MB-2921 - USA (Michigan) - Third Party Administrator Services - Deadline April 16,2019

Product (RFP/RFQ/RFI/Solicitation/Tender/Bid Etc.) ID: MB-2921

Government Authority Located in Michigan; USA based organization looking for third party administrator services.

[A] Budget: Looking for Proposal

[B] Scope of Service:

Vendor needs to provide usual and customary workers disability compensation claims administration services.
- Review all claims and loss reports and provide a copy of your best practices for claim handling,
- Thoroughly investigate all claims made against the City through appropriate claim procedures as necessitated by the severity of the injury and ensures correct payment of medical and time loss claims,
- Provide cost containment services, including medical fee reductions and a preferred provider network, provide quarterly report of cost containment services,
- Develop and maintain an investigative file on each claim in accordance with approved format,
- Notify excess insurance carriers of claims and or occurrences at predetermined levels required by excess insurers, provide information and status of claims as requested by the excess insurance carrier, excess carrier and maintain accurate refund records on the claim file,
- Develop and maintain a claims database to be used in the administration of the claims and to generate reports, convert all existing data fields and claim notes on all files,
- Report of account for individual claims and aggregate loss experience analysis,
- Have the capability of providing data necessary to prepare financial and statistical reports on losses or claims,
- Identify and investigate all subrogation possibilities for potential recovery including investigation evaluation and negotiation of subrogation cases, maintain financial records of all recoveries on the claim file,
- Provide on-line electronic access to claims, including payments, claim notes, status and messaging capabilities, and ad-hoc report capability,
- Provide review of claim activity, claim frequency, total incurred, and payment analysis.

[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, 16 April, 2019

Category : Medical Billing and Coding

Country : USA

State : Michigan

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