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MB-3636 - USA (Georgia) - Claims Reporting Services for Worker’s Compensation, Auto Liability, and Auto Physical Damage - Deadline December 5,2019

Product (RFP/RFQ/RFI/Solicitation/Tender/Bid Etc.) ID: MB-3636

Government Authority located Georgia; USA based organization looking for expert vendor for Claims Reporting Services for Worker’s Compensation, Auto Liability, and Auto Physical Damage.

[A] Budget: Looking for Proposals

[B] Scope of Service:

(1) Vendor needs to provide Claims Reporting Services for Worker’s Compensation, Auto Liability, and Auto Physical Damage to
•    Provide telephonic or web claim reporting services 24 hours per day, 7 days per week, 365 days a year.
•    Provide an automated voice response unit to direct incoming calls.
•    Obtain telephone services using the assigned number and bear all associated costs.
•    Have capability to securely electronically submit claim reports to multiple locations.
•    Provide communication device for hearing impaired in compliance with the Americans with Disability Standards.
•    Provide for open ended questions during intake for additional information DOAS/RMS may want to capture.
•    Design and develop call center scripts call trees as required to accept and enter claims for Workers Compensation, Auto Liability and Auto Physical Damage.
•    Complete necessary claim report information and securely transmit these reports to all parties.
•    Assign claim numbers to all claims and provide the number to the caller, as well as the DOAS/RMS phone number prior to ending the conversation.
•    Identify claim type, including lost time versus medical only, auto liability, and auto property damage, and code claims appropriately.
•    Identify claims that require escalation based on criteria provided by DOAS/RMS and immediately notify the DOAS/RMS claims manager and managed care organization of the injury.
•    Implementation call center and web portal for processing claims.
•    Call center scripts must be configured to process all claims under this agreement
•    Reporting of claims data must be configured and implemented, see Appendix A claims import  file format.  
(2) All questions must be submitted in writing no later than November 27, 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 : Thursday, 5 December, 2019

Question Answer Deadline : Wednesday, 27 November, 2019

Category : Medical Billing and Coding

Country : USA

State : Georgia

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