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MB-5966 - USA (Illinois) - Claims Administration Services for Worker Compensation, Property and Liability Insurance Program - Deadline February 1,2022

Product (RFP/RFQ/RFI/Solicitation/Tender/Bid Etc.) ID: MB-5966

Government Authority located in Illinois; USA based organization looking for expert vendor for claims administration services for worker’s compensation, property and liability insurance program.

[A] Budget: Looking for Proposals

[B] Scope of Service:

(1) Vendor needs to provide claims administration services to support its self-insured workers compensation, property, and liability insurance program.
• Establishing a long-term relationship with an innovative third-party administrator (TPA) geared toward returning injured employees back to work as quickly as possible and resolving non-WC claims as efficiently as possible
• New claim will be investigated including collection of recorded statements as appropriate.
• Contact with claimants as appropriate in a reasonable period of time, and document contact in claim notes. For workers compensation claims, claimant will be contacted within 24 hours of receipt of claim from the city.
• TPA will assign a senior workers compensation claim adjuster to handle all indemnity files and assign a medical only adjuster. TPA will make available a property adjuster to adjust property claims over $5,000.
• Initial claim notices will be sent to the city contact and will include the claim number, date of loss, claimant name, adjuster name and initial reserve. Initial claim notices are to be sent within three days of receipt of the claim by the TPA.
• provide written status report on each claim three days prior to the four quarterly claims review meetings.
• Monthly loss report is to be sent electronically to the city.
• Provide client with internet access to loss data and adjusters notes. Client will have 5 users.
• Maintain a claim paying checking account and provide a monthly check register and bank reconciliation.
• Not make personnel changes without prior approval of client.
• Secure approval prior to incurring any charged expense to a claim file.
• The city will approve the assignment of legal counsel to each litigated claim. TPA will perform litigation management and review and approve legal bills using their criteria.
• Develop claim handling instructions.
(2) All the questions must be submitted no later than January 18, 2022

[C] Eligibility:

- Onshore (US Organization Only);

[D] Work Performance:

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

Expiry Date : Tuesday, 1 February, 2022

Question Answer Deadline : Tuesday, 18 January, 2022

Category : Medical Billing and Coding

Country : USA

State : Illinois

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