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TPA Selection & Audit

Third Party Administrators

Organizations frequently prefer their claims be managed and administered by a third party administrator (TPA). Our consultants are available to assist in the selection process. Insurance Consulting Company's consultants develop claim management specifications, standards, procedures and management reports that will ensure effective and efficient claim management. We will assist in the preparation of a Request for Proposal (RFP), help in the evaluation and selection of vendors, assist in implementation, and provide periodic performance audits.

 

Key Benefits:

Our consultants expertise and experience will assist you in making the determination of what services you require, the fair market value for those services, and the technical competency of the vendor candidates.

 

The audit experience of our consultants allows them to distill vendor candidates to those qualified based on prior observation or a limited scope audit of their current operations. 

 

Proper documentation of expectations, standards of performance, and procedures are critical to the launch of a successful program. Our consultants have written in excess of one hundred claims procedure manuals. We can assure your needs and expectations are clearly defined. 

 

Periodic reviews of the claim files assure reserving, file handling, and reporting requirements meet or exceed industry standards.