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MB-7886 - USA (California) - Claims Auditing Services - Deadline January 8,2024

Product (RFP/RFQ/RFI/Solicitation/Tender/Bid Etc.) ID: MB-7886

Government Authority located in California; USA based organization looking for expert vendor for claims auditing services.

[*] Budget: Looking for Proposals

[*] Scope of Service:

(1) Vendor needs to provide claims auditing services
- Performing independent Workers’ Compensation claims auditing services
- These services include audit the third-party claims administration claims’ handling process and perform case management audits.
- Provider will possess extensive experience with auditing complex workers’ compensation claims for public entities and/or lawfully insured California risk pools; providing accurate, candid, and well-documented audit findings; and offering sound recommendations for audit areas in need of improvement
- The audit shall contain a random sampling of all claim types handled by all TPA claims technicians staffed on the program. The audit will include a review of the timely and proper administration of claims, utilizing best practices in relation to industry standards and the expectations
- The audit shall contain a random sampling of all claims assigned to case management.
- Benchmarking is an invaluable strategy for a workers’ compensation program that aims to ensure the welfare of injured workers while balancing the interests of employers
(2) All the questions must be submitted no later than December 5, 2023.

[*] 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 : Monday, 8 January, 2024

Question Answer Deadline : Tuesday, 5 December, 2023

Category : Medical Billing and Coding

Country : USA

State : California

Cost to Download This RFP Document : $ 4

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