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<br /> <br /> <br />City of Everett <br />RFP #2026-001 for Third Party Claims Administrator (TPA) Services <br /> <br />Troubleshooting of the contract begins with open communication. We will approach City with any <br />contractual issues that we face as soon as they arise, and we request that City do the same. Most issues <br />can be addressed through consistent, respectful communication. For example, in the event that the scope <br />of work falls outside of that agreed upon, Intercare and the City will meet to review the statistics and <br />evaluate whether a change in the staffing model is appropriate. If the parties agree that a permanent <br />change in the staffing model is necessary, a change in the fee structure will be negotiated between the <br />parties to align with the new staffing structure. <br />C. How do you define and measure your customer service standards, and what methods do you <br />use to ensure customer satisfaction? <br />Our customer service is exceptional and results in a successful partnership with our clients. <br />Intercare managers and supervisors document and log all customer service issues regarding satisfaction, <br />service concerns or complaints; and then initiate a plan of action to resolve the issue. Intercare will <br />investigate to determine what needs to be done to remedy the issue, such as additional training, staff <br />counseling, system adjustments, etc. All activity is logged in our “Complaint/Issue Log”, which can be <br />shared with the City on a monthly basis so we can track resolution together. <br />Constant Communication <br />Our staff knows that without regular communication with all stakeholders in the claims process, simple <br />matters can sometimes go off the rails. That is why our staff maintains constant, proactive communication <br />with all relevant parties. This includes returning all calls and emails within 24 hours, or one business day <br />of receipt. <br />Customer Satisfaction Survey <br />A key element of our efforts to achieve client satisfaction is our annual customer service satisfaction <br />survey. Your designated account manager will be responsible for conducting a survey each year of the <br />City’s staff, service providers, and vendors using a random sample of 10% of claims received in the <br />preceding 12 months and 1% of other contacts, such as client contacts, vendors, and service providers. <br />Your assigned account manager will share the results with the adjusting team and the City. <br />Please refer to Exhibit D – Sample Survey to learn more. <br />Strict Performance Auditing <br />In addition to regular communication, high quality claims administration requires close supervision and <br />auditing to monitor and measure performance. To this end, we have strict internal audit protocols that <br />allow us to be proactive and confirm compliance with each client’s service instructions, State <br />requirements, and Intercare’s own Best Practices. <br />Best Practices in Claims Approach <br />Our Best Practices General Liability Claims Handling Manual and Best Practices General Liability Litigation <br />Manual are followed by all claims processors, adjusters, and supervisors in addition to the specific rules, <br />regulations, and requirements of each individual client. These manuals support the scope of work, <br />procedures, processes, and requests of the City. Our stated mission 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 />29