Posted Date : February 27,2020
Product (RFP/RFQ/RFI/Solicitation/Tender/Bid Etc.) ID : MB-3939
Government Authority located in Connecticut; USA based organization looking for expert vendor for workers compensation and heart and hypertension claims administration service.
[A] Budget: Looking for proposal
[B] Scope of Service:
(1) Vendor needs to provide workers compensation and heart and hypertension claims administration service.
- To ensure a timely, seamless transition from the current vendor, if applicable, which should include administration of new claims only and, in the alternative, assumption of claims administration of new claims, existing and reported claims and IBNR.
- To ensure that every city employee sustaining a work-related injury or illness is provided with quality medical care and treatment on a timely basis.
- To ensure that every city employee receives appropriate medical and rehabilitative services enabling maximum medical recovery and a safe and expedient return to work as early as possible.
- To effectively minimize and reduce city workers’ compensation and heart and hypertension costs while providing quality medical and rehabilitative services to city employees sustaining work related injuries or illness.
- To ensure proactive, professional claims administration and supervision of all new and pending workers’ compensation and heart and hypertension claims.
- To provide guidance and assistance to the city in implementing effective loss prevention, if applicable, and loss reduction measures and initiatives.
- To assist in instilling a safety conscious management and employee culture and significantly reduce claims frequency and severity.
- To provide guidance and assistance to the city in enhancing limited duty or restricted return to work programs.
- To provide educational seminars on an as needed basis for all city departments so that all city supervisors, managers and employees understand their rights and responsibilities under workers’ compensation and heart and hypertension.
- To utilize effective medical management programs to minimize the cost of workers’ compensation and heart and hypertension to the city.
- To effectively utilize all audit tools to ensure that all workers’ compensation and heart and hypertension payments are in line with state mandated rates and guidelines.
- To provide timely, professional statistical reports to the city, which cover historical payment and incurred loss summaries and claim details.
- To provide the city’s risk management department with actuarially developed loss forecasted reports and analyses of outstanding liabilities under workers’ compensation and heart and hypertension.
- Coordinate benefits and workers’ compensation programs to ensure that competent services are being delivered to all city employees on a timely basis without any redundancies.
- Utilize preferred provider networks in delivery of medical services to all employees who sustain work related injuries or illnesses.
- The third-party administrator is also the Account Designee for MMSEA Section 111 reporting purposes as it pertains to workers’ compensation claims.
(2) All the questions must be submitted no later than March 19, 2020
[C] Eligibility:
Onshore (USA Only)
[D] Work Performance:
Performance of the work will be Onsite and Offsite. Vendor needs to carry work in their office location.
Budget :
Deadline to Submit Proposals: April 02,2020
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-3939
Government Authority located in Connecticut; USA based organization looking for expert vendor for workers compensation and heart and hypertension claims administration service.
[A] Budget: Looking for proposal
[B] Scope of Service:
(1) Vendor needs to provide workers compensation and heart and hypertension claims administration service.
- To ensure a timely, seamless transition from the current vendor, if applicable, which should include administration of new claims only and, in the alternative, assumption of claims administration of new claims, existing and reported claims and IBNR.
- To ensure that every city employee sustaining a work-related injury or illness is provided with quality medical care and treatment on a timely basis.
- To ensure that every city employee receives appropriate medical and rehabilitative services enabling maximum medical recovery and a safe and expedient return to work as early as possible.
- To effectively minimize and reduce city workers’ compensation and heart and hypertension costs while providing quality medical and rehabilitative services to city employees sustaining work related injuries or illness.
- To ensure proactive, professional claims administration and supervision of all new and pending workers’ compensation and heart and hypertension claims.
- To provide guidance and assistance to the city in implementing effective loss prevention, if applicable, and loss reduction measures and initiatives.
- To assist in instilling a safety conscious management and employee culture and significantly reduce claims frequency and severity.
- To provide guidance and assistance to the city in enhancing limited duty or restricted return to work programs.
- To provide educational seminars on an as needed basis for all city departments so that all city supervisors, managers and employees understand their rights and responsibilities under workers’ compensation and heart and hypertension.
- To utilize effective medical management programs to minimize the cost of workers’ compensation and heart and hypertension to the city.
- To effectively utilize all audit tools to ensure that all workers’ compensation and heart and hypertension payments are in line with state mandated rates and guidelines.
- To provide timely, professional statistical reports to the city, which cover historical payment and incurred loss summaries and claim details.
- To provide the city’s risk management department with actuarially developed loss forecasted reports and analyses of outstanding liabilities under workers’ compensation and heart and hypertension.
- Coordinate benefits and workers’ compensation programs to ensure that competent services are being delivered to all city employees on a timely basis without any redundancies.
- Utilize preferred provider networks in delivery of medical services to all employees who sustain work related injuries or illnesses.
- The third-party administrator is also the Account Designee for MMSEA Section 111 reporting purposes as it pertains to workers’ compensation claims.
(2) All the questions must be submitted no later than March 19, 2020
[C] Eligibility:
Onshore (USA Only)
[D] Work Performance:
Performance of the work will be Onsite and Offsite. Vendor needs to carry work in their office location.
Budget :
Deadline to Submit Proposals: April 02,2020
Cost to Download This RFP/RFQ/RFI/Solicitation/Tender/Bid Document : 5 US$