Facilities and Staffing. Contractor shall: 1. Maintain adequate staff in claims offices for the effective administration of the Plan claims processing and payments. The staffing shall include a Designated Team for the County account. The Designated Team will be supplemented as needed to meet the performance requirements of the Contract. The Designated Team will be maintained so that 75% of the staff has 2 or more years of relevant experience and have been specifically trained on the unique provisions of the County Plan. Contractor agrees to staff the Designated Team at a level sufficient to routinely have: a. 95% of Plan claims processed through a combination of auto-adjudication and/or the Designated Team; and,
Appears in 3 contracts
Samples: Claims Administration Agreement, Claims Administration Agreement, Claims Administration Agreement
Facilities and Staffing. Contractor shall:
1. Maintain adequate staff in claims offices for the effective administration of the Plan claims processing and payments. The staffing shall include a Designated Team for the County account. The Designated Team will be supplemented as needed to meet the performance requirements of the Contract. The Designated Team will be maintained so that 75% of the staff has have 2 or more years of relevant experience and have been specifically trained on the unique provisions of the County Plan. Contractor agrees to staff the Designated Team at a level sufficient to routinely have:
a. 95% of Plan claims processed through a combination of auto-adjudication and/or the Designated Team; and,
Appears in 1 contract
Samples: Claims Administration Agreement
