2001 Annual Report
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Schedule S - Administrator's Year 1 Annual Report for the
Period Ending March 31, 2001
On March 9, 2000, the Courts appointed Crawford Adjusters
Canada Incorporated/ Expertises Crawford Canada Incorporée/The
Garden City Group Canada to act as the Administrator of the
1986-1990 Hepatitis C Class Action Settlement. Some important
Year One milestones include the following:
- Secured office space, furnishings and equipment, computer
systems and;
- Recruited, trained staff and developed Human Resources
practices and procedures;
- Developed a customized software application known as CLASS;
- Set-up a 1-800 telephone assistance line;
- Developed and implemented internal standard operating
procedures;
- Developed and mailed bilingual claim forms and follow-up
correspondence;
- Provided on-site personal assistance to Claimants and
held Claimant information meetings country-wide;
- Requested monthly compensation disbursements from Trustee
for payment to Class Members;
- Reported weekly to the Joint Committee;
- Established contacts with hospitals, clinics, physicians,
public trustees where appropriate;
- Organized a Traceback program in partnership with Canadian
Blood Services and Héma-Québec;
- Organized a PCR testing program for Approved Class Members
in partnership with Gamma Dynacare laboratories;
- Developed and installed a loss of income calculator software
package;
- Re-launched the www.hepc8690.ca web site.
Operational Highlights
Key Claims Evaluation
Statistics
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As of Mar 31, 2001
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%
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Total Funds Disbursed |
$72,341,109
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Average Payment per Claim |
$65,884
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Claims Received |
5,269
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|
Claims Reviewed |
5,176
|
98%
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Incomplete Submissions |
3,322
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63%
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Claims Approved |
1,757
|
33.4%
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Claims Denied |
190
|
3.6%
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|
|
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Traceback Search Requests |
1,914
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|
Traceback Results Pending |
769
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40%
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Total approved payments have increased to $97,878,203 as
of May 31, 2001. Not all of the claims received in Year One
could be fully evaluated by year-end due to submissions that
were deficient or incomplete. Incomplete submissions meant
that additional proof; results or documentation was needed
to make a final decision but such documentation was not received
before year-end.
In accordance with Court Orders, the Initial Claim Forms
were mailed on April 25, 2000. Completed Initial Claim Forms
were first received from Claimants in early May 2000. Payments
to Claimants commenced in June 2000.
The Center opened in April 2000, with a staff of eight fulfilling
the mandate of the Administrator. Staffing within the Claims
Center increased throughout the year as the volume of work
increased. At year-end, the Claims Center operated with a
total of twenty-seven full-time and part-time staff. During
the year, various key functions were assigned to employees.
For example, a team of Customer Service Representatives was
formed, a Traceback Coordinator was hired, and Claims Evaluators
were responsible for evaluating specific supplementary payments
such as compensation for HCV drug therapy; loss of income/support/services
in the home; costs of care and Approved Family Members. This
specialization allowed the staff in the Center to work more
efficiently and provide a higher level of service to class
members.
To streamline the processing and evaluation of claims, a
custom software application called CLASS has been developed.
The complexity of the Settlement Agreement and associated
procedures necessitated major software development beyond
the core application. Every HCV Infected Person who is registered
with the Claims Center has a file. Family Members and Dependants
of a deceased HCV Infected Person have associated files. All
documents received by the Claims Center are scanned into the
database within 48 hours. Documents are subsequently filed
and stored at a secure off-site location. The Claims Center
processes claims in a paperless environment using the scanned
images.
Customer service is important to the Claims Center. At the
outset, call volumes were difficult to predict so service
results were monitored closely. In the fall of 2000, the service
results for the 1-800 telephone assist call center fell below
acceptable standards. Corrective action was taken including
a telephone software and hardware system upgrade. Since corrective
measures were put into place, the service results have improved
and are meeting acceptable standards.
Year Two Outlook
While Year One was focused on ramping-up this complex administration,
it is expected that Year Two issues will revolve around refining
processes and procedures coupled with meeting and exceeding
the needs and expectations of Claimants. We expect that claims
processing resources will significantly increase in Year Two
and then decline in subsequent years.
Crawford & Company
Garden City Canada (GCG) is an operating division of Crawford
Adjusters Canada Inc. (CACI). CACI is the largest claims administration
company in Canada. Services provided include claims and risk
management, loss adjustment, healthcare management, class
action administration and risk information services.
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