This RFP seeks a vendor to provide comprehensive third party claims administration services for the management of a Self-Insured Workers’ Compensation Fund. The selected Third Party Claims Administrator (TPCA) will be responsible for overseeing all claims-related activities, which include claims investigations, determinations of compensability, processing of claim and expense payments, litigation management, medical case management, and the completion and timely filing of internal and external reports.

The TPCA must review all incident, claim, and loss reports submitted by the Department and process them to conclusion in compliance with statutory and administrative regulations. The vendor will process payments for medical and death benefits, disability compensation, and other covered losses and expenses. Additional responsibilities include brokering excess workers’ compensation insurance if requested, monitoring employee treatment programs, arranging rehabilitation or retraining, maintaining cost estimates and reserve calculations for each claim, providing narrative reports, investigating potentially fraudulent claims, and making referrals to appropriate authorities.

The contract period will be four years. All questions regarding this RFP must be submitted no later than March 10, 2026.