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Claims Administration Services


Location
Louisiana
Publication Date
01/10/2019 01:16 PM EST
Closing Date
01/31/2019 11:30 AM EST
Issuing Organization
Caddo Parish Public Schools
Solicitation Number
Description

Specifications include, but are not limited to: TPA’s personnel shall be located in or in close proximity to Shreveport, Louisiana. Personnel required in Shreveport, Louisiana, or in close proximity to, shall include supervisory, adjusting, medical case management and administrative staff. Trained, competent and, where required, licensed claims adjusters to perform the services outlined in this RFP in a manner commensurate with the highest professional standards, in good faith and in accordance with all applicable laws and regulations. TPA’s adjusters shall be familiar with Louisiana General Statutes as well as legal matters and court proceedings. The TPA shall assure that there is adequate staffing to support all claims processing and support services required by the Caddo Parish School Board. It is expected that the contractor will assure that caseloads for recurring and litigated claims will be consistent with industry standards as described in various industry publications. The Caddo Parish School Board will have final approval of all staff assigned. Adjusters or other representatives of the TPA who fail to conduct themselves in a manner deemed appropriate by the Caddo Parish School Board shall be removed from Caddo Parish School Board account. TPA's office shall be open for business, at a minimum, on the days and during the core hours that the Caddo Parish School Board offices are open. TPA must be able to receive claims by mail, fax, e-mail, and telephone. TPA shall have procedures to handle all types of submittals. TPA must be able to accept reported claims and other information via email, preferably in pdf format. TPA must have 24 hour response capabilities on all accidents involving multiple potential claimants or involving serious injuries. TPA shall report losses to the respective excess carrier in a timely manner pursuant to each carrier’s requirements. Adjusters must be able to provide in-depth, comprehensive excess reports. Claim supervisor will be assigned to all claims to ensure claims are handled appropriately. At the Caddo Parish School Board’s discretion, TPA shall provide the option to meet at least monthly with the Caddo Parish School Board Risk Manager to review claims, settlements and strategy. TPA staff will be return telephone calls within the same business day. Emails will be answered no later than the following business day. TPA shall have a comprehensive web-based claim system with the ability to add custom fields specific to Caddo Parish School Board. TPA shall provide Caddo Parish School Board with unlimited real time access to claims information.

Source
http://www.caddoschools.org/caddo-schools-purchasing-department (opens in a new window)

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