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MB-3223 - USA (Washington) - Workers Compensation Third Party Administration Services - Deadline July 18,2019

Product (RFP/RFQ/RFI/Solicitation/Tender/Bid Etc.) ID: MB-3223

Government Authority Located in Washington; USA based organization looking for expert vendor for workers compensation third party administration services.

[A] Budget: looking For Proposal

[B] Scope of Service:

(1) Vendor needs to provide workers compensation third party administration services to procure and maintain for the duration of this Agreement insurance against claims for injuries to persons or damages to property which may arise from or in connection with the performance of the work hereunder by the Vendor, his agents, representatives, employees or subcontractors. The cost of such insurance shall be paid by the Vendor.
1. Administer all open, all newly filed, and all reopened workers' compensation claims on behalf of the City.
2. Pay workers' compensation claim payments using solely City funds to City employees in accordance with Washington State law. Contractor shall have signature authority to the City's
workers' compensation checking account for this purpose. The City's Risk Manager must approve checks written in the amount of $10,000 or more. Twice a month, on the 15th and 30th day of the
month, the Contractor shall provide the City with a copy of the check register for the purpose of replenishing and reconciling the account.
3. On the 15th and 30th day of each month, notify the City's Payroll Office of workers' compensation payments being made.
4. Administer claims in a timely, courteous and equitable manner
5. Utilize effective claims management techniques designed to contain costs, appropriately return employees to work and resolve claims.
6. Conduct field investigations and all customary investigative work when necessary.
7. Maintain open communication with and provide excellent customer service to employees, providers, Department of Labour and Industries, and the City.
8. Initiate Supplement Benefits Increase reimbursement requests.
9. Assist City in coordination of light duty programs for injured employee during their recovery period.
10. Compile data for and file all notices and reports required by the Industrial Insurance laws of the State of Washington, other pertinent regulators, the State Auditor and City's excess insurance carrier.
11. Make recommendations to improve claims handling and service.
12. Assist with training appropriate City staff on proper claims handling procedures, as agreed upon between City and Contractor.
13. Respond to questions and requests by the City.
14. Obtain approval from the City's Risk Claims Manager prior to selection and/or use of outside legal representation to assist with litigated claims.
15. Obtain approval from the City's Risk Claims Manager prior to selection and/or use of Nurse Case Management and Vocational Counsellor services.
16. Notify the City of proposed or enacted changes in workers' compensation regulatory requirements that may affect Bellevue.
17. Attend meetings as requested.
Technical Requirements
The Contractor will:
1. Maintain an encrypted data transfer to the City's Riskonnect database on a frequency dictated by the City compatible with Riskonnect and the City's security and encryption requirements.
2. Transfer data electronically and match record data by populating Washington State claim numbers where appropriate, and maintain record data to avoid any data load failures due to incorrect/blank required data fields.
(2) All questions must be submitted no later than July 02, 2019.
(3) Contract period will be for three years.

[C] Eligibility:

Onshore (USA Only)

[D] Work Performance:

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

Expiry Date : Thursday, 18 July, 2019

Question Answer Deadline : Tuesday, 2 July, 2019

Category : Medical Billing and Coding

Country : USA

State : Washington

RFP Expired

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