Insurance Claims Handling Services

Tender description

Cadent is seeking to appoint a Service Provider to deliver a comprehensive Employers' Liability (EL) claims administration and handling service for legacy industrial disease claims arising from activities prior to 1 April 2017, but notified thereafter. The Service Provider will be responsible for delivering an end-to-end claims management service, including the timely receipt, investigation and assessment of claims, determination of liability and quantum, and progression through to settlement. The service will require close coordination with internal stakeholders, insurers and legal representatives to ensure effective and consistent claim outcomes. A key aspect of the requirement is the proactive management of complex insurance coverage, including claims spanning multiple policy periods, insurers and uninsured exposures. The Service Provider will be expected to identify relevant policies, allocate liability and financial exposure appropriately, and maximise recovery from insurers and other relevant parties, supported by clear and auditable records. The scope also includes litigation management and advisory support, where proceedings arise, alongside the appointment and management of legal representatives. The Service Provider will ensure compliance with all statutory and regulatory requirements, including engagement with the Compensation Recovery Unit and adherence to applicable protocols. In addition, the Service Provider will provide robust data management and reporting, including maintaining complete digital claim files, producing regular management information, supporting actuarial and financial reporting, and enabling integration with Cadent systems. Ongoing insight into claim trends, cost drivers, and legal or market developments will also form part of the service. Overall, the requirement is for a fully managed, technically robust and data-driven claims handling service, with a strong emphasis on risk management, insurance recovery, compliance, and transparency.