MB-3675 - USA (Ohio) - Worker Compensation Program Third Party Administrator Services - Deadline January 15,2020

Product (RFP/RFQ/RFI/Solicitation/Tender/Bid Etc.) ID: MB-3675

Government Authority located in Ohio; USA based organization looking for expert vendor for worker compensation program third party administrator services.

[A] Budget: Looking for Proposal

[B] Scope of Service:

(1) Vendor needs to provide worker compensation program third party administrator services
- The claims adjusters shall monitor each injury claim with the objective of retuning the injured employee to work as soon as is medically possible following the injury. In order to meet this the claims adjusters must be completely familiar with the details of each injury and must work directly with the injured employee and corresponding medical personnel,
- Work with the County's legal counsel, when appropriate to provide information and documentation to assist in the of claims,
-  Accept self-insured injury reports via email, fax, or electronic submission and forward the appropriate within a reasonable amount of time to a claims adjuster,
- Post listed intonation on to the company's Internet based data warehousing system,
- Evaluate any open claim and make recommendations to the County as to its proper disposition in accordance with the Worker’s Compensation Act,
-  Maintain complete records (hard copy and/or electronic) on all reported claims on behalf of and as custodian for the County. Maintain electronic and when necessary paper files. Document in clear, concise, easily understood language all medical claims notes,
- All claim records shall remain the County's property and shall be surrendered when requested at no charge to the County,
-  Maintain contact with the injured workers. Indicate how offal your adjuster would contact an injured employee who is off work for a prolong period of time due to a lost time injury,
- Prepare and send letters to physicians regarding maximum medical improvement and other medical issues as well as letters regarding independent medical exatns or reviews,
- Document in clear, concise, easily understood language all medical claims notes,
- Participate in periodic, scheduled non-litigated claims reviews and be prepared to discuss each claimant's medical progress,
- Capture the designated County Department for each claim,
- Assist the Risk Manager and Workers' Compensation Analyst in answering any and all complaints filed by injured employees and attorney’s of record,
- Provide the Risk Manager and Compensation Claim Analyst with an Executive Summary of Program performance on a yearly basis outlining key performance indicators, including costs, return to work statistics and important variables, including recommendations on overall Program improvement.
(2) All the questions must be submitted no later than January 3, 2020.

[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 : Wednesday, 15 January, 2020

Question Answer Deadline : Friday, 3 January, 2020

Category : Medical Billing and Coding

Country : USA

State : Ohio

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