Description
The State of Nevada is seeking proposals from qualified third-party workers' compensation claim administrators for claims administration services for the Uninsured Employers' Claim Account workers' compensation claims in Nevada. The selected vendor will provide claims administration, claim investigation, case preparation for litigation purposes, case management, and bill review, processing, and payment of all claim-related benefits services. The contract term is anticipated to be two years, with the option to renew for an additional two years, subject to Board of Examiners approval.
• The vendor will investigate, administer, and manage all UECA workers' compensation claims.
• The vendor will provide goods and services specific to the needs and requirements of the UECA.
• The vendor will assume the complete handling of all open claims as well as new claims originating from the effective date of the contract.
• The vendor will provide a Claims Handling Protocol document within thirty calendar days of the award of the contract.
• The vendor will maximize potential cost savings to the DIR through the use of cost containment services and strategies.
• The vendor will promptly pay all medical bills in accordance with NRS 616C.136.
• The vendor will identify and reduce all duplicate billing.
• The vendor will provide acknowledgement upon the receipt of each claim.
• The vendor will submit all required D-38 Claims Indexing data for individual claims via the DIR's web portal or in bulk via flat file.