MB-4270 - USA (Texas) - Workers Compensation Insurance Services - Deadline July 8,2020

Product (RFP/RFQ/RFI/Solicitation/Tender/Bid Etc.) ID: MB-4270

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

[A] Budget: Looking for Proposal

[B] Scope of Service:

(1) Vendor needs to provide workers compensation insurance services.
- Assign bilingual English and Spanish and shall contact injured workers within 24 hours of receipt of employers’ first report of injury
- Notify college within 3 days, when any previously closed claim is reopened and provide the rationale for reopening
- Closely monitor temporary disability and permanent disability cases, advise college in writing of such claims
- Obtain nurse case managers that are bilingual, can visit with the employee and attend doctors’ visits, if need too
- Closely monitor physicians and their contact personnel, establish a working relationship and inform college of conduct, efficiency and overall proficiency of their organization
- Maintain close liaison with selected doctors and ensure maximum efficiency in the management of claims by practicing proactive case management and aggressive return-to-duty when clinically feasible
- Review college’s worker’s compensation program, to include policies and provide directives or recommendations, if needed
- Utilize any analytical report that may be provided by other insurance carriers regarding trends in work related injuries
- Provide medical management of all cases, ensure pharmacy management is cost-effective and appropriate and provides the utmost efficiency with local providers to our employees, establish a professional relationship to ensure prompt distribution of medications, when needed
- Set appropriate reserves and review for adequacy at least every 60 days
- Provide up-dated monthly reports regarding trends, physicians, costs, open claims within a 24-hour period, when requested
- Participate and provide yearly training in the current worker’s compensation program to departments and employees
- Capacity to store and maintain all files pertaining from previous third-party administrator
(2) A non-mandatory pre-proposal conference will be held on June 23, 2020.
(3) All question must be submitted no later than June 25, 2020.
(4) Contract period will be for one year.

[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 : Wednesday, 8 July, 2020

Pre-proposal Conference Date : Tuesday, 23 June, 2020

Question Answer Deadline : Thursday, 25 June, 2020

Category : Medical Billing and Coding

Country : USA

State : Texas

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