Product (RFP/RFQ/RFI/Solicitation/Tender/Bid Etc.) ID: MB-7843

Government Authority located in Illinois; USA based organization looking for expert vendor for third party administrator (TPA) for risk management and workers compensation services

[*] Budget: Looking for proposal

[*] Scope of Service:

(1) Vendor needs to provide third party administrator (TPA) for risk management and workers compensation services for the comprehensive administration of claims adjusting services for general liability, property, casualty, and auto claims as well as for its workers’ compensation program and associated services to support the analysis and management of claims and costs incurred under this program.
- third-party administration services for Workers’ Compensation, General Liability and Automobile Liability claims, and loss control services.
- shall obtain invoices and supporting documentation, including, not limited to, physician office notes and repair bills, for review. The Contractor shall review the invoices and documentation for adjustment to reasonable and customary costs.
- shall use a checking account established by the City for the payment of claims. The Contractor shall use the checking account only in accordance with this Contract, directives from the City’s Finance Department and the City’s Risk Manager, and any policies that the City’s Chief Financial Officer provides the Contractor.
- must provide an electronic claims information system to track claims handled by the Contractor pursuant to the Contract. The Contractor’s electronic claims information system must be capable of providing real-time online financial data on a claim-by-claim basis, as well as access to adjuster file notes, current reserves, and payments and reserve history. The Contractor’s electronic claims information system must be capable of tailoring reports to meet the needs of national data-marts, such as PERI or the WCRI. The Contractor must provide the City with “review only” access for certain employees to access the claims files within the Contractor’s electronic claims information system. The City will identify for the Contractor the City employees that must have “review only” access after the Commencement Date of the Contract. The Contractor will not be required to provide any City employees with edit capabilities within the Contractor’s electronic claims information system.
(2) All question must be submitted no later than November 7, 2023.

[*] Eligibility:

Onshore (USA organization Only)

[*] Work Performance:

Performance of the work will be offsite.

Expiry Date : Friday, 17 November, 2023

Question Answer Deadline : Tuesday, 7 November, 2023

Category : Medical Billing and Coding

Country : USA

State : Illinois

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