164-22 Exhibits to Agreement for Workers Compensation Third Party Administration - 2022.pdf

TOWNSHIP OF WEST ORANGE WORKERS COMP 38” PARTY ADMINISTRATION It is the intent of this Request for Proposal to obtain from interested and qualified insurance consulting firms a proposal to provide services to assist the Township in Workers Compensation 3" Party Administration. 1, SCOPE OF SERVICES Proposals must be made on the basis that it either meets or exceeds the requirements contained herein. All bidders must be capable of performing the services listed: a. Supervise the Township’s obligation to employees who sustain bodily or neurological injury and/or occupational diseases in the Township’s service or employ. Maintain accurate records of all details incident to all Workers’ Compensation cases filed against the Township. Compile and file all notices and reports required under the Workers’ Compensation Law. Provide care and medical supervision, administration and disposition of Workers’ Compensation cases filed by employees against the Township. Provide the Township with a monthly report on all Workers’ Compensation cases, Timely, complete and accurate management of bill repricing, network negotiation, nurse case management and medical review services typically associated with managed care services. Maintain multiple PPO Network agreements to maximize bill penetration and cost savings for the Town. 2. PROPOSAL REQUIREMENTS The Firm shall provide a lump sum cost. Each proposed lump sum cost shall include all fees for Claim Administration and Managed Care. These services will be provided for a period of one year from January 1, 2022 through December 31, 2022. Proposals will be evaluated by the Township on the basis of the most advantageous proposal, price and other factors considered.