When is the submission deadline?

This RFP closed on July 24, 2026 and is no longer accepting submissions.

It was issued by California Housing Workers' Compensation Authority. The work is located in Sacramento, California, United States.

Who is a good fit for this opportunity?

Third-party administrator specializing in workers compensation claims. Experience managing full lifecycle claims administration in California. Expertise in medical management, indemnity payments, and litigated claims. Strong claims investigation, fraud detection, and overpayment recovery capabilities. Established reporting, compliance, and claims supervision processes. Capacity to manage caseloads and coordinate with employers, claimants, and coverage providers.

Workers Compensation Claims Administration Services (Closed)

Seeking a qualified vendor in California to provide comprehensive workers compensation claims administration services. Scope includes claims handling, medical and indemnity administration, investigations, reporting, litigated cases, and fraud-related claim management.

Must be a qualified third party administrator
Must have at least two years of workers' compensation claims experience at the examiner level
Claims examiners must have successfully passed the California Department of Industrial Relations Self-Insurance Administrator Examination
Must maintain General Liability insurance of not less than $2,000,000 per occurrence
Must maintain Automobile Liability insurance of not less than $2,000,000 per accident
Must maintain Errors and Omissions insurance of not less than $5,000,000 per occurrence
Must maintain Employee Dishonesty insurance of not less than $1,000,000
Must maintain Cyber Liability insurance of not less than $1,000,000
Must be registered with the Centers for Medicare and Medicaid Reporting Services as the Account Manager for CHWCA
Must provide a live demonstration of technology platform and claims management system
Must agree to be bound by the proposal until at least December 31st, 2026

Issuance of the Request for Proposals: July 2nd, 2026

Deadline for Receipt of Proposals: July 24th, 2026

Review of Responses and Select Interviewees: August 6th, 2026

TPA Interviews: August 20th, 2026

Date of Contract Award: October 5th, 2026

Contract Start-Up: January 1st, 2027

Primary procurement contact — name, title, email, and phone

Additional decision-makers and their departments

The issuing organization is seeking a vendor to provide workers compensation claims administration services in California. The scope covers end-to-end claims handling and oversight, including caseload management, claim file setup, coverage review, documentation, and development of plans of action with diary review.

Services also include employer and employee or claimant contact, investigations, reserve management, compensability determinations, medical administration, medical payments, provision of benefits, initial and subsequent indemnity payments, supplemental job displacement benefits, and management of litigated cases. Additional responsibilities include claim reconciliation, excess coverage coordination, claims reporting, supervision, handling of fraudulent claims, and recovery or management of overpayments.

Questions related to the solicitation must be submitted no later than July 17, 2026.

Workers Compensation Claims Administration Services

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