Although not regulated by state insurance law, the staff abides by rules and laws governing good faith and fair dealing. The staff also insures that all vendors and claims contractors abide by minimum claims handling standards as approved by the board of directors of each fund. Major Responsibilities of the Department Liaison between members and claims contractors Approve or disapprove requests from claims contractors for settlements, vendor usage, verification of coverage and denial of claims, after, where appropriate, obtaining legal department advice.
Contractors use local adjusters and attorneys as appropriate.
Assure quality control of claims handling by auditing, training assistance and oversight of outside contractors.