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MB-3671 - USA (Illinois) - Third Party Administrator Services - Deadline December 26,2019

Product (RFP/RFQ/RFI/Solicitation/Tender/Bid Etc.) ID: MB-3671

Government Authority located in Illinois; USA based organization looking for expert vendor for third party administrator services.

[A] Budget: Looking for Proposal

[B] Scope of Service:

(1) Vendor needs to provide third party administrator services, first party property claims, in addition to its general, auto, employment practice and public officials liability claims and general liability claims under the property managers’ insurance program,
- Perform immediate investigatory action upon notification of a claim, which shall include, but is not
limited to the following: interview witnesses, take recorded statements, assigning field adjusters,
obtain police reports, inspect reports, work orders, video and photos related to claims or alleged
incidents,
- Manage and evaluate all claims, incidents, expenses and payments,
- Seek settlement authority, when appropriate, for cost effective and swift resolution of claims,
- Create and manage an effective tracking system for claims, reserve changes, payment of bills,
expenses and settlement of claims,
- Provide individualized management information systems and reports, designed and chosen for cost
and risk analysis, and inputting detailed and claim data for transfer to risk management
department,
- Manage workers’ compensation claims efficiently, which includes the following:
- Establish three-point contact (with employee, physician, and appropriate manager) within 24
hours or receipt of a lost time claim,
- Report all bodily injury claims to the central index bureau and re-index at 6- month intervals of open claims,
- Conduct in-house and on-site investigation of accidents, as appropriate,
- Provide continuous file management with frequent contacts between attending medical
providers, employees,
- Recommend activity checks and surveillance, and supervise those vendors with specifically
assigned tasks,
- Provide recommendations for medical case management that mitigate cost,
- Coordinate timely independent medical examinations,
- Perform full file preparation for Workers’ Compensation hearings,
- Aggressively pursue subrogation investigations and settling third party liens,
- Identify cost-effective claim file strategies, resolutions, and settlements including lump sum
or structured settlements,
- Set timely and appropriate reserves,
- Report claims to excess carriers, when appropriate,
- Request settlement authority prior to settlement of any claim,
- Put appropriate medical charges through cost containment to maximize cost savings.
(2) All the questions must be submitted no later than December 19, 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, 26 December, 2019

Question Answer Deadline : Thursday, 19 December, 2019

Category : Medical Billing and Coding

Country : USA

State : Illinois

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