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MB-3836 - USA (Massachusetts) - Police and Fire Injured on Duty Claims Administration Services - Deadline February 27,2020

Product (RFP/RFQ/RFI/Solicitation/Tender/Bid Etc.) ID: MB-3836

Government Authority located in Massachusetts; USA based organization looking for expert vendor for police and fire injured on duty claims administration services.

[A] Budget: Looking for Proposal

[B] Scope of Service:

Vendor needs to provide police and fire injured on duty claims administration services for secure third-party administration, case management, and claims monitoring for injured on duty claims for active and retired employees.
- receipt, processing, filing and maintenance of all claims-related forms, reports and notices as required and as needed for controlling losses; verification of all medical billings and determination of State authorized rates for payment; preparation and submission of invoices from medical providers for review and issuance of payment
- administrative or legal proceedings relating to injured on duty claims
- identify claims with subrogation potential, will assist in placing notice of lien, and will monitor status of such claims
- review all claimant medical bills
- examination of each bill for appropriateness; adjust each bill to the State rate setting standard; generate and submit accepted medical and expense provider disbursements; vouchers to the City of Westfield for payment; and return non-approved bills to the provider for processing through the health insurance system
- claims tracking, inquiry services and loss management reports should be available.
- Assess each claim for causation
- Assist with work return possibilities and issues or cases finalizing process in accordance with applicable case law and collective bargaining requirements.

[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, 27 February, 2020

Category : Medical Billing and Coding

Country : USA

State : Massachusetts

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