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City Administered Employee Disability/Workers’ Compensation Program

Publication Date
11/21/2017 08:38 AM EST
Closing Date
12/20/2017 05:00 PM EST
Issuing Organization
City of Philadelphia
Solicitation Number

Specifications include, but are not limited to:The City of Philadelphia (“the City”) is currently seeking proposals from qualified, experienced Third-Party Administrators (TPA) vendors to work with the Office of the Director of Finance, Risk Management Division (“Risk Management”) to provide medical health care, claims management, safety, health, environmental and loss control services for employees who sustain service connected injuries. The City self-insures its workers’ compensation liability, has approximately 31,000 employees and receives an estimated 3,800 new employee disability claims each year. The City is focused on obtaining a TPA that can provide a comprehensive Employee Disability Program, which includes superior claims and medical administration services with a strong emphasis on the overall administration of Reg. 32, Heart & Lung Act and Workers’ Compensation claims filed by City employees. The Department’s objectives for this project include but is not limited to the following:  Improving the quality of health care for injured workers.  Return injured employees to work promptly and safely.  Accurately reflect the cost and impact of all aspects of the City’s Employee Disability Program.  Reduce the City’s work-related injury costs.  Provide a smooth transition from current program to a new program.  Promote confidence and good will in the claims management and medical treatment of injured City employees.  Assure compliance will all applicable laws, regulations and guidelines, especially Civil Service Regulations, Heart & Lung Act and Workers’ Compensation Act Establish and maintain a system to accept notice of claims electronically, telephonically and via facsimile that is available 24-hours/7-days a week, including holidays.  Establish and maintain a process for payment of all workers’ compensation indemnity and claims related expenses.  Establish and maintain a process for payment of all medical services, including those rendered outside of the City’s network.  Establish and maintain a process to evaluate all aspects of the program through analytics.  Coordination of legal services provided by the City’s contracted legal firms.

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