Agenda 11/10/2020 Item #16E 2 (Settlement of Administrative and Minor Claims by Risk Management)16.E.2
11/10/2020
EXECUTIVE SUMMARY
Recommendation to ratify Property, Casualty, Workers' Compensation and Subrogation claim
files settled and/or closed by the Risk Management Division Director pursuant to Resolution No.
2004-15 for the fourth quarter of FY20.
OBJECTIVE: To settle routine, administrative and minor claims matters which promotes the efficient
use of resources and the efficient administration of the program; and allows for a timely response to
claimants and/or their representatives.
CONSIDERATIONS: Resolution 2004-15 grants limited authority to the Risk Management Division
Director to settle certain damage claims against Collier County and to authorize the payment of
investigation and adjustment expenses as presented to the County's Risk Management Program.
Authority is delegated as follows:
• Bodily Injury Liability- Premises, Auto, Operations: Non -litigated claims less than $50,000
• Property Damage Liability Claims- Premises, Auto, Operations: Non -litigated claims less than
$75,000
• Errors, Omissions, Professional Liability, Employment Practices Liability: Non -litigated claims
less than $50,000
• Property Losses to County Owned Property: Full authority
• Workers' Compensation: Full authority subject to the provisions of F.S. 440 and subject to
approval by the Judge of Compensation as needed
• Employer's Liability: Non -litigated claims less than $50,000
• Subrogation- Bodily Injury and Property Damage: Full authority to pursue non -litigated
subrogation recoveries
• Subrogation- Workers' Compensation: Full authority to pursue non -litigated subrogation
recoveries.
Pursuant to the Resolution, claims are settled and paid according to the loss verification procedures
contained in the Resolution which include the completion of claim forms, documentation of evidence,
valuation, and the determination of a finding of liability where applicable. Closed claim files are also
subject to review by the external auditor. A listing of claim files closed during the fourth quarter of FY
20 is attached. The report may include claims and/or settlements previously approved by the Board of
County Commissioners as well as litigated files with a final court determination.
FISCAL IMPACT: Funds are budgeted and available in Fund 516-121650-645920 (Property and
Casualty Self Insurance Fund) and 518-121630-645928 (Workers' Compensation Fund) for the payment
of claims and settlements. For the fourth quarter of FY 20, 159 files were closed with total expenditures
of $502,998.90. Reinsurance recoveries for the fourth quarter of FY 20 were $25,545.34. During the same
period, 22 subrogation files were closed, and the Risk Management Division recovered $148,885.31 in
funds owed the County.
GROWTH MANAGEMENT IMPACT: There is no growth management impact associated with this
item.
LEGAL CONSIDERATIONS: This item has been reviewed by the County Attorney, raises no legal
issues, and requires majority support to accept the Report. -JAK
RECOMMENDATION: To accept the attached Settlement Report and ratify the actions taken therein.
Prepared by: Jeff Walker CPCU, ARM, Division Director, Risk Management Division.
Packet Pg. 1788
16.E.2
11/10/2020
ATTACHMENT(S)
1. All Lines Closed Claim Report 4th QTR FY 2020 (PDF)
2. Subrogation Close Claim Report 4th QTR FY 2020 (PDF)
3. Resolution 2004-15 PDF0001 (PDF)
Packet Pg. 1789
16. E.2
11/10/2020
COLLIER COUNTY
Board of County Commissioners
Item Number: 16.E.2
Doe ID: 13983
Item Summary: Recommendation to ratify Property, Casualty, Workers' Compensation and
Subrogation claim files settled and/or closed by the Risk Management Division Director pursuant to
Resolution No. 2004-15 for the fourth quarter of FY20.
