Vendor needs to provide third party claims administration services.
- Third-party administrator (TPA) for administration for its self-insured tort liability program.
- The primary function of the selected vendor will be the prompt and accurate adjudication of tort claims filed against the State to determine liability exposures and to evaluate and negotiate claim settlements.
- These TPA services will include claims investigation, claim payment administration, compensability determinations, liability litigation management, settlement negotiation, data analytics and reports, and compliance reporting.
- The selected TPA will also be required to provide safety/risk control services, at the Board's discretion.
- Account Management
- Third Party Claims Administration Services
- Claims Handling:
a. Shall review and investigate assigned tort claims filed against the State to determine liability exposures, evaluate and negotiate claims settlements, and process each such assigned claims from assignment to conclusion in accordance with applicable statutory and administrative regulations.
b. Shall keep the Board and/or OI fully informed of all significant developments in assigned matters.
c. Begin the file review and initial investigation within twenty-four (24) hours of receipt of the claim.
d. Maintain on a consistent basis all claim files and records necessary for processing claims and legal defense for liability claims or litigation.
- Settlement of Claims
- Investigations
- Liability Litigation Management
- Data Management
- Claims and Performance Reviews
- Standard/Ad Hoc Reporting
- Loss Control Services - Optional, meaning at the request and discretion of the Board
↧