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MB-7879 - USA (New Jersey) - Third Party Claims Administration, Loss Control and Managed Care Services - Deadline November 28,2023

Product (RFP/RFQ/RFI/Solicitation/Tender/Bid Etc.) ID: MB-7879

Government Authority located in New Jersey; USA based organization looking for expert vendor for third party claims administration, loss control and managed care services.

[*] Budget: Looking for Proposals

[*] Scope of Service:

Vendor needs to provide third party claims administration, loss control and managed care services
- Supervise the County’s obligation to employees who sustain bodily injury or neurological injury and/or occupational illnesses in the County service or employ
- Provide three-point contact on all claims received within 24 hours of receipt
- Investigate, handle, and adjust to conclusion all claims with a date of loss occurring during the term of the contract.
- Maintain accurate records of all details incident to all Workers’ Compensation claims filed against the County
- Provide and maintain an electronic database of all claims filed; including but not limited to file notes, appointments and financial transactions
- Review all legal, medical, and expense invoices for accuracy and reasonableness of charges
- to provide a comprehensive Auto and General Liability program to contain the property and casualty costs of auto and general liability claims comprising
- Compile and file all notices and reports required under State of New Jersey Insurance Regulations.
- Maintain accurate records of all details incident to all Auto and General Liability claims filed against the County
- Prepare and submit a monthly listing of all checks issued during the month. The listing shall contain the following information: check number, transaction date, amount, payee, and claim number
- Furnish any excess insurer with records of open claims including payments and reserves.

[*] Eligibility:

Onshore (USA Organization Only);

[*] Work Performance:

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

Expiry Date : Tuesday, 28 November, 2023

Category : Medical Billing and Coding

Country : USA

State : New Jersey

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