MB-3446 - USA (Delaware) - Insurance Claims Processing Services - Deadline October 16,2019

Product (RFP/RFQ/RFI/Solicitation/Tender/Bid Etc.) ID: MB-3446

Government Authority located in Delaware; USA based organization looking for expert vendor for development of insurance claims processing services.

[A] Budget: Looking for Proposal

[B] Scope of Service:

(1) Vendor needs to provide insurance claims processing services of automobile liability and general liability claims,
- Third party claims administration and related services for which provides excess insurance coverage for claims exceeding $500,000 automobile and general liability not covered or limited as to maximum recoveries,
- These services are to include claims administration, quality assurance program administration, cost
containment programs, including strategic planning direction and assistance, loss control planning and programs, and risk management information systems,
- Contact all claimants by personal contact, first by phone then in writing, within 24 hours of receipt of a claim from the County or claimant or otherwise, unless instructed otherwise,
- Maintain claim records and submit comprehensive reports which will allow the County to make a proper analysis of each exposure and exposure category, including automobile and general liability,
- Assure that all phone calls to adjusters are returned within twenty-four hours,
- Meet with the County with the assigned adjusters and supervisor as needed, but routinely on a monthly basis to discuss strategies for loss and cost control and specific policy or claim matters,
- Thoroughly investigate and adjust all claims made to determine severity and details of the incident, subject to handling instructions of shared responsibility,
- Advise appropriate and correct payments of claims,
- Develop and maintain an on-line system to be used in the administration of claims, including documents providing a description of incident and injury, medical records, correspondence and other documents, payment register, claim notes, litigation status and notes, etc,
- Convert all existing data fields and claim notes on all open and closed files set up with
dates of injury after the date of implementation of a contract, this on-line system is to include pending files,
- Provide Risk Management and/or its designee full on-line electronic access to the
system including, but not limited to, access to claims, payments, medical records, correspondence, claim notes, status, and messaging capabilities, and financial data,
- Identify and investigate all subrogation possibilities for potential recovery including investigation, evaluation, and negotiation of subrogation cases, maintain financial records of all recoveries on the claim file,
- All reports, documentation, and material developed or acquired by the contractor as a direct requirement specified herein shall become and remain the property.
(2) All the questions must be submitted no later than September 27, 2019.

[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 : Wednesday, 16 October, 2019

Question Answer Deadline : Friday, 27 September, 2019

Category : Medical Billing and Coding

Country : USA

State : Delaware

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