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CLAIMS AUDIT SERVICES FOR THE CITY OF HOUSTON WORKERS' COMPENSATION SELF-INSURED PROGRAM


Location
Texas
Publication Date
02/13/2020 10:43 AM EST
Closing Date
02/21/2020 01:00 AM EST
Issuing Organization
City of Houston
Solicitation Number
Description

Specifications include, but are not limited to: 5.1.1. Determine the monthly adjuster claim workload 5.1.2. Determine turnover rate for adjusters, supervisors and account management 5.1.3. Assess timeline of the initiation of weekly benefits 5.1.4. Assess compliance with contractual reporting requirements 5.1.5. Assess timeliness of the completion and documentation of contacts associated with the claim investigation 5.1.6. Assess documentation of claim file notes concerning prior claims history 5.1.7. Assess timeliness of the completion and documentation of recorded statements 5.1.8. Assess ongoing documentation of all statements and contacts 5.1.9. Assess maintenance of open claim diaries, to include Plan of Action and Reserves 5.1.10. Assess completion of supervisor claim reviews 5.1.11. Assess the completion of a comparison of actual lost time duration to MD Guidelines 5.1.12. Assess the completion of referrals for telephonic or field case management

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