MB-4169 - USA (Massachusetts) - Workers Compensation Case Administration Management and Related Services - Deadline May 28,2020

Product (RFP/RFQ/RFI/Solicitation/Tender/Bid Etc.) ID: MB-4169

Government Authority located in Massachusetts; USA based organization looking for expert vendor for workers compensation case administration management and related services.

[A] Budget: Looking For Proposal

[B] Scope of Service:

Vendor needs to provide workers compensation case administration management and related services
- Services to be covered include administration/management of future workers’ compensation cases; administration/management of existing workers’ compensation cases, loss control services, administration/management of medical services provided to police and fire personnel pursuant,
- Process all workers’ compensation claims reported by the City, Claims to be processed to conclusion,
- Review any recommended lump sum settlements with the City’s law department prior to discussion with other parties,
- Provide monthly computerized loss runs showing claims, descriptions, compensation payments, medical payments, recommended reserves, and other appropriate data, Loss runs should indicate employees’ department,
- Prepare vouchers for initial payment of compensation, medical benefits, and other expenses,
- Prepare quarterly reimbursement requests for supplemental benefits paid,
- For “no-lost time claim”: upon receipt of medical bills alleged to be a result of the work related incident make reasonable inquiry into the factual basis of the incident sufficient to determine if the medical treatment is for an injury for which the City is responsible,
- Provide for timely and periodic review of the payment status of all claims, including obtaining medical treatment records and other useful information and filing the necessary notices and documents,
- Refer contested claims to the City’s law department with all relevant claims information (medical records, reports and investigative material, etc.),
- Prepare individual document file on each claim.

[C] Eligibility:

Onshore (USA Organization Only);

[D] Work Performance:

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

Expiry Date : Thursday, 28 May, 2020

Category : Medical Billing and Coding

Country : USA

State : Massachusetts

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