An “indemnity claim” is a claim by an employee for worker's compensation benefits for which payments are made or anticipated to be made to an employee who has suffered an injury or occupational disease in the course and scope of employment. “Indemnity” refers to monetary compensation to the employee for lost wages if the employee is unable to work as a result of the injury or illness.  This includes occupational injury leave benefits for Civil Service employees.

The importance of measuring the number of indemnity claims is to determine trends in the numbers of indemnity claims, which is the largest cost driver in worker's compensation. For purposes of this performance measure, an indemnity claim is a workers’ compensation in which income benefits are paid or anticipated to be paid by the City’s TPA.

The Worker's Compensation Manager is responsible for creating and maintaining this data. The Data Source is the City's contracted workers' compensation claims administrator's web-based "YCEa" claims management reporting system. The City's current TPA has established a standard report, “Claim Detail Loss Run" that provides the data. Reported data includes only those claims in which any of the above referenced types of Income Benefits are paid or anticipated to be paid on the claim.

An authorized UserID and unique password are required from the TPA to access this system. Steps to access these reports are as follows:

1. Open an Internet Explorer web browser and navigate to the following website and enter your UserName and password: https://iclaimsexpert.com/; YOUR unique username and password.
2. At the Main screen, click on “Functions” in the left margin of the screen
3. Select the “Exports Menu" 
4. Select "Generalized Claim Export"
5. Go to "Open Period" and enter desired date range for past two quarters (i.e. 7/01/2019 - 12/31/2019)
6. Press the "Request Export" button at the bottom of the screen
7. After report is run, report will appear when you click the "Download" button on the left margin of the screen
8. Select the report and download the Excel spreadsheet
9. Sort spreadsheet by "LOCS"
10. Count number of indemnity claims
11. Calculate the percent change in the number of indemnity claims from quarter-to-quarter and fiscal year-to-fiscal year using the following website:  https://www.bing.com/search?q=... (# Indemnity Claims in Current Fiscal Quarter - # Indemnity Claims in Prior Fiscal Quarter) / # Indemnity Claims in Prior Fiscal Quarter
12. Compare to previous quarter's total number of indemnity claims
13. Analyze data for change and causes to include in quarterly KPI data report