Posted Date : March 10,2022
Product (RFP/RFQ/RFI/Solicitation/Tender/Bid Etc.) ID : MB-6158
Government Authority located in Louisiana; USA based organization looking for expert vendor for third party administration services.
[A] Budget: Looking for Proposals
[B] Scope of Service:
(1) Vendor needs to provide third party administration services
- currently maintains certain portions of its liability insurance coverage utilizing a self-insured retention (SIR) program, to provide claims adjusting and claims administration services for certain components of its SIR program
- The respondent shall make available a 24/7/365 toll free and Internet based reporting and adjuster service.
- The respondent shall establish realistic claim reserves, attend attorney meetings and/or conduct telephone conferences to develop defense strategies, attend mediation conferences, attend and provide testimony at necessary trials, develop and monitor budgets for defense costs, and attend regular meetings
- The respondent shall identify the claims supervisor and individual staff adjusters that will be assigned to handle claims for the for each line of coverage.
- The respondent shall indicate the total number of existing claims currently assigned to each adjuster that will service the account.
- The respondent shall indicate the total number of personnel overseen, clients and claims currently assigned to each supervisor that you intend to service this account.
- The respondent shall describe all claims investigation services
- The respondent shall provide an electronic Claims Management System (CMS) that will be used to store claims data in a versatile database. The system should be able to manipulate data by type of claims, cause, date of occurrence, job title, work groups, location, values, et cetera. The CMS shall be Internet based and be accessible 24 hours per day, real time valued and at least on a read-only and print basis and its risk manager. The use of this system will negate the need of the TPA to furnish hard copy reports will be able to access data on an at will basis. The Internet-based system shall not require any specialized computer equipment, telephone equipment or telephone line access / dedication
- Duplicate claim files of all claims reserved in excess of $25,000, including reserve worksheets, diary notes, file payments log and all correspondence will be provided
- The respondent shall ensure that medical reports will be obtained, or the medical providers contacted for same, as frequently as needed for verification of continuing indemnity payments.
- Subrogation will be investigated and subsequently ruled out or pursued in all cases involving third party Negligence
- Excess Carrier Claims reporting as required.
(2) All the questions must be submitted no later than March 28, 2022.
[C] Eligibility:
Global (World-wide)
[D] Work Performance:
Global, companies from all over the world can apply for this. However, meetings can be conducted via ONLINE conference calls.
Budget :
Deadline to Submit Proposals: April 11,2022
Cost to Download This RFP/RFQ/RFI/Solicitation/Tender/Bid Document : 5 US$
Product (RFP/RFQ/RFI/Solicitation/Tender/Bid Etc.) ID : MB-6158
Government Authority located in Louisiana; USA based organization looking for expert vendor for third party administration services.
[A] Budget: Looking for Proposals
[B] Scope of Service:
(1) Vendor needs to provide third party administration services
- currently maintains certain portions of its liability insurance coverage utilizing a self-insured retention (SIR) program, to provide claims adjusting and claims administration services for certain components of its SIR program
- The respondent shall make available a 24/7/365 toll free and Internet based reporting and adjuster service.
- The respondent shall establish realistic claim reserves, attend attorney meetings and/or conduct telephone conferences to develop defense strategies, attend mediation conferences, attend and provide testimony at necessary trials, develop and monitor budgets for defense costs, and attend regular meetings
- The respondent shall identify the claims supervisor and individual staff adjusters that will be assigned to handle claims for the for each line of coverage.
- The respondent shall indicate the total number of existing claims currently assigned to each adjuster that will service the account.
- The respondent shall indicate the total number of personnel overseen, clients and claims currently assigned to each supervisor that you intend to service this account.
- The respondent shall describe all claims investigation services
- The respondent shall provide an electronic Claims Management System (CMS) that will be used to store claims data in a versatile database. The system should be able to manipulate data by type of claims, cause, date of occurrence, job title, work groups, location, values, et cetera. The CMS shall be Internet based and be accessible 24 hours per day, real time valued and at least on a read-only and print basis and its risk manager. The use of this system will negate the need of the TPA to furnish hard copy reports will be able to access data on an at will basis. The Internet-based system shall not require any specialized computer equipment, telephone equipment or telephone line access / dedication
- Duplicate claim files of all claims reserved in excess of $25,000, including reserve worksheets, diary notes, file payments log and all correspondence will be provided
- The respondent shall ensure that medical reports will be obtained, or the medical providers contacted for same, as frequently as needed for verification of continuing indemnity payments.
- Subrogation will be investigated and subsequently ruled out or pursued in all cases involving third party Negligence
- Excess Carrier Claims reporting as required.
(2) All the questions must be submitted no later than March 28, 2022.
[C] Eligibility:
Global (World-wide)
[D] Work Performance:
Global, companies from all over the world can apply for this. However, meetings can be conducted via ONLINE conference calls.
Budget :
Deadline to Submit Proposals: April 11,2022
Cost to Download This RFP/RFQ/RFI/Solicitation/Tender/Bid Document : 5 US$