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MB-6641 - USA (Missouri) - Third Party Claims Administrator Services - Deadline August 19,2022

Product (RFP/RFQ/RFI/Solicitation/Tender/Bid Etc.) ID: MB-6641

Government Authority located in Missouri; USA based organization looking for expert vendor for third party claims administrator services.

[A] Budget: Looking for Proposal

[B] Scope of Service:

(1) Vendor needs to provide third party claims administrator services include the necessary reporting and monitoring of claims.
• The contractor shall adjust, supervise, and administer fully City's program in a manner so that such program is at all times in full compliance with all current and future applicable laws, rules and regulations governing such self-insured programs; and, in fulfilling the foregoing obligations, contractor shall act as the independent contractor of City in all matters related to the administration of the program
• To review all claim and loss reports with a claim and dates incurred during the term of the contract
for all losses involving the hereinabove stated exposures to city
• To establish a file with respect to each claim
• To investigate, to the extent deemed necessary in the mutual judgement of the parties, all reported claims
• To provide each claim file with a written chronology of all actions taken with respect to the underlying claim
• To furnish all claim forms necessary for proper claims administration
• To investigate, adjust, settle or resist all such losses and claims within the per claim discretionary settlement authority limit of contractor as agreed upon by contractor and city in writing
• To investigate, adjust, settle or resist all such losses and claims in excess of the discretionary settlement
authority limit of contractor with specific prior approval of city
• To assist in all litigation or other proceedings involving any claim as directed by city
• To retain all claim files for at least the period of time set forth in the applicable state local records board schedule and then the files will be returned to city or securely destroyed as city requests in writing
• To recommend adequate reserves and provide to city a continuous review of such reserves and any required
changes to such reserves
• To monitor all treatment programs recommended to a claimant by any care provider
• To furnish to city and its designees on a monthly basis, a loss run and loss payment accounting
record report, and any other reports as requested
• To prepare and file all reports required by any current or future applicable law, rule or regulation.
(2) All questions must be submitted no later than August 9, 2022.

[C] Eligibility:

Onshore (USA Organizations Only)

[D] Work Performance:

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

Expiry Date : Friday, 19 August, 2022

Question Answer Deadline : Tuesday, 9 August, 2022

Category : Medical Billing and Coding

Country : USA

State : Missouri

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