MB-5926 - USA (Georgia) - Worker Compensation Third Party Administration Claims Management Services - Deadline January 21,2022

Product (RFP/RFQ/RFI/Solicitation/Tender/Bid Etc.) ID: MB-5926

Government authority located in Georgia; USA based organization looking for expert vendor for worker compensation third party administration claims management services.

[A] Budget: Looking for Proposal

[B] Scope of Service:

(1) Vendor needs to provide worker compensation third party administration claims management services.
- Must provide sufficient qualified staff to provide services.
- The designee shall be the single day-to-day contact for the city with the primary responsibilities of responding to all performance issues, coordinating the efforts of the contractor’s staff to resolve issues, and overseeing all aspects of project management including, but not limited to, the initial implementation and ongoing program facilitation.
- Must provide an account management team that is experienced in providing services for similar entities, is accessible to the city, and has sufficient capacity and authority to respond to the city’s issues in a timely manner.
- Shall maintain a dedicated staff member to review files and copy requested information for disability retirements within 14 days of the initial request.
- Shall make timely payments to all persons and entities supplying labor, materials, or equipment or services for the performance of the agreement.
- Follow claim procedures and settlement authority established by the city.
- Will investigate and evaluate all claims and make informed recommendations for future handling to the city human resources department safety section to ensure the proper disposition and medical management of each claim.
- Contractor shall make all data available to the city via an SFTP site established during implementation. in addition, all schemata and file definitions shall be made available to the city upon request.
- Contractor shall communicate through HIPAA-compliant electronic sites to exchange data between itself and any other required vendor as requested by the city and at no additional cost.
- Provide claim system functionality to send/receive file transmission from the city's PeopleSoft human resources information system.
(2) A pre-proposal meeting will be held on January 5, 2022.
(3) All questions must be submitted no later than January 7, 2022.

[C] Eligibility:

- Onshore (US Organization Only);

[D] Work Performance:

Performance of the work will be Offsite.

Expiry Date : Friday, 21 January, 2022

Pre-proposal Conference Date : Wednesday, 5 January, 2022

Question Answer Deadline : Friday, 7 January, 2022

Category : Medical Billing and Coding, Staffing Services

Country : USA

State : Georgia

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