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MB-3747 - USA (California) - Third Party Liability Claims Administration Services - Deadline February 10,2020

Product (RFP/RFQ/RFI/Solicitation/Tender/Bid Etc.) ID: MB-3747

Government Authority located in California; USA based organization looking for expert vendor for third party liability claims administration services.

[A] Budget: Looking for Proposal

[B] Scope of Service:

(1) Vendor needs to provide third party liability claims administration services, administer the city's Self-Insurance Liability program and act as the city's representative in all matters related to the investigation, adjustment, processing, and resolution of claims for money damages asserted by third parties against the city,
- The contractor will provide complete claims adjustment services on each accident or incident, which is, or may be the subject of a liability claim against the City,
- Such services shall include, but are not limited to:
- Open and maintain a claim file on each potential or actual claim assigned to the contractor
- Review all new claims for liability and provide an assessment of liability to the City no later than twenty-one days from receipt of claim from the City,
- Review status of claims and adequacy of reserves on all active cases at least every sixty days,
- Provide narrative reports to the city when recommending disposition of a claim or any other significant events that have or will occur, reports must be clear and concise and be provided within format approved by the city,
- Diary all files at appropriate intervals to allow for timely completion of required activity,
- Files will clearly and concisely document each action taken on a claim,
- Identify and notify possible co-defendants,
- Identify liability and potential defenses, including use of governmental immunities, comparative negligence, joint tortfeasors and joint and several liability,
- Tender claims to other potentially responsible parties,
- Telephone calls from City staff, claimants, or claimant's attorneys shall be returned within one business day,
- Have translators available to assist with non-English speaking claimants,
- Whenever its investigation results in a determination that the City has sustained a liability to a third party, the contractor will process such claim or potential claim for settlement in accordance with instructions and policies established by the City for settlement,
- Notify the City's excess carriers of all claims that exceed, or may exceed, the City's self-insurance retention or as required by the excess carriers' liability claim reporting procedures,
- Act as liaison between the insurance carriers and the City on matters affecting the adjustment of claims,
- Obtain settlement agreements and releases upon settlement of claims or potential claims,
- Seek reimbursement from the excess insurance carrier for any losses in excess of the City's self-insured retention.
(2) A mandatory pre-proposal meeting will be held on January 22, 2020

[C] Eligibility:

- Onshore (USA Only);

[D] Work Performance:

Performance of the work will be Offsite. Vendor needs to carry work in their office location.

Expiry Date : Monday, 10 February, 2020

Pre-proposal Conference Date : Wednesday, 22 January, 2020

Category : Medical Billing and Coding

Country : USA

State : California

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