Third Party Administration Service for Workers' Compensation Claims
Overview
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SUMMARY
DESCRIPTION
The issuing organization is seeking a vendor to provide third-party administration services for workers' compensation claims. The scope of services includes claim investigation, claim settlement administration, and the establishment, maintenance, and closure of all assigned claim files.
The selected provider is expected to offer access to a network of medical providers, re-price medical bills, and manage payments to providers by check or electronic payment along with explanation of benefits documentation. The vendor will also collaborate with the company's nurse regarding claim disposition.
In addition, the provider must supply secure technology and online services that allow access to claimant files, adjuster notes, billing information, and related records. The scope also includes discounted pharmacy services for injured workers with online access to claimant files and pricing information, as well as medical case management services for injured workers as needed.
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Frequently asked questions
- When is the submission deadline?
- Submissions are due September 16, 2026.
- Who is a good fit for this opportunity?
- Third-party administrator specializing in workers' compensation claims
- Experience with claim investigation, file management, and settlement administration
- Established network of medical providers and pharmacy benefit services
- Secure online claims platform with claimant, billing, and adjuster note access
- Capability to manage provider payments, bill repricing, and explanation of benefits processing
- Access to medical case management professionals and nurse coordination support
- Experience serving employers or public-sector clients in Tennessee or the broader United States
Analysis generated by Settle AI from the source RFP.
RFP Hunter shows what is open. Settle shows what is forming.
Settle pieces together buyer signals, budgets, contract activity, and the sources your team already monitors. See why an opportunity fits and what to do before the RFP posts.