Risk Management Claims Auditing Services

The Vendor is required to provide the appointment of a risk manager, establishes the risk management fund and directs the administration of the fund.
- Provides liability, property, and auto insurance coverage, claims administration and loss control services to the participating entities of the Risk Management Fund.
- A claims audit to:
• Verify department administers claims competently, while providing effective services to its insureds;
• Ensure adherence to sound and accurate procedures;
• Verify compliance with applicable laws, regulations and industry best practices for self-insurers; and
• Benchmark annual performance.
- The audit is to include a review of Risk Management’s claims administration, including:
• Loss Reserves
• Payment Reconciliation
• Allocated Expenses
• File Documentation
• Regulatory Compliance
• Subrogation/Salvage
• Accuracy and Timeliness of Claim Setup
• Coverage Verification
• Prompt Contacts
• Claim Investigation and Fraud Identification
• Liability and Damage Assessment
• Periodic Monitoring
• Cost Containment
• Payment Promptness
• Excess Reporting
• Case Finalization and Settlements.
- Contract Period/Term: 5 years
- Questions/Inquires Deadline: April 11, 2025