Meeting Date: 11/10/2020
Prepared by:
Title: — Risk Management
Name: Heidi Dareus
10/20/2020 2:46 PM
Submitted by:
Title: Division Director - Risk Management — Risk Management
Name: Jeff Walker
10/20/2020 2:46 PM
Approved By:
Review:
Risk Management
Administrative Services Department
Administrative Services Department
Office of Management and Budget
Office of Management and Budget
County Attorney's Office
County Manager's Office
Board of County Commissioners
Jeff Walker
Additional Reviewer
Paula Brethauer
Level 1 Department Reviewer
Len Price
Level 2 Department Head Review
Laura Wells
Additional Reviewer
Debra Windsor
Level 3 OMB Gatekeeper Review
Jeffrey A. Klatzkow Level 3 County Attorney's Office Review
Nick Casalanguida Level 4 County Manager Review
MaryJo Brock
Meeting Pending
Completed
10/20/2020 4:08 PM
Completed
10/21/2020 2:18 PM
Completed
10/23/2020 11:03 AM
Completed
10/26/2020 10:48 AM
Completed
10/27/2020 9:41 AM
Completed
10/28/2020 11:03 AM
Completed
11/01/2020 8:10 AM
11/10/2020 9:00 AM
Packet Pg. 1790
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16.E.2.c
STATE OF FLORIDA)
COUNTY OF COLLIER)
I, DWIGHT E. BROCK, Clerk of Courts in and for the
Twentieth Judicial Circuit, Collier County, Florida, do
hereby certify that the foregoing is a true and correct
copy of:
Resolution 2004-15
WITNESS my hand and the official seal of the Board of
County Commissioners of Collier County, Florida, this 20tn
day of January, 2004.
DWIGHT E. BROCK
Clerk of Courts
Ex -off icio to."
County Commis;
off° t
By: Linda Hout`te
Deputy Clerk
DATE RECEIVED
JAN 2 0 2004
RISK MANAGEMENT
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16.E.2.c
RESOLUTION NO. 04- 15
RESOLUTION GRANTING LIMITED AUTHORITY TO THE RISK MANAGEMENT
DIRECTOR TO SETTLE CERTAIN DAMAGES CLAIMS AGAINST COLLIER
COUNTY AND TO AUTHORIZE THE PAYMENT OF INVESTIGATION AND
ADJUSTMENT EXPENSES AS PRESENTED TO THE COUNTY'S RISK
MANAGEMENT PROGRAM.
WHEREAS, Collier County Government, through the Risk Management
Department, operates a risk management program as permitted pursuant to Florida
Statutes 768.28 for the purpose of financing, preventing and controlling various types
of losses and the claims resulting from same; and
WHEREAS, the management of these losses and resultant claims may involve
the coordination of Workers' Compensation, Property, Liability, Automobile, Aviation
and other lines of insurance and/or self-insurance programs; and
WHEREAS, the Board of Commissioners approves annually in public session the
retention of various portions of these losses in the form of self -insured retentions, large
deductibles or maintenance deductibles, by whatever name called, all of which involve
the expenditure of public funds; and
WHEREAS, the Board has approved the creation of various Self-insurance Funds
as part of its budgeting process; and
WHEREAS, the Risk Management Director is responsible for the day-to-day
management of these Funds; and
WHEREAS, it is the Board's intention to delegate to the Risk Management
Director the authority to settle claims matters in order to promote the efficient use of
resources; to promote the efficient administration of the program; and to allow for a
timely response to claimants and/or their representatives; and
WHEREAS, the Board finds that the limited delegation of settlement authority to
the Risk Management Director serves a valid public purpose;
NOW, THEREFORE BE IT RESOLVED BY THE BOARD OF COUNTY
COMMISSIONERS OF COLLIER COUNTY, FLORIDA that:
The Risk Management Director, or his designee, shall have the authority to
investigate and settle claims made against the County and presented to the Risk
Management Program as follows:
Definitions:
Action (Cause of Action) - An Action shall mean a written complaint filed in a court
of law of Florida, any other state, or the United States.
Adjuster - An individual representing the County, an insurance carrier and/or the
insured and acting on their behalf to determine the applicability of coverage; the
amount of a loss; and the liability of the County.
Plaim- A rlomnnrl fnr hnnnfito no -n nnni ilk
16.E.2.c
Excess (Insurance) Carrier (Policy)- An insurance carrier, either on an admitted
or non -admitted basis, who underwrites coverage on the basis of an excess of a
self -insured retention.
Employer's Liability- Coverage against common law liability of an employer for
accidents to employees, as distinguished from liability imposed by a Workers'
Compensation law.
First Party- The Collier County Board of Commissioners, its Divisions,
Departments, employees, Boards, Authorities and all other parties who derive
their authority to operate from the Board of Commissioners. First Party shall
also include participating Constitutional Agencies and their operations.
