Third-Party Claims Administration and Workers Compensation Services

The City is seeking a qualified vendor to provide third-party claims administration and workers compensation services. The selected Third-Party Administrator (TPA) should support the City's approach to addressing the reasonable, necessary, and related medical needs of injured workers while helping facilitate a timely and healthy return to work. The City is looking for a collaborative partner that can offer innovative services, solutions, and technology to address workers' compensation claim management needs.

The scope of services includes administration of all new and existing claims for the life of the contract, plus an additional 90 days. The contractor will also be responsible for converting existing claims data into its claims management system in a way that ensures accessibility for the City and supports reporting needs. Additional required services include first notice of injury reporting, bill review, indexing, field case management, telephonic case management, access to an internet-based information system, prescription benefit management services, and provider network access.

The City expects adequate staffing to maintain a high level of service and client satisfaction. It also seeks a customized program that strengthens coordination among claim management, provider network management, and injured worker support. Services included in the flat annual fee may not be separately charged to claim files as allocated loss adjusting expenses, medical management billing, or similar charges.

A mandatory pre-bid meeting is scheduled for July 22, 2026. All questions must be submitted no later than August 5, 2026.