MB-4568 - USA (Arizona) - GLOBAL - Claim Audit Quote Service - Deadline October 29,2020

Product (RFP/RFQ/RFI/Solicitation/Tender/Bid Etc.) ID: MB-4568

Government Authority located in Arizona; USA based organization looking for expert vendor for claim audit quote service.

[A] Budget: Looking for Proposals

[B] Scope of Service:

(1) Vendor needs to provide public liability, workers’ compensation, property and medical malpractice claims are managed by in-house adjusters. Auto physical damage, environmental physical damage, and environmental liability losses are fully self-insured.
- The consultant shall conduct necessary research and analysis and make recommendations utilizing data and information readily available through the Maricopa County, Risk Management department; and, such data and information will be augmented with “industry” data, standards and best practices.
- The consultant shall exclude Workers Compensation COVID-19 claims from their analysis.
- Evaluation of current oversight procedures and settlement authority process under
current retention, as compared to recommended best practices.
- Evaluation of invoice approval procedures and adjuster compliance with procedures
- Evaluation of the litigation management process including procedures and criteria for establishment of reporting procedures, ongoing monitoring, case management, litigation management, reports and appropriate management of legal expenses.
- Evaluation of case reserve practices, including adequacy/documented justification and timeliness of reserve changes to comply with actuarial requirements
- Evaluation of the claims management process including task control and adequacy of claims handling procedures.
- Evaluation of cost savings alternatives currently in place, such as bill review and check writing services.
- Evaluation and use of proper medical management practices, such as appropriate nurse case management practices, etc.
- Evaluation of return to work processes
(2) All the questions must be submitted no later than October 22, 2020

[C] Eligibility:

Global (World-wide)

[D] Work Performance:

Global, companies from all over the world can apply for this. However, Vendor may need to visit client location for onsite meetings.

Expiry Date : Thursday, 29 October, 2020

Question Answer Deadline : Thursday, 22 October, 2020

Category : Medical Billing and Coding, Global

Country : USA

State : Arizona

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