Property and Casualty - Claims Procedure

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Carrier and Coverage

Claims Procedure

DMV

Claims Procedure

OVERVIEW

This procedure describes how to submit, investigate, evaluate, and conclude Claims against the District

FORMS USED:

Claim Against the Grossmont-Cuyamaca Community College District

Release Form

Purchase Request Form, PU1.F1

CODES, REGULATIONS, AND DISTRICT POLICIES RELATED TO THIS PROCEDURE

Government Code sections 905, 911.2, 912.4, 945.6 and 946
California Education Code section 72502
Governing Board Policy #616, Claims Filed Against the District

PRIMARY STAKEHOLDERS: Director of Risk Management

COMMENTS

A claim relating to a cause for action for death or for injury to person or to personal property must be presented no later than six months after the accrual of the cause of action.  Claims relating to any other cause of action must be presented to the District no later than one year after the accrual of the cause of action.

Step 1

Claimant - Submit Claim to Risk Manager
The "Claim Against the Grossmont-Cuyamaca Community College District" form may be obtained at the District Risk Management Office located in the District offices at Grossmont Community College.

The form must be legibly filled out and submitted along with substantiating documentation (i.e. police or insurance reports) to:

Director of Risk Management, GCCCD
8800 Grossmont College Drive
El Cajon, CA 92020

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Claims may be mailed or delivered in person.

Step 2

Risk Management - Conduct Investigation
Conduct a complete investigation into the alleged event.  For further information, see District Operating Procedure RM3, Investigating Accidents an and Near Misses.

Step 3

Department of Public Safety, Operating Departments -Assist Risk Management as Required

Provide all support required by Risk Management in completing the investigation.

Step 4

Director of Risk Management - Convene Claims Review Committee
Upon completion of the investigation, schedule and convene the Claims Review Committee.

Step 5

Claims Review Committee - Review Claim
Review claim and decide whether the claim should be paid as submitted within 45 days of receipt. Return the committee's decision to Risk Management for processing.   If necessary:

• refer claim to the District Liability Insurance carrier, or

• obtain legal services (see District Operating Procedure LS1, Request for Legal Services)

Step 6

Risk Management - Process Claim
If the claim will be paid, submit a Purchase Request through the IFAS system in the approved dollar amount.  Notify the claimant that they will be handed a check after they sign a Release form in person at the District Risk Management offices.  This form releases the District of all further liability.  Schedule a time with the claimant to process the Release form/check delivery.

If the claim will not be paid, notify the claimant in writing that the claim has been denied.  Ensure that the notification is mailed "return receipt required."

If the claimant chooses to contest the decision, forward the case to the Liability Insurance carrier for further processing.

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