MB-4829 - USA (Florida) - Third-Party Administration of Fire-fighters Workers Compensation Claims Services - Deadline February 11,2021

Product (RFP/RFQ/RFI/Solicitation/Tender/Bid Etc.) ID: MB-4829

Government Authority located in Florida; USA based organization looking for expert vendor for third-party administration of fire-fighters workers compensation claims services.

[A] Budget: Looking for proposal

[B] Scope of Service:

(1) Vendor needs to provide third-party administration of fire-fighters workers compensation claims services for the city’s self-insured sworn fire-fighters within the city’s fire department.
- A risk management committee, comprised of five senior city officials, meets monthly to review and approve all claim settlements of $25,000 or greater.
- The city currently utilizes advent health to accept 24 hours a day workers compensation first report of injury or illness via the city employee calling a dedicated injury or exposure hotline that takes the first report of injury from either the employee or the supervisor.
- The city’s elected officials and top management teams have a longstanding commitment to a sound risk management program with special emphasis on claims management and loss prevention or reduction.
-The risk management division provides administration and oversight of the claims adjusting function. employees with the risk management division perform safety audits and implement loss prevention programs, including loss prevention training for the city.
-This committee is charged with responsibility for, and guidance of, the self-insurance program.
-The committee is comprised of high-level administrative executives who are uniquely familiar with, and committed to, the goals of the program.
- Participate in claim reviews of selected files.
- Act as service provider representative on any claim issues or problems.
- Act as liaison between the insurer, adjusters, field staff, medical network, claims information systems department, and city.
-The contractor will provide all settlement evaluations to the city for review.
- Provide designated claim personnel to be assigned and identified. In the event of a change in service personnel, the city requires advance notification and an introduction of new personnel within 30 days of such notification.
- A diary system will be established so that each medical only case is reviewed by the adjuster at least every sixty days, or more often as needed.
-The claim reserve will take into consideration all potential payments including expenses.
(2) A pre-proposal conference will be held on January 21, 2021.
(3) All questions must be submitted no later than January 28, 2021.
(4) The term of contract will be five years.

[C] Eligibility:

- Onshore (USA Organization Only);

[D] Work Performance:

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

Expiry Date : Thursday, 11 February, 2021

Pre-proposal Conference Date : Thursday, 21 January, 2021

Question Answer Deadline : Thursday, 28 January, 2021

Category : Medical Billing and Coding

Country : USA

State : Florida

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