ATTACHMENT 1
Worker’s Compensation Third-Party Administrator RFP
Presentation/Interview Panel Rating Form
April 8, 2024
PROPOSER NAME: ___________________________________________________________ Rate each dimension on a scale of 1-20 points, with 20 being the highest score.
Score
Experience
Demonstrates high degree of experience with public agencies including both police and fire departments, maintains appropriate experience and performance standards for claims adjusters, demonstrates track record of quality and effectiveness.
Customer Service
Understands the importance of frequent communication with injured employees and the employer, ability to develop trust and rapport, employs appropriate strategies to reduce lost time and expedite services where practicable.
Claims Management
Employs appropriate strategies to evaluate and investigate claims, maintains standards for claim resolution and closure, identifies areas of concern and develops appropriate response, utilizes appropriate methods to benchmark service effectiveness.
Additional Services
Involvement in and/or experience with return-to-work programs, offers any additional services or innovative programs to complement core services.
Pricing & Value
Fee is reasonable in relation to level of service provided (including proposed staffing, information system, and additional services).
Employs appropriate cost structure for ancillary services and makes cost-effective use of services.
Total Score ______ / 100
Panelist Name___________________________ Signature_______________________________