2. NATURE/ SCOPE OF SERVICES – The City of Perth Amboy is requesting proposals for third party claims administration services for Property & Casualty, General Liability, and workers compensation aspects of City’s insurance programs as provided through the PEJIF and under the supervision of the Insurance Fund Administrative Claims Review Committee. Third Party Claims Administrators will have a close working relationship with the Insurance Coordinator, the Insurance Committee, the designated Broker of Record, and the City Finance and Law Departments. The Third Party Claims Administrator will be required to perform, as applicable, but not limited to, the following services: A. Actuary: 1) Actuary must have the demonstrated ability to perform actuarial functions for a self-insured liability program. 2) Actuary must be a FCAS member. 3) Actuary must have a minimum of five (5) years’ experience. 4) Actuary must be available to provide proof of Errors & Omissions Insurance. B. Property & Casualty and General Liability 1) Claims Management: I. Receive, review, and process claims. II. Conduct investigations and manage claim settlements. III. Coordinate with legal counsel as needed. IV. Provide regular status updates and reports. 2) Reporting: I. Maintain accurate records and provide detailed reports on claims activity. II. Generate statistical data and performance metrics.
