Posted Date : August 06,2020
Product (RFP/RFQ/RFI/Solicitation/Tender/Bid Etc.) ID : MB-4441
Government authority located in Arizona, USA; based organization looking for expert vendor for workers compensation claims administrator services.
[A] Budget: Looking for Proposal
[B] Scope of Service:
(1) Vendor needs to provide third party workers compensation claims administrator services for the self-insured workers’ compensation program.
- all new workers’ compensation claims and all outstanding workers’ compensation claims
- Treat all files and claims information as strictly confidential and not discuss the nature of any claim or amount paid
- Conduct an investigation of all claims made by City employees for injury, sickness or disease incurred by an employee
- Provide complete claims handling and adjustment services of all assigned losses, to include initial and ongoing investigation, medical and litigation direction and ongoing supervisory oversight
- Maintain an electronic file for each claim or loss including but not limited to medical reports, legal reports, cost data, and estimates of future liability on an individual claim basis which shall be available for review
- Promptly determine and guarantee timely payment of all benefits due and related expenses for all compensable claims
- Develop, implement and maintain a claim-specific plan of action to include a meaningful resolution plan for each claim incurred
- Managed care costs shall be allocated to the involved claim files, not included as part of the contract administration fees
- Review and process all prescriptions on all industrial and illness claims.
(2) A pre-offer conference will be held on August 6, 2020.
[C] Eligibility:
- Onshore (USA Organization Only);
[D] Work Performance:
Performance of the work will be Offsite. Vendor needs to carry work in their office location.
Budget :
Deadline to Submit Proposals: August 27,2020
Cost to Download This RFP/RFQ/RFI/Solicitation/Tender/Bid Document : 5 US$
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Product (RFP/RFQ/RFI/Solicitation/Tender/Bid Etc.) ID : MB-4441
Government authority located in Arizona, USA; based organization looking for expert vendor for workers compensation claims administrator services.
[A] Budget: Looking for Proposal
[B] Scope of Service:
(1) Vendor needs to provide third party workers compensation claims administrator services for the self-insured workers’ compensation program.
- all new workers’ compensation claims and all outstanding workers’ compensation claims
- Treat all files and claims information as strictly confidential and not discuss the nature of any claim or amount paid
- Conduct an investigation of all claims made by City employees for injury, sickness or disease incurred by an employee
- Provide complete claims handling and adjustment services of all assigned losses, to include initial and ongoing investigation, medical and litigation direction and ongoing supervisory oversight
- Maintain an electronic file for each claim or loss including but not limited to medical reports, legal reports, cost data, and estimates of future liability on an individual claim basis which shall be available for review
- Promptly determine and guarantee timely payment of all benefits due and related expenses for all compensable claims
- Develop, implement and maintain a claim-specific plan of action to include a meaningful resolution plan for each claim incurred
- Managed care costs shall be allocated to the involved claim files, not included as part of the contract administration fees
- Review and process all prescriptions on all industrial and illness claims.
(2) A pre-offer conference will be held on August 6, 2020.
[C] Eligibility:
- Onshore (USA Organization Only);
[D] Work Performance:
Performance of the work will be Offsite. Vendor needs to carry work in their office location.
Budget :
Deadline to Submit Proposals: August 27,2020
Cost to Download This RFP/RFQ/RFI/Solicitation/Tender/Bid Document : 5 US$