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Claims Administration for Self-Funded Workers Compensation Services

Overview


Financial, Legal, HR & Staffing
La Joya, Texas, United StatesPosted 10 days agoDeadline: May 15th, 2026

Fit Score


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SUMMARY


The district requires a provider for full-service claims administration of its self-funded workers’ compensation program, including claims adjustment, processing, payment, and reporting for a two-year term.

KEY REQUIREMENTS


BUDGET

Estimate

$50,000 – $250,000

CONTRACT DURATION


24 months

TIMELINE


Specifications released on April 25th, 2026.

Proposals due by May 15th, 2026.

Contract award anticipated on or before July 2026.

Services effective September 1st, 2026.

Issuing Agency


La Joya Independent School District

Organization overview and procurement intelligence available on paid plans.

DESCRIPTION


The district is seeking a vendor to provide comprehensive claims administration services for its self-funded workers' compensation program. Responsibilities include the adjustment of all workers’ compensation claims presented against the district, as well as comprehensive medical claims processing, adjudication, and payment utilizing funds provided by the district.

The selected administrator will also be required to provide detailed monthly claims registers, which should include total payments categorized by payee, invoice number, check number, date, and amount. Additionally, the administrator must be capable of providing analyses of payments, broken down by type—such as defense counsel, outside investigation, and vocational rehabilitation—and by specific payee.

The contract term will be two years. All questions regarding this RFP must be submitted by May 2, 2026.

Source attribution

This Settle analysis is based on the issuing organization’s public RFP listing.

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