Specifications include, but are not limited to: The Vendor shall provide third party administrative services to the State as defined below herein: • Worker’s Compensation (1) Administration (from inception to conclusion) of all claims, originating within the period of this Contract, filed under the State's Worker’s Compensation Plan to include, but not limited to: (A) System start-up procedures (B) Processing the appropriate payments and claims to Auditor of State (C) Investigation, including on-site, when deemed appropriate by Contractor or requested by the State, for: (i) Compensability (ii) Fraudulent activity (iii) Third-party subrogation (D)Activity checks (E) Return-to-work procedures and case management performed by the Contractor (F) Claim status reports (G)Arrange representation at worker’s compensation hearings (H)Loss reports/risk information systems capabilities including ad hoc reporting (I) Storage of closed claims (J) Recommendation of claim reserve levels (K) Contractor will issue worker’s compensation checks directly to providers for claims incurred and to Indiana state employees for wage replacement. Contractor will request reimbursement from the State for these payments. The general parameters are as follows: (i) Contractor will generate a check register for all the payments made on claims, issue and mail the checks to the proper recipients. (ii) Contractor will send the check register weekly to the State Personnel Department, sorted by a common agency number that will be provided by the State. • Disability (1) Administration of all claims, originating within the period of this contract filed under the State's Disability Plan to include, but not limited to: (A) System start-up procedures (B) Processing bi-weekly payments to recipients through the State Comptroller’s Office (C)Mail detailed payment letters bi-weekly to employees (D) Disability status investigation, when deemed appropriate by Contractor or requested by the State, including on-site, for: (i) Eligibility for benefits (ii) Fraudulent activity (iii) Third-party subrogation
