MB-3938 - USA (Texas) - Workers Compensation Third Party Administrator Services - Deadline April 3,2020

Product (RFP/RFQ/RFI/Solicitation/Tender/Bid Etc.) ID: MB-3938

Government Authority located in Texas; USA based organization looking for expert vendor for workers compensation third party administrator services.

[A] Budget: Looking for Proposal

[B] Scope of Service:

(1) Vendor needs to provide workers compensation third party administrator services for the purposes of managing and controlling the cost of the district's self-insured workers' compensation program,
- Provide one licensed claims adjuster to adjust all medical only claims with no lost time or lost time of seven days or less,
- Provide two licensed claims adjusters to adjust lost-time and disputed claims, upon receipt of file, vendor will immediately begin investigation and payment of indemnity and medical bills as directed by the account manager,
- Provide adjusters with access to a workers' compensation information system,
- Risk Management Services workers' compensation Manager will supervise, direct and manage TPA adjusters through TPA's account manager,
- Vendor's adjusters must be able to furnish accurate and timely input of data with appropriate audit trail in the following, but not limited to, areas of performance:
- Claim processing turnaround time,
- Quality control,
- Timeliness of compensability determination,
- Reserve adequacy and accuracy,
- Complaint resolution capabilities,
- Full compliance with Workers' Compensation regulations,
- Provide computer capabilities by the system presently being used to the adjusters to allow input of claims data and allow claims, both open and closed to be monitored and reviewed by risk management services,
- Translation services must be able to connect the adjusters to a phone or video interpreter in minutes via telephone or Internet-based portal.
(2) A pre-proposal meeting will be held on March 5, 2020.
(3) All the questions must be submitted no later than March 9, 2020.

[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, 3 April, 2020

Pre-proposal Conference Date : Thursday, 5 March, 2020

Question Answer Deadline : Monday, 9 March, 2020

Category : Medical Billing and Coding

Country : USA

State : Texas

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