Third Party Administration Service for Workers\' Compensation Claims

Nashville Electric Service (NES) is seeking third party administration services for workers' compensation claims. The agency requires a vendor to perform claim investigation, settlement administration, and file establishment, closure, and maintenance. The scope of work includes providing access to a network of medical providers, re-pricing bills, and issuing payments to providers with explanation of benefits forms. The vendor must collaborate with a company nurse on claim dispositions and provide secure technology and online services for accessing claimant files, adjuster notes, and billing information. Additionally, the vendor is expected to provide pharmacy services for injured workers at a discounted rate, including online access to claimant files and billing details. Medical case management for injured workers as needed is also part of the required services. Eligibility is restricted to onshore organizations within the USA. The performance of the work will be conducted offsite. Responses can be submitted digitally via email or online. The agency is seeking proposals for these services.