Workers' Compensation Third-Party Administration Services

A county in Florida is seeking a contractor to provide workers' compensation third-party administration services for a one-year contract term. The selected contractor will be responsible for providing all personnel, labor, materials, supervision, travel, facilities, software, and equipment necessary to deliver the required services.

The scope includes claim administration and support functions such as a toll-free telephone line for employee inquiries, accessible service for hearing-impaired employees, and a secure internet-based portal for the county's Risk Management staff and legal counsel to access account information and manage claims. The contractor must ensure accurate claim conversions, including data mapping, historical financial transactions, payment history, and classification integrity.

Additional responsibilities include assisting the county with filing the annual payroll report to the state, providing advance notice at least 60 days before the report is due, and delivering prescription management, bill review, and payment services designed to optimize savings. The contractor must also create all automated reports required under the agreement, provide 24-hour telephonic and internet-based claim reporting and intake, support real-time electronic First Notice of Injury reporting, preferably with a 24-hour nurse hotline, and determine and pay indemnity benefits while providing electronic reporting of indemnity and medical payments to the state.