MB-3529 - USA (Hawaii) - Claims Handling Services for Automobile and General Liability Claims - Deadline December 2,2019

Product (RFP/RFQ/RFI/Solicitation/Tender/Bid Etc.) ID: MB-3529

Government Authority located in Hawaii; USA based organization looking for expert vendor for claims handling services for automobile and general liability claims.

[A] Budget: Looking for Proposal

[B] Scope of Service:

(1) Vendor needs to provide claims handling services for automobile and general liability claims
- Upon receipt of a new loss report, a claim must be set up in the TPA system within 24 hours capturing relevant data on the loss, to include claimant information, description of accident/injury, driver, time of loss, location code, etc,
- Assign and investigate all new claims for liability in a prompt and timely fashion,
- Assign claims based on the level of complexity to appropriate claims handler to ensure aggressive but fair claims handling,
- TPA shall manage all claims presented to them according to the professional standards of the firm (Best Practices) as well as the County’s account instructions,
- All claim activity will be timely documented in the claim notes,
- All open files will carry an open diary by an adjuster and the supervisor, each open file will reflect supervisor involvement from claim assignment to conclusion,
- Explain when recorded statements would be obtained from claimants.
- For PIP claims, medical bills will be audited to the fee schedule.
- Complete an initial claim strategy report within 30 days of assignment with recommendations for further handling to resolve any outstanding issues, Updated reports should be completed at least every 90 days,
- If necessary for the investigation of a high exposure claim, arrange for an on-site investigation at the earliest possible opportunity.
- Develop and maintain adequate claim reserves, insure files contain reserve rationale, and complete an ongoing review of reserves on all open claims, as warranted,
- Participate in bi-annual claim reviews, or more frequently as circumstances may warrant, to discuss selected open claims as identified,
- Investigate 3rd party (subrogation) liability and facilitate recovery of any amounts due to
the County.
(2) All the questions must be submitted no later than November 25, 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 : Monday, 2 December, 2019

Question Answer Deadline : Monday, 25 November, 2019

Category : Medical Billing and Coding

Country : USA

State : Hawaii

RFP Expired

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