Opportunity

Guilford County NC MUNIS #20051

Award for Third Party Administrator Services for Liability and Workers Compensation Claims in Guilford County, NC

Posted

January 18, 2022

Respond By

February 17, 2022

Identifier

20051

NAICS

524292, 524298

Guilford County, North Carolina, has awarded a contract for third party administrator (TPA) services to manage liability and workers compensation claims. - Government Buyer: - Guilford County Purchasing Department, Greensboro, NC - Awarded Vendor: - PMA Management Corp. - Products and Services Requested: - Comprehensive TPA services for liability and workers compensation claims - Electronic claims management system with client access - Claims administration, case management, and reporting - Medical bill review, pharmacy program, PPO access, nurse case management, vocational rehabilitation, utilization review, and physician consultant services - Information services including data storage, transfer, and special reporting - Subrogation services and miscellaneous administrative fees - MWBE participation goal of 10%, E-Verify compliance, and robust insurance coverage required - Product Line Items (examples): - Per claim fees for liability and workers compensation claims - Annual administrative fees - Medical bill review and pharmacy program fees - Data storage and transfer fees - Subrogation and special report fees - Notable Requirements: - Electronic information system for claims management - Performance measures for timely contact, decision-making, and reporting - Regular reporting and compliance with MWBE and E-Verify - Estimated 25-30 claims per year - No other OEMs or vendors are listed in the documentation

Description

Guilford County is soliciting proposals from qualified firms to provide third party administration services to handle liability and workers compensation claims. The contract will cover services until claims are closed or moved to another firm. The County is self-insured for workers compensation and auto/general liability, with an estimated 25-30 claims per year. The contract term is three years with two optional one-year renewals. The provider must have an electronic information system and meet specified performance measures.

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