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Third
Party Administrator Services
Proposal
A sampling of some of the services we can provide follows below:
| • |
Record,
examine and promptly report on each claim, as well as
any reserve established therefor by AFP at a frequency
and format to be established by client. |
| • |
Establish
and maintain a claim file for each reported claim containing,
among other things, documentation as to the coverages
applicable to the claim and such other documents, reports,
logs or communications as required by client’s guidelines
and/or necessary for AFP to fulfill its duties under the
terms of the agreement established with client. |
| • |
AFP
will negotiate favorable fee structures on behalf of client
with outside counsel, court reporters, independent investigators,
expert witnesses and such other vendors as may be necessary
to the investigation and handling of claims. |
| • |
AFP
will, at its sole cost and expense, monitor and track
all legal fees and expenses. |
| • |
Perform
reasonable and necessary administrative and clerical work
in connection with reported claims. |
| • |
AFP,
at its sole cost and expense, shall report all claims
on monthly bordereaux reports which reflect the status
and change of status for each claim. |
Please consider using our TPA services for one of the following
scenarios:
| • |
An
insurance company that is in run-off.
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A
self-insured hospital that wishes to convert from using
its risk manager or counsel to adjust the claims.
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Captive
insurance programs |
| • |
A
client whose legal fees for claims require aggressive
monitoring.
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