2002 Annual Report
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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. The
administration of this complex class action settlement celebrated its second
anniversary on March 9, 2002.
While Year One aimed at setting up this complex settlement administration,
Year Two focused in part on refining processes and procedures coupled with meeting
and exceeding the needs and expectations of Claimants. Year Two also included
important development work in regard to compensation for loss of income/services
or support; compensation for costs of care and out-of-pocket and uninsured treatment
/ medical expenses. As a result, we increased our claims processing resources
significantly in Year Two.
Some important year to date milestones include the following:
- Hired and trained new Claims Analysts, a Communications Officer and an
Appeal Coordinator and continued to develop Human Resources practices and
procedures throughout Year Two.
- Developed and launched the Costs of Care compensation program in association
with the VON. We are presently finalizing a “Care Plan Booklet”
for Claimants.
- Completed development work and processed a record number of Loss of Income/Services
or Support claims; Out-of-Pocket and Uninsured Treatment and Medical Expenses
claims.
- We continued our research with respect to HCV associated medical conditions
and medications for the purposes of updating the “HCV Medication List”.
- Processed all Claimant requests for a disease-level reassessment.
- Developed and programmed new sections (customer feedback tracking; costs
of care; appeals and loss of income/services/support) within the customized
software application known as CLASS.
- Established and implemented a claim file “archiving system”
for inactive claims.
- Developed and launched the Request for Review Process (Appeals) including
appointing an Appeal Coordinator, drafting template denial letters, setting
up procedures with respect to conveying the claim files to Fund Counsel and
the Arbitrators/Referees, at the request of Fund Counsel attending all appeal
hearings held to date.
- Scanned over 316,000 pages of claims-related documents.
- Handled over 73,000 telephone calls via the 1-800 telephone assistance
line.
- Updated the www.hepc8690.ca web site
on a regular basis.
- Updated and revamped the Initial Claim Forms Package.
- Provided on-site personal assistance to Claimants as requested.
- Answered all requests for “data dumps” to be used for medical
modeling and fund sufficiency purposes.
- Reported weekly to the Joint Committee.
- Met on a quarterly basis with the Joint Committee.
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