What exactly is the role of the workers’ compensation third party administrator?
The workers’ compensation third party administrators are contracted to process industrial injury cases in accordance with County standards, state statute, and all applicable workers’ compensation laws. This includes investigating workers’ compensation claims, determining entitlements, issuing notices, and delivering benefits within with statutory timeframes. Contractual requirements include: program development, claims management, monitoring medical treatment, assisting injured workers resolve workers’ compensation issues, supporting County department return-to-work efforts, attending claim status reviews, and identifying and investigating potentially fraudulent workers’ compensation claims.
Related Questions
- If I am involved in an accident that is the fault of another party, can I receive compensation for damages incurred because of soft tissue injury?
- Can a third party administrator (TPA) or managed care organization (MCO) be authorized as a Workers Compensation Managed Care Arrangement?
- What if I am unhappy with the services provided by the workers’ compensation third party administrator?