Loss Adjustment Expenses - Expenses incurred to investigate and settle losses.
Mediation- An informal means of trying to promote settlement of a dispute. It
involves a third -party mediator who meets the parties to the dispute and tries to
get them to agree on a settlement.
Plaintiff - The term "Plaintiff" as used herein may refer to a party who has asserted
a Claim, also sometimes referred to as a "Claimant".
Policy - The written contract effecting insurance, or the certificate thereof, by
whatever name called, and including all clause, riders, endorsements, and
papers attached thereto and made a part thereof.
Property Loss- Loss to the insured's property by reason of a covered peril.
Purchasing Policy- The Collier County Purchasing Policy as approved by the
Board of Commissioners.
Risk Management (Program) — The management of the pure risks to which a
company might be subject. It involves analyzing all exposures to the possibility
of loss and determining how to handle these exposures through such practices
as avoiding the risk, retaining the risk, reducing the risk, or transferring the risk,
usually by insurance.
Self -insured Retention- That portion of damages and loss adjustment expenses
related to an occurrence which are paid by the insured under an excess
insurance policy.
Settle/Settlement- Agreement to dispose of a Claim between an alleged injured
party and an alleged party at fault, typically to include the payment of
consideration, and including the execution of any associated settlement
agreements.
Subrogation - The right to recover from a third party the amount paid under an
insurance policy or retained loss.
Errors and Omissions- Coverage for liability resulting from errors or omissions in
the performance of professional duties and includes the acts of public officials.
Workers' Compensation (Act)- Chapter 440 of the Florida Statutes which
establishes the Florida Workers' Compensation Act and includes a system of
wage replacement benefits for and medical treatment of compensable work -
related injuries and occupational diseases, as well as the Administrative
Procedures governing the administration of the Act.
Claims Against Collier Countv
1) Bodily Injury Liability Claims- The Risk Management Director shall have the
authority to settle Claims that do not exceed $50,000 inclusive of Plaintiff's
attorney's fees, damages and expenses but exclusive of Loss Adjustment
Expenses. Claims wherein a Cause of Action has been filed shall require
16.E.2.c
3) Errors and Omissions, Professional, Public Officials Claims- The Risk
Management Director shall have the authority to settle Claims that do not exceed
$50,000 inclusive of attorney's fees, damages and expenses but exclusive of
Loss Adjustment Expenses. Claims wherein a Cause of Action has been filed
shall require settlement approval by the Board of Commissioners.
All settlements shall be subject to the Loss Verification and Expense Procedures
contained herein.
Property Losses Including Automobile Physical Damage (First Party)
The Risk Management Director shall have the authority to authorize the 'payment
of property Claims to County owned property pursuant to the terms of coverage
and subject to the Loss Verification and Expense Provisions contained herein.
Workers' Compensation Claims
1) Workers' Compensation (exclusive of Employer's Liability)- Due to the
administrative nature of Workers' Compensation Claims, the Risk
Management Director shall have the authority to settle Claims issues,
including petition for benefits issues, medical, indemnity, and impairment
benefit issues including medical and indemnity washouts pursuant to Florida
Statutes Chapter 440, subject to the final approval of the Judge of
Compensation Claims, if applicable.
2) Employer's Liability- The Risk Management Director shall have the authority to
settle Claims that do not exceed $50,000 inclusive of plaintiff's attorney's fees,
damages and expenses but exclusive of Loss Adjustment Expenses. Claims
wherein a formal Cause of Action has been filed shall require settlement
approval by the Board of Commissioners.
Subrogation
1) Bodily Injury and Property Damage Claims- The Risk Management Director
shall have the authority to pursue rights of subrogation on the County's behalf
for damages incurred by the County and may enter into agreement to settle
such Claims unless a Cause of Action is required to enforce the County's
subrogation rights. If a Cause of Action is required, approval by the Board of
Commissioners shall be required to bring such Action and the Board of
Commissioners must approve settlement.
2) Workers' Compensation Claims- The Risk Management Director shall have
the authority to pursue liens and/or rights of subrogation on the County's
behalf for expenses incurred by the County which are caused by a third party.
The Risk Management Director may approve an agreement to settle such
liens or Claims unless a Cause of Action is required to enforce a matter. If a
Cause of Action is required, approval by the Board of Commissioners shall be
required to bring such Action and the Board of Commissioners must approve
settlement.
