Posted Date : February 03,2021
Product (RFP/RFQ/RFI/Solicitation/Tender/Bid Etc.) ID : MB-4894
Government authority located in Mississippi; USA, based organization looking for expert vendor for third party claims administration services.
[A] Budget: Looking for Proposal
[B] Scope of Service:
(1) Vendor needs to provide third party claims administration services to service its Self-Insured Workers’ Compensation Fund.
- manage all claims related activities, including but not limited to, claims investigations, compensability determinations, claim and expense payments, litigation management, medical case management and internal as well as external reporting.
- claims investigations, compensability determinations, claim and expense payments, litigation management, medical case management and overall management of claim files to include completion and timely filing of reports
- Conduct a thorough investigation of each reported incident, claim or loss to the extent necessary to determine the liabilities
- Administer the litigation process and assist attorneys in accordance with expected professional standards of claims handling
- Monitor the treatment programs recommended for employees by physicians
- Investigate fraudulent claims and make referrals to appropriate authorities
- Maintain a toll-free telephone number for calls from claimants and employers.
(2) All questions must be submitted no later than February 16, 2021.
[C] Eligibility:
- Onshore (USA Organization Only);
[D] Work Performance:
Performance of the work will be Offsite. Vendor needs to carry work in their office location.
Budget :
Deadline to Submit Proposals: March 04,2021
Cost to Download This RFP/RFQ/RFI/Solicitation/Tender/Bid Document : 5 US$
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Product (RFP/RFQ/RFI/Solicitation/Tender/Bid Etc.) ID : MB-4894
Government authority located in Mississippi; USA, based organization looking for expert vendor for third party claims administration services.
[A] Budget: Looking for Proposal
[B] Scope of Service:
(1) Vendor needs to provide third party claims administration services to service its Self-Insured Workers’ Compensation Fund.
- manage all claims related activities, including but not limited to, claims investigations, compensability determinations, claim and expense payments, litigation management, medical case management and internal as well as external reporting.
- claims investigations, compensability determinations, claim and expense payments, litigation management, medical case management and overall management of claim files to include completion and timely filing of reports
- Conduct a thorough investigation of each reported incident, claim or loss to the extent necessary to determine the liabilities
- Administer the litigation process and assist attorneys in accordance with expected professional standards of claims handling
- Monitor the treatment programs recommended for employees by physicians
- Investigate fraudulent claims and make referrals to appropriate authorities
- Maintain a toll-free telephone number for calls from claimants and employers.
(2) All questions must be submitted no later than February 16, 2021.
[C] Eligibility:
- Onshore (USA Organization Only);
[D] Work Performance:
Performance of the work will be Offsite. Vendor needs to carry work in their office location.
Budget :
Deadline to Submit Proposals: March 04,2021
Cost to Download This RFP/RFQ/RFI/Solicitation/Tender/Bid Document : 5 US$