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MB-2881 - USA (North Carolina) - Workers Compensation Claim Services - Deadline April 30,2019

Product (RFP/RFQ/RFI/Solicitation/Tender/Bid Etc.) ID: MB-2881

Government Authority located in North Carolina; USA based organization looking for expert vendor for workers compensation claim services.

[A] Budget: Looking for Proposals

[B] Scope of Service:

(1) Vendor needs to provide workers compensation claim services to report claims and make claims management decisions regarding their employees’ individual WC claims working with all Vendors including but not limited to:
-  Direct injured employees to initial medical treatment.
- Electronic transmission of initial claim reports to TPA.
- Accurate completion of NCIC form 22 statement of days worked and earnings of Injured Employee.
- Act as State agency liaison between TPA and injured employee.
- Coordinate accident investigation efforts including, but not limited to, TPA staff, supervisor of injured employee, and State agency safety staff.
- Provide functional job descriptions to TPA.
- Coordinate or participate in State agency’s return to work efforts to place injured employees in suitable employment upon release to return to work by authorized treating physician.
- Review TPA bills for accuracy.
- Coordinate approval of salary continuation benefits (when applicable).
- Engage in ongoing verbal and written communication and provide all requested information to staff.
- Request and approve ancillary services for individual claims.
- Coordinate state agency involvement in all litigation with staff.
- Coordinate state agency authority to settle claims and obtain necessary fiscal authority.
- Communicate with regarding claim handling questions and Vendor performance concerns.
(2) All questions must be submitted no later than March 15, 2019.
(3) Contract term will be five years.

[C] Eligibility:

- Onshore (USA Only);

[D] Work Performance:

Performance of the work will be Offsite. Vendor needs to carry work in their office location.

Expiry Date : Tuesday, 30 April, 2019

Question Answer Deadline : Friday, 15 March, 2019

Category : Medical Billing and Coding

Country : USA

State : North Carolina

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