Posted Date : July 02,2021
Product (RFP/RFQ/RFI/Solicitation/Tender/Bid Etc.) ID : MB-5450
Government authority located in Nevada; USA, based organization looking for expert vendor for workers compensation claims program service.
[A] Budget: looking for proposal
[B] Scope of Service:
(1) Vendor needs to provide workers compensation claims program service through its self-funded Workers’ Compensation insurance program.
- TPA partnership that will deliver objective and measurable results that will reduce the cost and duration of WC claims, provide claim processing in a timely and professional manner, actively pursue subrogation, assist in returning injured employees back to work and maintain strong communications with the injured worker
- Promptly investigate all reported claims, obtaining necessary employee information and medical records.
- Determine the validity of occupational injury and illness claims
- eligibility for workers’ compensation benefits.
- Ensure that employees receive legally mandated workers’ compensation notices
- injured worker medical status, physical restrictions, and return to work status on an ongoing and continual basis.
- Assist in defense of litigated workers’ compensation claims.
- Provide access to a web-based claims system maintained by the TPA and made available to the NSHE to include sufficient data and claim notes, reserves and reserving strategy, and medical diaries
- identify and pursue subsequent injury claims
- bill auditing and utilization review process
- claims management system have the capability to perform claim projections.
(2) All questions must be submitted no later than July 22, 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: August 05,2021
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-5450
Government authority located in Nevada; USA, based organization looking for expert vendor for workers compensation claims program service.
[A] Budget: looking for proposal
[B] Scope of Service:
(1) Vendor needs to provide workers compensation claims program service through its self-funded Workers’ Compensation insurance program.
- TPA partnership that will deliver objective and measurable results that will reduce the cost and duration of WC claims, provide claim processing in a timely and professional manner, actively pursue subrogation, assist in returning injured employees back to work and maintain strong communications with the injured worker
- Promptly investigate all reported claims, obtaining necessary employee information and medical records.
- Determine the validity of occupational injury and illness claims
- eligibility for workers’ compensation benefits.
- Ensure that employees receive legally mandated workers’ compensation notices
- injured worker medical status, physical restrictions, and return to work status on an ongoing and continual basis.
- Assist in defense of litigated workers’ compensation claims.
- Provide access to a web-based claims system maintained by the TPA and made available to the NSHE to include sufficient data and claim notes, reserves and reserving strategy, and medical diaries
- identify and pursue subsequent injury claims
- bill auditing and utilization review process
- claims management system have the capability to perform claim projections.
(2) All questions must be submitted no later than July 22, 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: August 05,2021
Cost to Download This RFP/RFQ/RFI/Solicitation/Tender/Bid Document : 5 US$