Service Provider Performance Evaluation - Claims Administrator
    Please rate the effectiveness of service provided by the contractor listed below. If you have no opinion, or do not recall using or receiving the service, indicate not applicable (N/A).
 
1.
Contractor Company:
2.
Contact Person:
3.
Contract Anniversary:
4.
Service Provided to SELF:
       
    Activity Rating
      Poor -- 1 -- 2 -- 3 -- 4 -- 5 -- N/A -- Excellent
    CONTRACT TASKS  
5.
Provide aggressive and pro-active claims management services to protect SELF’s interests. Respond equitably to claims made by the member.
 1   2   3   4   5   N/A  
6.
Prompt contact will be made to discuss appropriate investigation and direction to be taken on the file.
 1   2   3   4   5   N/A
7.
Periodic contact will be maintained to determine the direction and disposition of the case, and reserves.
 1   2   3   4   5   N/A
8.
Maintain contact with SELF’s Board of Directors on status of claims, notifying of need to send reservation of rights letter or attendance at settlement conferences.
 1   2   3   4   5   N/A
9.
 Maintain litigation oversight including control of expenses and case direction; reviewing billed hours and fees charged for reasonableness. 1   2   3   4   5   N/A
       
    COMMUNICATION  
10.
Ability to communicate thoughts and ideas orally and in written form, and have them understood by others; ability to carefully listen, observe, understand and respond to what is communicated by others; skill in preparing written documents in a thorough and professional manner; skill in preparing, articulating and presenting material in a public meeting.
 1   2   3   4   5   N/A
       
    INTERPERSONAL SKILLS  
11.
Ability to deal with people; skill in maintaining cooperative, friendly relations with the Board and members; skill in handling conflict and confrontation; skill in inspiring confidence in others.
 1   2   3   4   5   N/A
       
    FOLLOW THROUGH  
12.
Ability to not just accomplish goals and objectives as stated, but to provide additional value for members.
 1   2   3   4   5   N/A
       
13.
Specific examples or comments: