Workers Compensation Claims Audits Services - Budget - 160,000 USD

The buyer needs workers compensation claims audits services for a one-year contract period with a budget of 160,000 USD. The buyer requires the auditor to perform offsite work, conducting a fully electronic screening and line-by-line review of a targeted, random sample of 350 claims per fiscal year to achieve 95% statistical confidence (+/- 5%) in key indicators. The auditor must submit bi-weekly reports detailing reviewed claims, overpayments, irregularities, or identified issues. Additionally, the auditor must deliver a comprehensive final report outlining overpayments, duplicate payments, payment irregularities, operational inefficiencies, and actionable recommendations. Only onshore USA organizations are eligible for this opportunity. Interested vendors must submit all questions by October 2, 2026. The buyer accepts digital response submissions via email or online until the deadline on October 23, 2026.