MB-5251 - USA (North Carolina) - Third Party Administrator of Workers Compensation, General Liability, and Automobile Liability Claims Service - Deadline August 13,2021

Product (RFP/RFQ/RFI/Solicitation/Tender/Bid Etc.) ID: MB-5251

Government Authority located in North Carolina; USA based organization looking for expert vendor for third party administrator of workers compensation, general liability, and automobile liability claims service.

[A] Budget: Looking for Proposals

[B] Scope of Service:

(1) Vendor needs to provide all services required to properly and efficiently supervise, manage, and administer the City’s self-insured workers’ compensation, general liability, and auto liability programs in compliance with all applicable federal, state, and local laws.
- Maintain thorough documentation on all claims, including but not limited to notes of all claim activity, correspondence, Industrial Commission forms and filings, investigatory materials, medical records, rehabilitation and vocational reports, records, invoices, memoranda, and other documents.
- TPA shall assume the complete handling of all prior claims as well as new claims originating from the effective date of the contract.
- TPA adjuster will provide a plan of action at the initial assignment and continue to provide a plan of action every 90 days along with file reserves.
- TPA shall have a claims Supervisor or Manager to review all notices of injuries received from the City prior to assignment of the claim to an adjuster.
- Assist the City in coordinating all return-to work efforts of the injured employee and notify the City of any changes to the injured employee’s medical status including work restrictions.
- All claims should be reserved out of respect of the claimed injury or occupational disease. The reserve should reflect the ultimate lifetime settlement value of the claim, considering the liability and defenses available that may influence the ultimate value of the case.
- Within twenty-four hours of receipt of the City’s Claim Notice, the TPA will make initial contact via phone or email with the claimant, establish a claims file, and will acknowledge receipt of the new report to the City’s Risk Management Department.
- Conduct a thorough investigation of each reported incident, claim or loss to the extent necessary, which may include but is not limited to, photographs, diagrams, police reports, recorded statements from involved parties, and all witnesses to determine liability.
- All claims will be investigated for defense, to include, but not limited to immunity, contributory negligence, statute of limitations and transfer of risk.  
(2) All the questions must be submitted no later than June 4, 2021

[C] Eligibility:

- Onshore (US Organization Only);

[D] Work Performance:

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

Expiry Date : Friday, 13 August, 2021

Question Answer Deadline : Friday, 4 June, 2021

Category : Medical Billing and Coding

Country : USA

State : North Carolina

Cost to Download This RFP Document : $ 5

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