Third Party Administrator Services for Workers Compensation, Tort, Public Liability and Claims Subrogation (RFP)

City of Perth Amboy

Provide third party claims administration for liability and workers compensation programs and other services of a specialized nature to the insurance fund administrative claims review committee, which shall include, but not be limited to the provisions of third-party claims administration.

City of Beaverton

Seeking informal proposals from qualified firms for services of a third-party claims administrator (TPA) to provide professional workers’ compensation claim processing services.

The Garden State Municipal Joint Insurance Fund ("GSMJIF"), NIP Group, Inc.

Workers' compensation claims third party administrator: 1. The reporting process should include automatic completion and statutory filing of the first report with a copy sent to the reporting location with the assigned claim number. 2. The adjusters will perform in-depth claims investigations on all lost-time claims and are required to complete an investigative checklist in a format approved by the GSMJIF which will be included in the claim file. All lost-time investigations will include a compensability determination; three-point contact within 24 hours of report with the injured worker, employer and treating physician; recorded statements of the injured worker (and witnesses as needed); third-party investigation; prior loss history and medical records; diligent monitoring of lost time; aggressive use of IME's, FCE's & FFD's; offset, lien & credit analysis and proper notification to excess carriers. 3. Each open claim must be reviewed no less than every thirty (30) days depending upon the nature and complexity of the claim. 4. Timely and appropriate referral of claims to designated network medical management providers. 5. All indemnity claims are to be reported to the Index Bureau upon receipt of first report and re-indexed every six (6) months for the life of the claim.