MB-5829 - USA (New Jersey) - Claims Administration Services - Deadline November 30,2021

Product (RFP/RFQ/RFI/Solicitation/Tender/Bid Etc.) ID: MB-5829

Government Authority located in New Jersey, USA based organization looking for expert vendor for claims administration services.

[A] Budget: Looking for Proposal

[B] Scope of Service:

Vendor needs to provide claims administration services.
- Ensure key local personnel conduct service calls as needed at each participating department or entity for the purpose of establishing lines of communications and reporting procedures
- Provide a reporting procedure for accidents occurring after normal business hours, during holidays, or on weekends
- Provide complete handling of all loss adjustments, investigations, and settlements within the approval authority of reported claims
- The receipt of a letter from an attorney representing a third party seeking damages
- The receipt of a notice of the commencement of a lawsuit by a third party
- The receipt of a notice, letter or claim from an employee regarding a worker compensation first notice of claim or claim petition
- Maintain a claim file for each reported claim and to preserve such records as required by state statutes and regulations
- In addition, the service provider will also store closed claim files in a secure, temperature-controlled facility
- Any requests to destroy closed claim files must be forwarded to the commission for review and consideration prior to destruction
- Set claim reserves and provide a continuous review and updating to reflect changes
- Assist in the collection of claims against others for damage to the participating members' property and make recommendations regarding salvage matters
- Supply monthly financial reports detailing, summarizing, and reconciling impress transfers, claim payments, and other financial transactions
- The claims management system must provide for a historical claims database accessible by valuation date and current claim information
- The service provider shall provide the commission with monthly transaction files

[C] Eligibility:

- Onshore (USA ONLY);

[D] Work Performance:

Performance of the work will be Offsite.

Expiry Date : Tuesday, 30 November, 2021

Category : Medical Billing and Coding

Country : USA

State : New Jersey

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