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MB-3533 - USA (New Jersey) - Worker Compensation Claims Third Party Administrator Services - Deadline October 25,2019

Product (RFP/RFQ/RFI/Solicitation/Tender/Bid Etc.) ID: MB-3533

Government authority located in New Jersey, USA; based organization looking for expert vendor for worker compensation claims third party administrator services.

[A] Budget: Looking for Proposal

[B] Scope of Service:

Vendor needs to provide worker compensation claims third party administrator services for manage and oversee the claims program.
- Multi-line claims investigation, adjusting and management personnel
- liability claims adjusters to be located at the Fund Administrator’s offices and under the direct supervision of the Fund Administrator’s Claim Executive
- general insurance coverage and the ability to make recommendations to the regarding coverage related matters
- Capability to provide monthly electronic data transfer of all claims system information to Fund Administrator’s systems
- ability to comply with statutory obligations including but not limited to local public contracts law
- ability to coordinate and work closely with various vendors including but not limited to attorney billing vendors
- ability to track and report on exhaustion of aggregate retention limits
- ability to track and manage deductibles and self-insured retentions
- automatic completion and statutory filing of the first report with a copy sent to the reporting location with the assigned claim number
- The adjuster must provide proper notification to the municipality member regarding projected, anticipated and actual return to work dates
- All claims should be reserved at ultimate probable cost for medical, indemnity and expenses
- capability to transfer all claims data via electronic “system-to-system” feed to client systems
- Claim reporting must include a 24/7 toll-free telephone number and on-line reporting capabilities
- claim incurred values will include allocated expenses in the totals
- All claim-related phone conversations, discussions, meetings, supervisory directives and action plans must be clearly detailed and documented in the claim file.

[C] Eligibility:

- Onshore (USA Only);

[D] Work Performance:

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

Expiry Date : Friday, 25 October, 2019

Category : Medical Billing and Coding

Country : USA

State : New Jersey

RFP Expired

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