General Lines Claims Service Provider(s) RFP

Overview Insurance and Care NSW (icare) is advising the market of an upcoming open Request for Proposal (RFP) for Claims Service Provider (CSP) services supporting NSW Government General Lines insurance portfolios and managed insurance schemes. Purpose icare is providing advance notice of an upcoming procurement for Claims Service Provider services supporting the NSW Self Insurance Corporation's General Lines insurance portfolios. The procurement aims to establish one or more Claims Service Provider arrangements that deliver contemporary, efficient and effective claims management services across the Treasury Managed Fund (TMF), Construction Risk Insurance Fund (CRIF) and Special Liability Insurance Scheme (SLIS). The General Lines portfolios support the management of claims arising from government operations and assets and form a critical component of NSW Government risk management frameworks. Objectives Deliver high-quality claims management services Improve customer and stakeholder outcomes Strengthen governance and reporting Enhance operational efficiency Support the effective management and reduction of claims liabilities and associated risks Apply contemporary claims management capabilities, including technology, data and analytics solutions that support informed decision-making, actionable insights, innovation and continuous improvement Establish scalable and sustainable arrangements that deliver value for money and support the evolving needs of NSW Government agencies and managed insurance schemes over the life of the contract Scope icare intends to procure Claims Service Provider services to support the delivery of claims management services across the NSW Self Insurance Corporation's General Lines insurance portfolios and associated NSW Government managed insurance schemes. The General Lines portfolios currently comprise Medical Negligence / Malpractice, Abuse, General Liability, Property and Motor. Services will primarily support NSW Government agencies and operations across New South Wales. The scope includes: Loss notification recording and claims administration Indemnity and liability assessments Claims investigation, evaluation and determination Case management and litigation management Management of third-party service providers Approval and administration of claim-related treatments, services and payments Claims records management Reporting and performance management Financial and accounting activities Provision, maintenance and ongoing support of a contemporary claims management technology platform Providers will be invited to submit proposals for one or more individual portfolios, or for all portfolios collectively. The final operating model and number of providers will be determined through the RFP evaluation process. This procurement will support the Treasury Managed Fund (TMF), Construction Risk Insurance Fund (CRIF) and Special Liability Insurance Scheme (SLIS) and may result in the appointment of one or more Claims Service Providers. Contractor Requirements Demonstrated experience in government or large-scale insurance claims management Experience in general insurance portfolios Experience with claims technology platforms Experience in data analytics and reporting Experience in customer and stakeholder engagement Experience in transformation and innovation within claims operations Relevant experience in public sector insurance schemes and management of high-volume and complex claims portfolios will be highly regarded icare encourages all interested suppliers to participate that can demonstrate the required capability, experience and technology solutions. Contract Terms and Conditions icare anticipates entering into arrangements for an initial term of five years Extension options may result in a total contract term of up to ten years Instructions to Tenderers This notice is intended to provide advance notice of an upcoming open market RFP, which icare anticipates releasing in the coming weeks. Interested suppliers are encouraged to ensure their Buy NSW Supplier Hub profiles and notification preferences are current and to monitor Buy NSW Opportunities Hub, Buy NSW Supplier Hub and icare procurement communications for updates regarding this opportunity, including market briefing information and release of the RFP. Enquiries Contact: Alison Lyons Email: GGSicareprocurement@icare.nsw.gov.au