16.E.2.c
depositions, procure private investigation services, perform records reviews and
searches, procure bill review services, procure appraisals, and procure other
expenses necessary to investigate, authenticate, or evaluate a Claim made
against the County. The Board of Commissioners waives the Collier County
Purchasing Policy as to these expenditures but such shall be subject to the Loss
Verification and Expense Provisions contained herein. Loss Adjustment
Expenses shall not include the hiring or retaining of outside counsel to represent
the Board or individual employees named in a Cause of Action. The hiring of
outside counsel shall be subject to the approval of the Office of the County
Attorney and the Board of Commissioners.
Loss Verification and Expense Provisions
The Risk Management Director shall document each Claim file with the following
documents and records to support the settlement of Claims and/or the finding of
negligence on the part of the Board of Commissioners to support the settlement
of claims as permitted pursuant to this Resolution.
1) The completion of a Claim Form.
2) The completion of an investigation form including witness statements,
collection of evidence, pictures, diagrams, etc.
3) The collection of necessary documentation to approximate the value of the
loss.
4) A written recommendation by the Risk Management staff member or the
contracted Adjuster performing the investigation as to the issue of liability,
Claim valuation, economy and efficiency, and or other reasons for the
recommendation to settle within recommended amounts.
5) A written recommendation by legal counsel, in the case of proposed
liability claims settlements in excess of $25,000.00, outlining the
parameters for settlement.
6) A Closed File report will be presented to the Board on a quarterly basis as
a Consent Agenda item to apprise the Board of settlements approved
during the preceding quarter.
The approval of Loss Adjustment Expenses shall be subject to the following
provisions:
1) The Risk Management Director may approve the purchase of specialty
services procured from vendors utilized by the Adjusting Company for their
clients and when performed on the County's behalf to evaluate a Claim.
The Adjusting Company shall disclose the estimated cost to provide the
service prior to approval. The Risk Management Director may evaluate the
cost/benefit of using same when evaluating the decision to settle a Claim.
2) If a service, document or thing is available from a single source, the
payment of fees shall be permitted if such service, document or thing is
necessary to authenticate the Claim. The Risk Management Director may
evaluate the cost/benefit of this expenditure when evaluating the decision
to settle a Claim.
3) The Risk Management Director may approve Loss Adjustment Expenses
when the expertise or availability in a given area of expertise or service is
Hatcrmincrl by thin ArMie+cr nnr! the D;enL t- -
16.E.2.c
4) If the County has exceeded its Self -insured Retention or has exceeded the
notification requirements for an Excess Carrier as to the Self -insured
Retention for a given Claim, the Risk Management Director, through the
Adjusting Company shall coordinate the approval of expenditures with the
Excess Carrier so as not to jeopardize the repayment of Reinsurance
Funds.
5) The purchase of outside legal counsel services shall require the approval
of the Office of the County Attorney and the Board of Commissioners.
Settlement Documents
The Risk Management Director, through the County's adjusting company and the
Office of the County Attorney, shall prepare settlement and release documents for use
in the settlement of non -litigated matters. Such documents shall be executed by the
Risk Management Director upon settlement of the Claim in question, pursuant to the
provisions of this Resolution. A copy of the standard form settlement document in
blank is attached as Exhibit 1 and is approved as part of this Resolution.
Delegation of Authority
The Risk Management Director may, at his/her discretion, delegate this authority in
part or in full on a temporary basis to a member of his/her staff or on a temporary,
limited basis to the County's contracted adjusting company in the event of availability,
schedule conflict, or other conflict. Such delegation may include attendance at
mediation, arbitration, and/or trial. However, all settlement and release documents
must be executed by the Risk Management Director.
This Resolution adopted after motion, second and majority vote, favoring same.
DATE: H 3 - 2004 BOARD OF COUNTY COMMISSIONERS
y _
COLLIER COUNTY, FLORIDA
ATT. •. �'''.
Q 8a�cK;?€K By:
,r
i 13 -O y , CHAIRMAN
.i •. i, � 4 4'l,.
J D E QEA+k=-�=
APPROVED AS TO FORM AND
LEGAL SUFFICIENCY:
By: t / 42�
Michael W. Pettit
Chief Assistant County Attorney