Embed
Email

claims

Document Sample
claims
Shared by: HC11111116529
Categories
Tags
Stats
views:
0
posted:
11/11/2011
language:
English
pages:
38
Incident Claims

Incident Business Management Meeting

April 3-4, 2007

Objective

-What is Claims Management

-Roles & Responsibilities

-Pursuing Fire Trespass Claims (Claims For)

-Claims Authorities

-Inviting a Claim (Claims Against)

-Contacts

-Handling of claims occurring on incidents

Claims Management

• The process for managing Claims Against the

Government begins once the Forest Service is aware of

an incident that may give rise to a claim, and ends when

the claim is adjudicated .



• The process for Claims For the Government begins

when violations/damages have been identified and

investigative proceedings begin, and ends when the debt

has been liquidated

References

6509.11h Service-Wide Claims Management

Handbook (Draft)



• Chapter 10 – Incident Investigations

• Chapter 20 – Administrative Claims for Govt

• Chapter 30 – Administrative Claims Against the

Govt

• Chapter 40 – Employee Claims

Claims Responsibilities

Employees

It is the responsibility of each employee who

witnesses or learns of an incident that may lead to

a claim of or against the Government to:



- Document what occurred and why/how, even if it

appears the FS has no responsibility for the

incident; document witnesses



- Never admit fault



- Notify supervisor and/or line officer

Claims Responsibilities

Line Officers

It is responsibility of Line Officers to ensure that:



1) Incidents that could result in claims of or against

the Government are reported to Law Enforcement

and Investigations (LE&I) personnel within 1

business day so they can be appropriately

investigated, and



2) ASC is notified within 5 days of notification of

incident, and



3) Claims package is transmitted to ASC within 1 day

after receipt of investigation report

Claims Responsibilities

Law Enforcement

LEI Staff has overall program & oversight responsibility for

investigations that could result in claims and will:



1) conduct an investigation or provide direct investigative

oversight of a properly trained investigator, and



2) ensure a timely report of their findings is prepared &

submitted to the Line Officer where incident occurred, and

3) ensure needed follow-up action is completed.

Claims Responsibilities

Unit Claims Liason

– Serve as Claims contact/coordinator



– Provide names and contact information of

FS employees to ASC Claims Specialists

when needed



– Help identify appropriate FS employees for

claim cases and cases in litigation



– Receive and distribute claims-related

documents sent to the unit [e.g., litigation

documents; claim information; FOIA

requests/responses; Congressional

requests/responses)

Claims Responsibilities

Unit Claims Liason (cont’d)



– Upon request, provide information to the public and

Forest Service employees (e.g., who to contact regarding

claims questions and/or where to mail claims; where to

send notifications of accidents; where to send copies of

motor vehicle accident reports involving third parties)



– Provide job code to pay claims against the Government,

as requested



– Provide job codes for billings for claims for the

Government, as requested



– Receive written claim, date-stamp claim, send claim to

the ASC

Claims of the Government





• Take aggressive action to collect all

claims of the U.S. arising out of

Forest Service activities





• Damage to Personal Property (Vehicles) – 3 Yrs

• Fire Suppression Costs – 3 Yrs

• Resource Damage from fires on NFS – 6 Yrs

FIRE TRESPASS CLAIMS FOR THE

GOVERNMENT





A fire trespass claim for the Government results when a person or

legal entity, acting negligently or otherwise wrongfully, causes a

wildfire and burns Forest Service resources or property.



A fire trespass may be committed without criminal intent.

Fire Investigations



The investigation report on fires must include the items described in

sections 12.26a through 12.26n, 6509.11h, Chapter 10









Identify the cause of the fire and the factual or circumstantial evidence

supporting the determination of the fire cause. Describe the

qualifications of the investigator, or other individual, who determined the

fire cause.

Fire Investigations (continued)



12.26b - Personnel





Include the following information concerning personnel:



1. Copy of the line officer briefing.



2. Escaped Fire Situation Analysis (EFSA) (FSM 5132.1).



3. Information on weather conditions and fire danger

prevailing the 5 days immediately prior to the start of the fire

and for the duration of the fire. Include weather reports and

lightning detection reports.



4. Copies of letters delegating authority to the fire's Incident

Commander(s).



5. Home unit contact information for all Incident

Command personnel

12.26f - Fire Records

Retain all fire records, including shift plans, time reports, equipment

records, dispatch logs, radio logs, and State and local agreements at

the incident unit. Make the records available to Claims Specialists to

support the Government's position in defending against claims or to

substantiate the amount claimed in claims of the Government. If a

claim evolves into a lawsuit, the records are subject to discovery by

the other party and submission to the court.

12.26n - Intentionally Set Wildfires







1. Information on insurance coverage of the person(s) who set the fire.



2. Copy of State codes relative to parental liability and monetary

limits of parental liability if the fire was started by juveniles.

