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<br /> <br /> <br />City of Everett <br />RFP #2026-001 for Third Party Claims Administrator (TPA) Services <br /> <br />a. These actions trigger the CMIS to set an automatic diary for the adjuster and their <br />supervisor. <br />4. Send an acknowledgement of new assignment to the City, including claim number and assigned <br />adjuster information. <br />5. Make initial phone contact with the claimant or their attorney, if so instructed, with the claim <br />number and contact information for the adjuster, including a follow-up acknowledgement letter. <br />Investigation <br />An investigation plan is developed for each claim to assess the liability and damages exposure efficiently <br />and effectively. Applying their experience and expertise, the adjuster tailors the scope of investigation to <br />the nature and exposure of the claim. The investigation may include: <br /> Gathering all internal documents from the City, including reports, maintenance logs, photos, <br />contracts, easements, certificates of insurance, etc. <br /> Conducting a scene inspection with photos and diagrams as warranted <br /> Interviewing City staff <br /> Obtaining official reports <br /> Interviewing and obtaining statements from the claimant and witnesses <br /> Obtaining damage estimates, invoices, and/or damage appraisals <br /> Obtaining all pertinent medical records <br />Intercare will identify and engage an interpreter/translator that is acceptable to the City. When possible, <br />we will utilize one of our bilingual employees to assist with translation. Where warranted, we will seek <br />authority from the City to engage experts. <br />Communication <br />Phone calls and emails will be returned within 24 hours. All other written communication will be <br />responded to within three (3) business days. <br />Contact <br /> 24-hour emergency contact will be made within one (1) hour of assignment or phone call. <br /> Initial contact will be made with the insured/client, claimant, and witness within one (1) business <br />day of receipt of their information. If no contact is made with the claimant, two (2) subsequent <br />contact attempts via telephone will be made within the first 48 hours after receipt of the claim. If <br />we do not have contact information for the claimant, or have incorrect information, extra <br />attempts will be made to secure correct contact information, such as a Google or online ‘white <br />pages’ search. If the City’s protocols are such that a claimant is not to be contacted, this will be <br />documented in the adjuster’s file notes. <br /> An acknowledgement letter or email will be sent to all pertinent parties containing the adjuster’s <br />contact information and claim number, unless instructed otherwise. <br />Risk Transfer and Indemnity Rights <br />During our investigation, we actively seek to identify all risk transfer and indemnity/defense rights owed <br />to the City through contracts, agreements, additional insured statuses, easements, etc. With the City’s <br />approval, we promptly and vigorously pursue tender/cross-complaints on behalf of the City against all <br />potentially responsible parties and/or their insurance carriers. <br /> <br />21