MB-3374 - USA (Utah) - Workers Compensation Third Party Administration Services - Deadline September 3,2019

Product (RFP/RFQ/RFI/Solicitation/Tender/Bid Etc.) ID: MB-3374

Government Authority located in Utah; 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 including but not limited to 24-hour reporting service access by injured employees, claims adjusting services, thorough and complete investigations for claims, utilization and bill reviews, contact with injured
worker within twenty-four hours (one business day) of notice, further periodic contact with injured worker as needed, establishment of claim files within 3 days of notice, full claim documentation in chronological order, reporting to regarding non-cooperation of an employee, return of employees to work within the applicable waiting period whenever possible and medically appropriate and monitoring return to work and working with injured employee’s supervisors regarding modified duties,
- Contact payroll department on all indemnity claims and coordinate necessary information in a timely manner,
- Maintain complete and organized claim files, including all information as required,
- Coordinate with designated Occupational Health Clinics regarding on-site case management, coordination of patient referrals, early return to work programs, needed interviews, safety and risk management meetings, copies of medical records for the file, release of medical information, and other necessary activities,
- Make arrangements for, and coordinate surveillance services as preapproved on a case-by-case basis,
- Coordinate investigations and litigation with attorneys approved and the excess workers’ compensation insurance carrier,
- Arrange for independent adjusters or other experts deemed necessary in the processing and management of claims,
- Inform immediately of any claim involving death, dismemberment, permanent disability or whenever expected value of the claim is greater than 50% of excess workers’ compensation self-insured retention amount, when appropriate, direct status reports on applicable claims to
the excess workers’ compensation insurance carrier as required by policy provisions,
- Provide on-line access of TPA’s electronic files, including necessary training and software.
(2) All the questions must be submitted no later than August 28, 2019.
(3) A contract term will be for one year.

[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, 3 September, 2019

Question Answer Deadline : Wednesday, 28 August, 2019

Category : Medical Billing and Coding

Country : USA

State : Utah

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