Clients’ demographics to maximize cost savings. In addition, Claims Resolution Corporation, Inc. assists with risk assessment, identification, and management to help create and implement effective loss control programs. Our client-focused solutions involve all relevant stakeholders to develop true partnered strategies while aligning potential internal and external resources. This process includes customized claims management servicing guidelines, dedicated staff, claim reviews, large loss analysis and cost containment strategies, adverse trend identification and remediation, reserve analysis and trending and benchmarking our Clients’ experience to other similar public entities. ‘Through the use of proprietary analytics and metrics, our Clients are able to clearly trend and predict those aspects of its program which are succeeding and those that require additional risk management intervention. All of these services and programs are offered as part of our proposal. Key Differentiators Claims Resolution Corporation, Inc. is a New Jersey domiciled corporation created with the sole purpose of providing superior claims management and risk management consulting services to public entities in the region, What is the benefit to the Township of West Orange? All service deliverables are performed in New Jersey this includes: ¢% All claims handling * All claims intake * AILIT functions/support All management staff * All check printing * All executive staff If the Township of West Orange needs something critical to the success of their program our New Jersey-based teams will deliver it! As an independent Third Party Administrator, we are not owned by an insurance company, managed care company, or other remote corporate entity whose interests may differ from that of our Clients. In short, we answer to you ~ fhe Client, What is the benefit to the Township of West Orange? “% We answer to you the Client. ¢ We are more nimble and flexible in our + We make decisions here in New Jersey. responsiveness, “* We can be

ent, What is the benefit to the Township of West Orange? “% We answer to you the Client. ¢ We are more nimble and flexible in our + We make decisions here in New Jersey. responsiveness, “* We can be more competitive in pricing our services, [crc]

Claims Resolution Corporation Inc. is the recognized leader in claims management for large, standalone public entities in New Jersey such as: « Newark Public Schools * City of Paterson City of Jersey City « City of East Orange City of Trenton * City of Plainfield County of Hudson What is the benefit to the Township of West Orange? Claims Resolution Corporation Inc, understands the needs of large New Jersey self-insureds and has developed unique solutions to the challenges they face. Our executive staff, President, COO, and Managers are integrally involved in each program. What is the benefit to the Township of West Orange? “ You have the participation of our senior staff with decades of experience as part of your risk management team “ The corporate decision-makers with the authority to represent the corporation are all at the table, not a salesperson or account executive. “ More efficient and effective communication of your needs to the service team. Claims Resolution Corporation Inc. has never lost a client!!! What is the benefit to the Township of West Orange? Claims Resolution Corporation, Inc.’s client centric model is proven to deliver superior outcomes and service. Our exceptional service from experienced Adjusters, attention to detail and timely and relevant communication deliver consistent, positive results to our Clients. Claims resolution Corporation Inc. has successfully performed more data conversions, including data from the Authority’s current provider, than any other New Jersey Third Party Administrator. What is the benefit to the Township of West Orange? Faster completion — Claims Resolution Corporation has completed conversions of this size or larger in less than 10 days Less disruption in day-to-day operations and claim processing Fewer problems — based on our extensive experience we have already identified and resolved many of the “bugs” in migrating other’s data All data wiil balance to the penny before going live on the production servers

