Workers Compensation Claims Administration Services
Overview
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SUMMARY
KEY REQUIREMENTS
CONTRACT DURATION
TIMELINE
Proposals due by August 13th, 2026.
On-site visits or custom presentations may occur between August 31st, 2026 and September 4th, 2026.
Selection of a proposer is expected on or about September 18th, 2026.
Contract term begins January 1st, 2027.
QUESTION DEADLINE
CONTACTS
Primary procurement contact — name, title, email, and phone
Additional decision-makers and their departments
Issuing Agency
Nevada System Of Higher Education
DESCRIPTION
A Nevada public agency is seeking a vendor to provide workers compensation claims administration services for its self-funded workers compensation insurance program. The selected contractor will deliver third-party administration services, including managed care or preferred provider program services, bill review and repricing services, and other related support that may benefit the agency's workers compensation program.
The scope of work includes promptly investigating reported claims, gathering employee information and medical records, and providing access to a web-based claims system with claim notes, reserves, reserving strategy, and medical diaries. The contractor will authorize medical treatment, coordinate closely with the agency's workers compensation team, and provide ongoing updates regarding injured workers' medical status, physical restrictions, and return-to-work status.
Additional responsibilities include participating in regularly scheduled claim staffing meetings, delivering an annual in-person stewardship report, assisting in the defense of litigated claims, identifying third-party liability opportunities, and pursuing recoveries related to third-party and subsequent injury claims. Questions are due by July 30, 2026, and the resulting contract will have a term of three years.
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Frequently asked questions
- When is the submission deadline?
- Submissions are due August 13, 2026. Questions must be submitted by August 13, 2026.
- Who issued this RFP?
- It was issued by Nevada System Of Higher Education. The work is located in Reno, Nevada, United States.
- Who is a good fit for this opportunity?
- Third-party administrator specializing in workers compensation claims
- Experience supporting self-funded public sector insurance programs
- Capabilities in managed care, preferred provider programs, and bill review
- Web-based claims management platform with transparent reporting and reserving tools
- Expertise in litigated claims support and recovery from third-party and subsequent injury claims
- Ability to provide ongoing medical status tracking and return-to-work coordination
- Capacity to support a three-year engagement with regular stewardship reporting
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.