CCRFP FOR MANAGED CARE ORGANIZATION

The New Jersey Municipal Excess Liability Joint Insurance Fund is seeking a Managed Care Organization (MCO) to provide medical treatment, billing review, and cost containment for workers' compensation and related claims. The selected provider will manage network administration, medical case management, compliance with HIPAA and state laws, and coordination with claims administrators to ensure timely, cost-effective, and high-quality care for injured employees. Key responsibilities include: • Managing medical treatment and billing review for workers' compensation claims • Coordinating with claims administrators to ensure timely and cost-effective care • Complying with HIPAA and state laws • Providing network administration and medical case management The ideal candidate will have experience in managed care, workers' compensation, and medical case management, with a strong understanding of HIPAA and state laws. They will also have excellent communication and coordination skills to work with claims administrators and ensure high-quality care for injured employees.