Specifications include, but are not limited to: 1) Review of CIS standards and practices guidelines and how claims are handled within the guidelines. 2) Review compliance with prior audit recommendations. Prior audits will be provided to the successful proposer. 3) Evaluation of CIS’ current oversight procedures and settlement authority process given CIS’ current retention, as compared to recommended best practices. 4) Evaluation of CIS’ deductible billing procedures. 5) Evaluation of internal controls of the claims department. 6) Evaluation of the litigation management process including procedures and criteria for selecting attorneys, establishment of reporting procedures, ongoing monitoring, case management, and appropriate management of legal expenses. 7) Evaluation of claim reserve practices, including adequacies of reserves postings, and timeliness of reserve changes.
