MB-3591 - USA (Connecticut) - Workers’ Compensation Claims Administration and Risk Management Services - Deadline December 5,2019

Product (RFP/RFQ/RFI/Solicitation/Tender/Bid Etc.) ID: MB-3591

Government Authority located in Connecticut; USA based organization looking for expert vendor for workers’ compensation claims administration and risk management services.

[A] Budget: Looking for Proposal

[B] Scope of Service:

(1) Vendor needs to provide workers’ compensation claims administration and risk management services.
- Investigation of each claim
- Adjustment, settlement or litigation of claims, as necessary
- Investigate and pursue subrogation
- Communicate with claimant, medical provider and city
- Set appropriate claim reserve levels
- Perform customary administrative tasks that includes:
• Lost time claims
• Medical only claims
• Review first report of injury and contact claimant within 24 hours of receipt
- Maintain system of all reported incidents (indemnity and medical)
- Coordinate claims with city/board of education claims coordinator and provide monthly claim report
- Administer program in accordance with all state of workers’ compensation laws and regulations
- Attend claims review meetings with city/board of education officials
- Determine compensability of injuries and illness in accordance with the state of Connecticut workers’ compensation act
- Authorize examination to determine the nature and extent of disability
- Determine extent and degree of permanent disability and authorize compensation and death benefits as appropriate
- Investigate questionable cases
- Coordinate use of private field investigators and outside counsel as necessary
- Provide cost containment programs to review medical bills and bills for other services performed in connection with claims.
(2) The term of the contract will be 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 location.

Expiry Date : Thursday, 5 December, 2019

Category : Medical Billing and Coding

Country : USA

State : Connecticut

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