Download - Rfp Development Talk Pts
BUILDINGA Better Claims RFP
BUILDING
Alternative Service Concepts, L.L.C.
Building A Better Claims RFP What We Will Learn
•The Importance of the Request for Proposal (RFP)
• Sampling the Market
•RFP Team Development•RFP Team Development
•Developing Tactical Questions
• Lack of Preparation Consequences
Alternative Service Concepts, L.L.C.
Building A Better Claims RFP RFP Importance
•Price or “Flight”Due DiligenceImmediate Concerns
• Short‐Term Exercise = Long Term ImpactPrepare A ListFormal Presentations
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Building A Better Claims RFP Market Sampling
•Making ChoicesPricingBrokersIndustry PeersCase StudiesReferences
R t f I f ti (RFI)• Request for Information (RFI)High‐Level Data Gathering
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Building A Better Claims RFP Team Development
•Gather the “Thought” ExpertsRisk Professionals & Other Personnel
• Identify CostsNot All TPA’s Are Created Equal
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Building A Better Claims RFP Team Development
• Identify FlexibilityChoice In Subcontractors or Pre‐SelectedStaffing RequirementsRegulatory ComplianceSystem CapabilitiesRehab Program
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Building A Better Claims RFP Tactical Questions
• TPA HistoryGrowthGrowthResearchRetentionOwnership/ManagementOwnership/Management
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Building A Better Claims RFP Tactical Questions
• StaffingAdjuster ExpertiseAdjuster ExpertiseBackup PlansAvailabilityTTurnover
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Building A Better Claims RFP Tactical Questions
• Claim Handling StandardsGuidelinesGuidelines CAT ClaimsRun‐In/Tail ClaimsRecords OwnershipRecords Ownership
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Building A Better Claims RFP Tactical Questions
• Risk Management Information Systems (RMIS)Internal vs LeasedInternal vs. LeasedCapabilities
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Building A Better Claims RFP Tactical Questions
•Migration/ImplementationTimingTimingExpertise
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Building A Better Claims RFP Tactical Questions
• TrainingFor AdjustersFor AdjustersFor Clients
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Building A Better Claims RFP Tactical Questions
• Industry ExpertiseMarketing CollateralMarketing CollateralWord‐of‐MouthCompetitive Analysis
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Building A Better Claims RFP Tactical Questions
• AccountabilityCertificate of InsuranceCertificate of InsuranceTPA Licensure by StatePending LitigationFinancialsFinancials
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Building A Better Claims RFP Tactical Questions
• Quality ControlAuditsAuditsEfficiency ProgramsBackup Plan
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Building A Better Claims RFP Tactical Questions
• Managed CareOwnership or LeasedOwnership or LeasedChoice In PPO NetworksCase Management
Alternative Service Concepts, L.L.C.
Building A Better Claims RFP Tactical Questions
• Bill ReviewAdjuster InvolvementAdjuster InvolvementProcess
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Building A Better Claims RFP Tactical Questions
• ContractsTermsTermsVendor Flexibility
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Building A Better Claims RFP Consequences in Conclusion
• Lack of Preparation ConsequencesNot All TPA’s Are Created EqualNot All TPA s Are Created EqualPlan
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Building A Better Claims RFP
Thank You !
A Better Claims RFPBUILDING
Alternative Service Concepts, L.L.C.