MB-3522 - USA (Connecticut) - Third Party Claims Administration Services - Deadline November 4,2019

Product (RFP/RFQ/RFI/Solicitation/Tender/Bid Etc.) ID: MB-3522

Government Authority located in Connecticut; USA based organization looking for expert vendor for third party claims administration services.

[A] Budget: Looking for Proposal

[B] Scope of Service:

(1) Vendor needs to provide third party claims administration services to administer its self-insured municipal and board of education property casualty, workers' compensation and heart and hypertension programs including commercial automobile liability, general liability, law enforcement liability, public officials' liability and school leader liability.
- Process all claims in compliance with all federal, state or municipal laws, rules, regulations, as well as reporting and other claim handling requirements mandated by the excess policies and in accordance with reasonable service standards and policies which may, from time to time, be promulgated by the town, and shall act as a representative of the town in all matters related to such services, provide the highest professional level of responsive claims handling, including regular on-going communication with injured employees from inception to disposition of a claim,
 - Ensure that employees are contacted within 24 hours of notice of claim and are advised of their workers' compensation benefits in a timely fashion,
 - Provide prompt attention to all claims in an attempt to discourage unnecessary litigation,
 - Encourage early recovery from injury and early return to work in either a light or modified position   Identify and aggressively defend fraudulent or accelerated claims,
 - Keep open communication between TPA, the town's risk management division, claimants, medical providers, legal counsel, and safety and health consultants employed by the town,
- Actively pursue all possibilities of subrogation,
 - Provide immediate attention and response to counsel handling claims,
- Vendor will record the claim and associated data; obtain and file required forms and notices pursuant to applicable state and federal statute and regulations, judicial procedures and excess insurance policies; initiate an investigation and determine liability; recommend course of action required for resolution of the claim; assign defense counsel and manage litigation process; secure experts; pay claims and related claims expenses as customary and appropriate; an maintain all related records and files for the same,
- Vendor will record the claims and associated data to memorialize a notice of an occurrence or incident, record only claims means a claim which is specifically reported as record only and not otherwise classified.
(2) All the questions must be submitted no later than October 22, 2019.

[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 : Monday, 4 November, 2019

Question Answer Deadline : Tuesday, 22 October, 2019

Category : Medical Billing and Coding

Country : USA

State : Connecticut

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