INTERAGENCY INCIDENT BUSINESS MANAGEMENT HANDBOOK

CHAPTER 60 – ACCIDENT INVESTIGATION AND REPORTING





An independent investigation team must prepare a supplemental

narrative report for the following:





1. Any fatality(s).



2. Hospitalization of three or more individuals.



3. Loss of body function.



4. Incapacitation expected to last over 30 days.



5. Damage to government property exceeding $5,000,

excluding resource damage.



6. Actual or potential serious injury to private person and

substantial damage ordestruction of private property.

Chapter 70









71 – CLAIMS INVESTIGATIONS. All accidents or incidents, which may result

in a claim for or against the government, must be promptly investigated and

clearly reported by a trained investigator or other qualified personnel.

Ideally, the investigation is completed by law enforcement personnel in

coordination with the Safety Officer. Serious accidents (e.g., fatality or

hospitalization of three or more personnel), substantial property damage, or

serious personal injury will normally be investigated by an independent

investigation team. Investigations should be made while witnesses are

available, before damages have been repaired, and prior to presentation of

claims. The incident agency should not commission special Claims Damage

Assessment Teams, except in unusual circumstances. Chapter 60, Sections

62-64, provides investigation guidelines and reporting requirements.

Claims of the Govt

Billable vs. Non-Billable Costs

Reference Chapter 20, FSH 6509.11h



21.11c - Fire Suppression Costs. When a bill will be issued for

fire suppression, calculate all direct costs of fire suppression.

Generally, these costs represent the gross charges to the fire.

The accounting system was designed to capture costs incurred

on specific fires through the use of a prestructured management

code assigned to the fire. Use these costs to the fullest extent

possible to support billings issued as a result of the fire. Review

charges to determine if they accurately reflect the Forest Service

cost of suppression.

1. Billable Costs. The following list of suppression costs is

not intended to be all inclusive, but should reflect the

majority of costs the Forest Service does incur.



a. Salaries and wages of Forest Service employees,

including Job Corps Civilian Conservation Center staff.

Salary costs include base time, overtime, hazard pay, and

employer's contributions to retirement, social security, life

insurance, and health benefits.



b. Travel and transportation costs.



c. Wages of temporary laborers and related costs



d. Cost of tools and supplies.

Billable costs (continued)





e. Surface and air equipment operating costs

and rentals, including the fixed ownership rate

for working capital fund equipment





f. Other items, such as telephone, telegraph, and land rental costs.







g. Costs of trespass investigation, preparation of

reports, and damage assessments, unless not

allowed by State statute.

2. Non-billable Costs. Do not include the cost for the

following items:





a. Tools and supplies purchased, but not used, provided

they are available to be used for other fire purposes (such

as those able to be stored in the fire cache).





b. Personnel (labor and overhead) ordered

for duty, but not actually used on the fire (for

example, held in reserve).



c. Equipment, tools, and supplies burned, lost, or otherwise destroyed

during suppression through inadequate supervision or other

administrative error.



d. Crews used for training purposes.

Non-billable costs (continued)







e. Management supervision, such as that performed by

the District Ranger or Forest Supervisor, unless such

officer actually occupies a position in the fire

suppression organization.





f. Labor and equipment contributed at no cost to the Forest Service

by cooperating agencies, such as the Navy and Army, provided the

Forest Service is not responsible for billing the other agencies costs

under an interagency agreement.



g. Costs of chemicals or equipment used

on an experimental basis only in connection

with equipment development projects.

The project manager's statement and transaction registers should be

used to accumulate trespass costs in lieu of individual payroll

registers Form AD-355, travel vouchers, and equipment use

tearsheets. Maintain copies of all supporting documentation in the

case file.

Claims of the Govt

Billable vs. Non-Billable Costs

Reference Chapter 20, FSH 6509.11h



In addition to the cost of suppression,

damages to resources, real, or personal

property may be billed. See sections 21.11a,

21.11b, and 21.12c for additional information

in arriving at amounts to bill for these

damages.

Damages to Forest Service Sawtimber and Other Marketable Products.



Base the methods used to determine the volume and value of damage to

trees on Regional methods and procedures in volume measurement as

well as those described in the Regional timber appraisal handbook (FSM

2420). Rely on timber appraisal personnel to gather data.

Damages to Improvements on Forest Service Land.



In general, the claim amount would include the cost to repair

the improvement. When the improvement is not repairable,

the claim would include the cost to replace the improvement

less depreciation.

Claims of the Govt

Initiating Collections



Claims officers must initiate collection actions on all trespass claims

due the Forest Service, regardless of the amount (FSM 6570.4).



Tort and trespass claims become due the Forest Service when a

Claims Officer determines from all the evidence that there is a

substantial likelihood that an identified person or legal entity,

acting negligently or otherwise unlawfully, caused damages to

Forest Service resources or property. This determination

administratively establishes the identified person or legal entity

as a debtor of the Forest Service, liable to the Government for the

amount of the damage sustained.