Your Service Team David S. Harris President Claims Resolution Corporation, Inc. was created in March 2013 and commenced operations in March 2014 by Mr. David S. Harris who brings to bear for the benefit of clients over 30 years of claims management, managed care and risk management expertise. Mr. Harris began his career in the TPA industry in 1988 with Scibal Associates and ultimately served in the position of Vice President and served on the Board of Directors of the corporation. In addition to direct oversight and management of all Northern NJ/ NY operations, Mr. Harris directed all sales and marketing initiatives including the development of a National claims service model and the creation of a comprehensive marketing and sales strategy driving sales from $4 million to $15 million per year over a three year period. In 1995 Mr. Harris founded Allied Risk Services, Inc. providing customized claims management solutions to diverse industry sectors throughout NJ, PA and FL. Mr. Harris oversaw all aspects of the corporation from start up through build out including development of claims management systems, best practices, implementation of internal operating systems, human resource management and business development. Over the next 8 years, Mr. Harris built Allied into a multi-million-dollar corporation with annual average growth rates of 25 % and a 98% client retention rate. In 2004 Allied Risk Services was acquired by Cannon Cochran Management Services, Inc. Following the sale of Allied Risk Services, Mr. Harris served as Vice President and regional Director for CCMST until 2012, responsible for development and delivery of claim management and managed care services for large self- insured/high retention clients in the governmental sector, construction, transportation, hospitality, wholesale distribution and educational industries throughout the United States. During his tenure, Mr. Harris was responsible for the generation of over $10 million in new business, 95 % client retention while simultaneously managing 2 offices. Mr. Harris is also licensed insurance producer licensed in NJ, NY and PA for Property, Casualty, Accident, Life and Health insurance. Mr. Harris holds a Bachelor of Science in Business Administration from Villanova University.

Rachel Ruiz Workers’ Compensation Manager Rachel Ruiz joins CRC contributing a decade of diverse NJ claims management experience handling complex files for a large Joint Insurance Fund with over 120 members and also as a dedicated adjuster for a large self-insured municipal entity. She began her workers’ compensation career as a Medical Only adjuster for both municipal JIF and BOE accounts. Ms. Ruiz quickly progressed through the levels and became a Senior Adjuster within 3 years. Ms. Ruiz has a strong background in subrogation and has retrieved several hundred thousand dollars in recovery without solicitor assistance. She also became a Medicare Training Specialist responsible for developing systems to accurately identify, track, and report eligible workers’ compensation claims and was the primary trainer for coworkers on prior reporting to CMS. Ms. Ruiz was promoted to Workers’ Compensation Team Leader in 2017 based upon her exceptional results and broad knowledge of workers’ compensation best practices. She has extensive experience in claim management including aggressive claims investigation to determine compensability, medical monitoring protocol to facilitate prompt return to work, lost time management, reserve analysis and excess reporting criteria. She has continued her ability to deliver excellent results to our clients and was promoted to Supervisor of Workers’ Compensation in 2018 overseeing all workers’ compensation units for CRC. Her exceptional communication, customer service, and organizational skills make her the perfect partner to deliver outstanding results. Jion Price Workers” Compensation Assistant Supervisor Ms. Price joined CRC in June of 2019 bringing with her 4 years of experience with a Third-Party Administrator managing large self-insured client workers’ compensation programs. Ms. Price progressed very quickly in her role as an Indemnity Adjuster while handling complex litigated, catastrophic, and fraudulent claims. Ms. Price delivers proven results through aggressive claims management, strong legal negotiating skills resulting in cost effective resolution and third-party recoveries. She works closely with Clients and medical providers to ensure that transitional, modified duty is implemented whenever possible. Ms. Price’s first-hand knowledge of Title 34, her excellent communication skills and client focused demeanor make her

iders to ensure that transitional, modified duty is implemented whenever possible. Ms. Price’s first-hand knowledge of Title 34, her excellent communication skills and client focused demeanor make her a vital asset to our team and our Clients.

Veronica Genovese Workers’ Compensation Claims Analyst Ms. Genovese has been a part of the CRC family since 2017 bringing over a decade of experience in administrative management, medical billing, customer service, and team management. She started as a receptionist and quickly escalated to Executive Assistant where she demonstrated the ability to take on increasing responsibility with outstanding results specializing in both project and people management. For the past year, Mrs. Genovese has proven her ability as a workers’ compensation analyst to drive positive results for her clients, building strong relationships based upon trust and confidence in her expertise to manage their workers’ compensation claims to successful conclusion.