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Intercare Holdings Insurance Services, Inc 5/8/2026
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Intercare Holdings Insurance Services, Inc 5/8/2026
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Last modified
5/8/2026 9:26:44 AM
Creation date
5/8/2026 9:24:25 AM
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Contracts
Contractor's Name
Intercare Holdings Insurance Services, Inc
Approval Date
5/8/2026
End Date
5/4/2029
Department
Finance
Department Project Manager
Bert Cueva
Subject / Project Title
Third Party Claims Administrator
Tracking Number
0005239
Total Compensation
$125,000.00
Contract Type
Agreement
Contract Subtype
Professional Services (PSA)
Retention Period
6 Years Then Destroy
Imported from EPIC
No
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<br /> <br /> <br />City of Everett <br />RFP #2026-001 for Third Party Claims Administrator (TPA) Services <br /> <br />The use of ClaimsXpress increases our firm’s service capabilities for the City and enhances our service <br />workflow efficiencies and custom reporting capabilities. The alignment of these technologies with <br />Intercare’s services is of great value to the City by providing real-time access to decision-making data, <br />metrics, and trends. When it comes to read-only access, reporting, and modification abilities to meet the <br />City’s needs, our technology offering is unmatched. <br />Samples of our most commonly requested reports are included in this proposal as Exhibit C ‒ Standard <br />Reports. <br />C. Describe your firm’s claims protocol, including response, investigation, establishment of <br />reserves, adjustment of claims, subrogation, monitoring of claims, settlement procedure, <br />litigation, and claims closure process. Please provide a copy of your claim investigation “best <br />practices” or written guidelines. <br /> Claims Handling Best Practices <br />Intercare has developed best practices in claims management, and we believe our process and specific <br />alignment with your needs and expectations collectively results in a reduction of claims expenses. <br />Best Practices Claims Approach <br />Intercare’s Best Practices General Liability Claims Handling Manual and Best Practices General Liability <br />Litigation Manual are followed by liability claims processors, adjusters, and supervisors in addition to the <br />specific rules, regulations, and requirements of each individual client. These manuals support the scope <br />of work, procedures, processes, and requests of the City. Our goal is always to provide the highest level <br />of quality, customer-focused claims service. We accomplish this by assigning teams of experienced <br />individuals who have managed similar accounts for many years. <br />Our best practice approach to claims management centers around early communication and transparency <br />of information. Early communication with claimants leads to faster claim resolution, and the transparency <br />of information provided to the City gives insight to the claims process from inception to close. <br />Best Practices Quality Control <br />Our processes, procedures, and methodologies center around adjuster accuracy and customer <br />satisfaction. Quality control comes at the technological (automated) level, and at the human <br />(adjuster/supervisor) level by Intercare’s Supervisors and Client Success Managers. <br />Best Practice Claims Data and Information Management <br />Intercare’s ability to develop and maintain the City’s data metrics for decision-making as well as to provide <br />accurate statistical reporting is due solely to our commitment to best practices in our Information <br />Technology processes. Our Claims Management Information System (CMIS) provides Intercare and our <br />clients with exceptional expert resources. We can rely on our system’s commitment to security to ensure <br />your data is safe; to demonstrate this commitment, our team completes an annual disaster recovery <br />exercise to safeguard against potential data loss. <br />Timely resolution of claims is another best practice we employ. Generally, the longer a file is open the <br />costlier it is for our clients. Superfluous open reserves on a client’s book of business can negatively affect <br />financial results. As such, one of the items reviewed by supervisors when they audit files is timeliness of <br />closures. The supervisor will also review whether the adjuster is continuing to update the claim diary. <br />Every time an adjuster interacts with a file, they should do everything necessary to move the file closer to <br />resolution. <br /> <br />19
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