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Workers' Compensation Cost Containment, Claim Management and Administration Services


Location
Arizona
Publication Date
08/07/2019 11:42 AM EDT
Closing Date
09/04/2019 02:00 PM EDT
Issuing Organization
State of Arizona - Department of Administration
Solicitation Number
Description

Specifications include, but are not limited to: 4.1. Maintain a toll free dedicated Nurse Triage and Third Party Administration (TPA) telephone numbers for the reporting of new workers’ compensation claims twenty-four (24) hours per day seven (7) days a week (24/7) including weekends and holidays. 4.1.1. Ensure that the phone number is re-routed in the event of any disasters in order to provide 24/7 availability: and 4.1.2. Capable to accommodate a warm transfer to 24/7 nurse triage and telemedicine programs if medically appropriate. 4.2. Ensure that all communication is acknowledged within a four (4) hour business window, except for request for copies of claim file. 4.3. Address and mail claim file copies within seven (7) business days from the date of request. 4.4. Provide exceptional customer service to all injured workers and respond to all inquire within one (1) day. 4.5. Develop a workers’ compensation claim manual that includes: 4.5.1. Standard Work, 4.5.2. Work flows and 4.5.3. EDI processes.

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