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<br /> <br /> <br />City of Everett <br />RFP #2026-001 for Third Party Claims Administrator (TPA) Services <br /> <br /> <br /> <br /> <br /> <br /> <br /> <br /> <br /> <br /> <br /> <br /> <br /> <br /> <br /> <br /> <br /> <br /> <br /> <br /> <br /> <br /> <br /> <br /> <br /> <br /> <br />Using statutory settlement offers when appropriate to possibly recover costs if a favorable <br />verdict is received. <br />When a claim becomes litigated, Intercare’s claims adjusters do not simply assign a file to defense counsel <br />and vanish but operate as true litigation managers. We believe it is the responsibility of our claims <br />adjusters to work closely with defense counsel until the case is resolved and the claim file is closed. A <br />good early investigation, coupled with an experienced litigation manager, helps bring the case to an earlier <br />resolution. We strategize early and often with the client and defense counsel and monitor the case to <br />ensure counsel stays on track. <br />Our full litigation management services include the following: <br />Within five (5) days of the assignment by the City, contact will be made by the lead claims adjuster <br />and with any assigned defense counsel. An appropriate plan of action will be discussed, and initial <br />case analysis will be reviewed to determine what course of discovery and motion/defense <br />strategy to implement. <br />Within 60 days following the assignment of a case, defense counsel will complete and return a <br />complete case analysis to the City, the Intercare adjuster, and the claims supervisor. The case <br />analysis will include a comprehensive evaluation of the case and formalize the defense strategy <br />crafted by the team. <br />In addition to the initial case analysis, counsel will provide an accurate estimate of defense costs <br />for all litigated cases as set forth in the exhibits. Defense counsel is expected to stay within the <br />estimated case budget throughout the litigation and to report on fees expended in relation to the <br />budget as requested. <br />After the initial case analysis, defense counsel will provide mandatory written status reports at <br />60-day intervals, setting forth all substantive developments. The defense attorney handling the <br />claim will prepare the status reports. Defense counsel will report only on new developments since <br />the last report, as it is not necessary to repeat case facts or information previously reported. <br />Status reports will be as objective and straightforward as possible to allow the Intercare adjuster <br />and claims supervisor to meaningfully analyze the case and determine the course of action to be <br />taken. <br />Intercare monitors defense counsel to ensure that counsel stays true to the plan of action and <br />within the defense budget. This includes monitoring defense counsel procedures, mandating <br />regular reporting by defense counsel, and reviewing legal bills for appropriateness as directed by <br />the American Bar Association standards or by the City’s instructions to ensure the claim is resolved <br />in the most cost-efficient manner. <br />Intercare has developed specific guidelines that include creating and monitoring a watch list of <br />any claims that, because of allocated expenses, expense reserves, case reserves, or a combination <br />thereof, may present a threat to pooled funds or have already reached pooled funds. Though the <br />City may wish to assign claims to their watch list for the Litigation Manager, Intercare’s watch list <br />typically starts at the primary level. If chosen to provide third-party administration services, <br />Intercare will continue to follow these guidelines to create a watch list of claims that have the <br />potential to exceed the City’s SIRs and monitor those claims until the case resolves. <br />24