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MB-3035 - USA (New Mexico) - Third Party Claims Administrator Services - Deadline May 21,2019

Product (RFP/RFQ/RFI/Solicitation/Tender/Bid Etc.) ID: MB-3035

Government Authority located in New Mexico; USA based organization looking for expert vendor for third party claims administrator services.

[A] Budget: Looking for Proposals

[B] Scope of Service:

Vendor needs to provide third party claims administrator services includes the following.
- Prepare and submit all required forms and notice to claimants, the water authority, and the division of workers compensation for the state in a timely manner and within the time limits
- Provide for bill review of all questionable medical expenses
- Provide access to all written claims file notes, including those to medical care providers, claimants, attorneys, ancillary medical services providers, investigators and state agencies
- Provide a monthly loss run of all claims
- Provide monthly report to the water authority risk manager regarding specific incidents or any observed trends concerning accidents and claims in order to reduce future exposure
- Perform all customary and usual functions involved with adjusting and management of claims and all necessary administrative and clerical work in preparation and disbursement of funds
- Review and investigate all claims reported and determine the water authority’s liability based on the state tort claims act, contract liability, and any applicable state or federal statute.

[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 : Tuesday, 21 May, 2019

Category : Medical Billing and Coding

Country : USA

State : New Mexico

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