Third-Party Administrator (TPA) Services

Third-Party Administrator (TPA) Services for Self-Funded Workers' Compensation Program.
- TPA services and related professional services that may include, but are not limited to, the following:
1. Workers’ compensation claims administration and claims management;
2. Claims investigation and adjustment services;
3. Loss control, risk assessment, and loss-prevention services;
4. Workers’ compensation legal services;
5. Medical provider and/or healthcare network services;
6. Medical bill review and cost-containment services;
7. Utilization review and case management services, as applicable;
8. Return-to-work coordination and related services;
9. Claims reporting, data analytics, trend analysis, and performance reporting;
10. Consultation regarding complex, high-risk, or high-cost claims;
11. Program management and strategic consultation;
12. Employee, supervisor, and management training, as requested by the District; and
13. Other services designed to reduce workers’ compensation exposures, improve claims outcomes, enhance service to injured employees, and control the overall cost of the District’s Workers’ Compensation Program.