MB-3124 - USA (Massachusetts) - Worker Compensation and Public Safety Injured on Duty Claims Administration and Related Services - Deadline May 30,2019

Product (RFP/RFQ/RFI/Solicitation/Tender/Bid Etc.) ID: MB-3124

Government Authority located in Massachusetts; USA based organization looking for expert vendor for worker compensation and public safety injured on duty claims administration and related services.

[A] Budget: Looking for Proposals

[B] Scope of Service:

(1) Vendor needs to provide worker compensation and public safety injured on duty claims administration and related services.
1. Workers' Compensation and Public Safety Injury on Duty Administration
- Services shall consist of third-party administration, case management, claims monitoring, managed care, and utilization review services (where applicable). These services include: receipt, processing, filing and maintenance of all claims-related forms, reports and notices as required by State law and the Department of Industrial Accidents and as needed for controlling losses; verification of all medical billings and determination of IAB rates for payment; timely follow-up with physicians and claimants and investigation of cases, when necessary and when approved in advance by the Town, to reduce exposure and cost; and recommendation of appropriate payments for final decision by the Town Manager. Service provider shall also include incorporation of nursing or other professional medical services to provide advice and to assist in communication.
2. Legal Services
- The service provider will offer legal counsel on interpretation and application of related legislation, various procedures, and case law. The legal services shall include representing the town in any administrative or legal proceeding relating to workers compensation and public safety injured on duty claims. Proposals should provide detailed information regarding legal counsel's fee arrangements including any flat fee offerings, and the hourly rate of all legal staff that will provide work for the town.
3. Loss Control Services:
- The service provider will administer a loss control program to reduce exposure and loss, including inspection of work sites, equipment and procedures; review and analysis of accidents; training; and
participation at safety meetings with the town’s safety committee. Recommendations for change will be presented to the human resources director. The service provider should outline a proposed plan for the delivery of these services along with a fee schedule and the hourly rates associated with the performance of these services (if any). The service provider should identify those loss control professionals who will work on behalf of the town and include their resumes.
(2) Contract term will be one year.

[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 : Thursday, 30 May, 2019

Category : Medical Billing and Coding

Country : USA

State : Massachusetts

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