MB-4002 - USA (Maryland) - Workers Compensation Third Party Administrator Services - Deadline April 20,2020

Product (RFP/RFQ/RFI/Solicitation/Tender/Bid Etc.) ID: MB-4002

Government Authority located in Maryland; USA based organization looking for expert vendor for workers compensation TPA services.

[A] Budget: Looking for Proposal

[B] Scope of Service:

Vendor needs to provide workers compensation third party administrator services for the adjusting and administration of the city’s workers' compensation claims on behalf of the city’s self-insurance program.
- Review all claims or loss reports from the City and process each claim or loss report with respect to minimizing the City's losses, in accordance with applicable statutory and administrative regulations and in consultation with the City;
- Have an online claim reporting system that the City will use to input claim data, which online reporting system will have the capacity to prepare Employer's First Report of Injury and forward to Contractor; Contractor will file the First Report with the state Worker's Compensation Commission.
- Assign all claims to a claim adjuster, specifically assigned to the city's contract, the same day they are reported to contractor. contact with claimants shall occur within twenty-four (24) hours, subject to normal business hours and reasonable extenuating circumstances. the city's claims adjuster shall complete follow-up contact with workers' compensation indemnity (lost time) claimants at least every fourteen (14) calendar days while the claimant is out of work or working at modified duty.
- Take recorded statements from claimants and/or witnesses for any matter involving questionable claims, occupational disease, serious injury to the back, neck, or knee, or any other claim as deemed necessary by the RISK/HR administrator. transcriptions of such statements will be at no additional cost to the city.
- Investigate of each reported claim or loss under subparagraph (1) above (hereinafter referred to as a "qualified" claim or loss) to the extent deemed necessary to substantiate the validity of the claim and to facilitate returning the employee to work at the earliest possible date, utilizing the city's aggressive return to work program;
- Arrange for independent investigators or medical or other experts to the extent deemed necessary by contractor and agreed to by the city in connection with processing any qualified claim or loss
and in certain situations, as requested by the city. no lost time case will exceed thirty (30) dcalendar days without the above considerations;

[C] Eligibility:

- Onshore (US Organization Only);

[D] Work Performance:

Performance of the work will be Offsite. Vendor needs to carry work in their office location

[E] Proposal Submission:

Response should be submitted physically (courier or post).

Expiry Date : Monday, 20 April, 2020

Category : Medical Billing and Coding

Country : USA

State : Maryland

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