Claims of the Govt

Authorities for Billing



State Tort Law/Fire Suppression Costs. Reasonable fire suppression costs

are recoverable when incurred by the Forest Service to protect Forest

Service land and property from human-caused wildfires started unlawfully.



This right under federal law was upheld in the Chesapeake & Ohio Railroad

vs. U.S. case, based on the well-established doctrine in tort law that a

property owner may recover reasonable expenses incurred to protect the

owner's property from damages caused by the wrongful conduct of

another.



Generally, State statutes also specify that fire suppression costs are

recoverable from persons or legal entities that start wildfires negligently or

in violation of State fire safety laws.

Claims of the Govt

Authorities for Billing





State fire safety laws are usually varied and numerous. A working

knowledge of these laws facilitates billing where the fire-starter's

conduct was not clearly negligent. Under some State's statutes,

such as Nevada's, a person who starts a wildfire is (absolutely)

liable for its suppression costs whether or not the person started

the fire negligently or in violation of law.

Fire Trespass Claim Process





- Wildfire occurs



- Line Officer notifies LE&I within 1 business

day; investigation begins



- Line Officer notifies ASC within 5 business

days via 6500-210 (preferred method) &

sends copy to Unit Claims Liason



- IC/FMO prepares fire report listing resources

used to control the wildfire – must be

accurate & timely, usually within 2 weeks of

containment

Fire Trespass Claims Process

(cont’d)



- Once investigation complete and negligence/intent is

determined, Unit Line Officer, the IC (or FMO), and LE jointly

review the fire report, investigative report and all

associated costs for accuracy.



- Line Officer mails claims package to ASC-Claims

w/transmittal letter; copy sent to Unit Claims Liason &

others per local policy



- Claim is processed by ASC-Claims Unit



- ASC sends Claims Liason notifications on progress &

closure of claim



- Claims Liason forwards notices to Line and PC

Claims Process

LINE OFFICER LETTER OF TRANSMITTAL







-Any additional information

pertinent to the claim

- Explanation of costs that should

be deducted or added to claim

amount not reflected on

transaction register.

CLAIMS AGAINST THE GOVT

INVITING A CLAIM VS. DOING AN

ADMINISTRATIVE JOB





GOVERNMENT EMPLOYEES MAY NOT

GIVE AID OR ASSISTANCE TO A

CLAIMANT IN PROSECUTING A

CLAIM AGAINST THE GOVERNMENT

Claims Against the Govt

DOING AN ADMINISTRATIVE JOB









 Refer Potential Claimants to ASC  Accept SF-95

(Preferred) (ALWAYS DATE STAMP!)







 Send SF-95 to ASC-Claims asap

 Give Prospective Claimants Form SF

95 (Form preferred but not

mandatory)

Claims Against the Govt

PROHIBITIONS







 ENCOURAGE SUBMISSION  PAY FOR OR ATTEMPT TO

OF A CLAIM UNDER FTCA REPAIR DAMAGE OUTSIDE OF

CLAIMS PROCESS

 GIVE AID OR ASSISTANCE IN

PROSECUTING A CLAIM  GIVE OPINION ON MERITS OF

AGAINST THE GOV’T CLAIM



 ASSUME LIABILITY FOR

DAMAGES ON BEHALF OF

THE GOVERNMENT

Claims Against the Govt

INVITING A CLAIM







 PROHIBITED BY LAW -

18 USC 205



 FINE: $10,000 OR

IMPRISONMENT 2

YEARS OR BOTH

CLAIMS CONTACTS

ASC Claims website:

http://fsweb.r3.fs.fed.us/asc/bfm/programs/financial-operations/claims/



ASC Claims Email: ascclaims@fs.fed.us

ASC Toll Free Main Phone Number: 1-877-372-7248

ASC Toll Free Fax: 1-866-341-1541



ASC Claims Mailing Address:

USDA Forest Service

Albuquerque Service Center

ATTN: Claims

101B Sun Ave NE



Claims Specialist for R8/R9:

Lynn Mighton

626 E. Wisconsin Avenue

Milwaukee, WI 53202

Office: (414) 297-3733


Related docs
Other docs by HC11111116529
Audie_Murphy_Pocket_Bio 105175147
Views: 0  |  Downloads: 0
Form 201 20Syllabi
Views: 0  |  Downloads: 0
TexasFolklifeSheetMusic
Views: 0  |  Downloads: 0
Rembrandt poems
Views: 3  |  Downloads: 0
Health_Coaching
Views: 0  |  Downloads: 0
nicabmcoachingmaster
Views: 0  |  Downloads: 0
Leone 20Tiemensma
Views: 0  |  Downloads: 0
Movie 20List
Views: 124  |  Downloads: 0
thomasr
Views: 0  |  Downloads: 0
By registering with docstoc.com you agree to our
privacy policy

You are almost ready to download!

You are almost ready to download!