Workers Compensation Third Party Administrator Services

The vendor required to provide workers' compensation claims and litigation management and is currently accepting proposals for third-party claims administration for workers' compensation claims effective June 1, 2026.
- Requirement:
•    Review all claims and loss reports filed against the city, and provide a copy of your best practices for claim handling.
•    Thoroughly investigate all claims made against city of through appropriate claim procedures as necessitated by the severity of the injury and ensures correct payment of medical and time loss claims. 
•    Provide cost containment services, including medical fee reductions and a preferred provider network, provide quarterly report of cost containment services. 
•    Integrate the current medical provider network into the claims management process. 
•    Prepare claim files for submission to a defense attorney. 
•    Attend trials, mediations and settlement conferences as appropriate. 
•    Develop and maintain an investigative file on each claim in accordance with an approved format by the city. 
•    Files are to be readily available for the city to review and shall be well documented and up-to-date. 
•    Notify excess insurance carriers of claims and or occurrences at predetermined levels required by excess insurers within 30 days of recognition. 
•    Provide information and status of claims as requested by the excess insurance carrier. 
•    Obtain reimbursements from excess carrier and maintain accurate refund records on the claim file. 
•    Develop and maintain a claims database to be used in the administration of the claims and to generate reports to the city. 
•    Provide the city with a monthly report of account for individual claims and aggregate loss experience analysis. 
•    This report shall show the status of each open claim and experience year-to-date of all claims. 
•    Have the capability of providing data necessary to prepare financial and statistical reports on losses or claims
•    Within 24 hours contact employees and injured parties regarding the status of their claim. 
•    Return calls or inquiries from employees and injured parties within 24 hours of receipt of inquiry.

- Contract Period/Term: 5 years
- Questions/Inquires Deadline: January 21, 2026