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

Claims Resolution Corporation, Ine. Fee Schedule Township of West Orange May 17, 2022 Services: Third Party Claims Administrator Fees Annual Fee Flat Annual Fee 01/01/22-12/31/22 $15,800.00 Data Conversion (one-time charge) $6,200.00 Take Over of Existing Claims INCLUDED Included in the above Fee: All claims management functions Claims investigation Subrogation State filings and reporting Creation of client handling instructions Creation of implementation plan Establishment of data hierarchy Set up of client users in RMIS system Creation and funding of loss fund account, establish funding, and check writing protocols Participation in quarterly claims reviews Quarterly stewardship meeting Reporting to excess/fronting carrier Risk Management Information System cost to include: 5 User ID’s, internet access to claim files, the ability to e-mail your adjuster, and access to our library of template risk management reports together with initial training and ongoing support Monthly loss runs and loss fund activities reports Medicare Reporting and claim filing Administration of Client directed medical providers and vendors 323 S. Pitney Road, Suite 200 # Galloway, NJ 08205 @ 973-731-5700