Workers’ Compensation Third Party Administration and Managed Care Cost Containment Services
Overview
Fit Score
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SUMMARY
KEY REQUIREMENTS
CONTRACT DURATION
TIMELINE
RFP Released: June 1st, 2026
Deadline for Questions, Comments and Contract Exceptions: June 12th, 2026
Proposal Due Date and Time: July 10th, 2026
Interviews (tentative): July 24th, 2026
Anticipated Contract Award Date: August 7th, 2026
QUESTION DEADLINE
CONTACTS
Primary procurement contact — name, title, email, and phone
Additional decision-makers and their departments
Issuing Agency
County Of San Mateo
DESCRIPTION
The selected vendor will provide comprehensive workers’ compensation third party administration and managed care cost containment services for a self-insured workers' compensation program. Responsibilities include claims management, medical bill and treatment review for injury and illness claims, and evaluation of the reasonableness of treatment prior to payment. The vendor is also expected to establish and maintain accurate claims reserves for all anticipated benefits and related costs, as well as review medical documentation and alleged wage loss prior to settlement negotiations.
An effective electronic data security system with robust access and integrity controls, and a continuity program for system operations, must be maintained. The provider should offer a computerized claims management system, attend workers’ compensation hearings and mediations as required, and handle both new and existing claims. Additional services include medical management, utilization review, and administration of trust fund checking accounts. The contract period is three years.
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Frequently asked questions
- When is the submission deadline?
- Submissions are due July 10, 2026. Questions must be submitted by June 12, 2026.
- Who issued this RFP?
- It was issued by County Of San Mateo. The work is located in Redwood City, California, United States.
- Who is a good fit for this opportunity?
- Experienced third party administrator for self-insured workers’ compensation programs
- Expertise in managed care cost containment and medical bill review
- Strong background in claims management and compliance
- Proficient in implementing secure electronic data systems
- Track record of servicing clients within California or similar jurisdictions
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