MB-3334 - USA (Texas) - Third Party Administrator Services - Deadline August 22,2019

Product (RFP/RFQ/RFI/Solicitation/Tender/Bid Etc.) ID: MB-3334

Government Authority located in Texas; USA based organization looking for expert vendor for third party administrator services.

[A] Budget: Looking for proposal

[B] Scope of Service:

(1) Vendor needs to provide third party administrator services for auto claims, allocated expense- loss adjustment expenses that are assignable or allocable to specific claims,
- Audit - the detailed examination of financial records and operational performance with respect to claims management by the tpa, resulting in regulatory compliance and information that can be used to make improvements or support the continuance of past practices,
- Claim- demand by an individual or corporation to recover, under a policy of insurance, for loss that may come within that policy,
- Investigatory efforts that are focused on gathering the evidence, formally and informally, that enables the analysis necessary to help determine such critical issues as the following:
- The extent to which the insurance coverage applies, if at all,
- Whom the coverage applies to,
- What the reserve should be to cover the financial obligation,
- The information that is needed to effectively address elements of the Claim, such as injury payments, medical bill payments, property damage payments, retention of lawyers, paying versus denying and defending, etc,
- Identifies general requirements of an insured and the insurer on matters such as loss reporting and settlement, property valuation, other insurance, subrogation rights, and cancellation and nonrenewal,
- Investigate, evaluate, adjust, and manage property and casualty insurance for which system may be legally obligated under the system-wide automobile liability and physical damage plan and in accordance with established system policies and applicable rules,
- Complete and document contact for each claimant, insured driver, and witnesses, if applicable, within twenty-four business hours of receipt of the claim etc.
- Claims Payment Services will provide include an integrated digital imaging system, issue claim and allocated expense payment checks on behalf of the system as appropriate and in accordance with the plan using a loss deposit account or as mutually agreed in writing, system will be responsible to reimburse contractor for claims and allocated expense payments made on behalf of system as appropriate and in accordance with the plan using the loss deposit account that the contractor establishes and manages exclusively for system claims.
(2) All question must be submitted no later than August 7, 2019.
(3) A contract term 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, 22 August, 2019

Question Answer Deadline : Wednesday, 7 August, 2019

Category : Medical Billing and Coding

Country : USA

State : Texas

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