Workers Compensation Third Party Administration and Managed Care Services
Overview
Fit Score
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SUMMARY
KEY REQUIREMENTS
CONTRACT DURATION
TIMELINE
Release Project Date: June 6th, 2026
Proposal Submission Deadline: June 17th, 2026
Issuing Agency
Jersey City Public Schools
Organization overview and procurement intelligence available on paid plans.
DESCRIPTION
A district in New Jersey is seeking a qualified vendor to provide comprehensive workers compensation third party administration and managed care cost containment services for its self-insured workers compensation program. The selected provider will be responsible for administering all aspects of workers compensation claims, from initial notice through final resolution, payment, or closure. Key services include medical bill review, repricing, network management, and coordination between injured workers, district personnel, medical providers, attorneys, and other stakeholders.
The scope involves prompt claims investigation, evaluation to reduce litigation exposure and identify potential fraud, subrogation efforts, and effective medical cost containment practices. The vendor must offer an electronic claims system with real-time claim access, communication, and data reporting. Additional responsibilities include risk management reporting, timely responses to district inquiries, disability and return-to-work management, litigation management, financial reporting, regulatory compliance, fraud investigation, recovery services, and comprehensive advisory support. The initial contract period is one year.
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Frequently asked questions
- When is the submission deadline?
- Submissions are due June 17, 2026.
- Who issued this RFP?
- It was issued by Jersey City Public Schools. The work is located in Jersey City, New Jersey, United States.
- Who is a good fit for this opportunity?
- Extensive experience in workers compensation third-party administration and managed care
- Proven track record with self-insured public entities or school districts
- Robust electronic claims and reporting systems
- Expertise in medical cost containment, subrogation, and legal coordination
- Ability to manage claims, risk, and compliance for large organizations
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