Third Party Claims Administrator Service
Location:
Colorado, United States
Posted on:
Deadline:
Summary:
The RFP seeks a third party claims administrator to manage workers compensation, liability, property, automobile, and related claims for governmental entities in Colorado.
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The selected vendor will provide third party claims administrator services for governmental entities, including the administration of workers compensation claims, governmental immunity act claims, property claims, general liability claims, automobile claims, and federal claims applicable to municipal utilities.
Key responsibilities include the prompt creation of accurate claim files and the establishment of monetary reserves within two working days of the initial report. The vendor must audit medical bills to assess reasonableness and their relationship to the injury, conduct annual reviews for medical maintenance closures, and review medical-only claims for potential closure at least every thirty days.
Maintaining close communication with medical providers is required to ensure claimants receive proper care without overtreatment. The administrator must possess sufficient medical knowledge in line with industry standards and monitor treatment programs to confirm their relation to compensable injuries or illnesses.
Best-fit vendors:
• Experienced third party claims administrator specializing in governmental entities
• Proven track record with workers compensation and various liability claims
• Medical bill audit expertise and knowledge of industry standards
• Presence or ability to operate within Colorado
• Familiarity with municipal utilities and government claims procedures
