Workman's Compensation Claims Administration Services

Release of RFP: April 14th, 2026

Deadline to receive questions: April 24th, 2026

Post Q&A Addendum: May 1st, 2026

RFP Responses Due: May 15th, 2026

Evaluation Committee Meeting: May 29th, 2026

Oral Presentations/Interviews: June 12th, 2026

City Commission Award Approval: July 7th, 2026

The City seeks a third-party vendor to provide comprehensive workman's compensation claims administration services. As a self-insured local government entity, the City does not have the internal resources to manage claims and requires a specialized third-party administrator (TPA) to assume this role. Immediate takeover and administration of approximately fifty existing claims, each at varying stages, is required.

The selected TPA must deliver fast response times, comply with all state requirements, and provide access to a network of preidentified vendors and providers. The administrator should leverage technology for user-friendly processes and platforms, offering both on-demand and scheduled reporting. A designated team of the same adjusters must be assigned to meet monthly with the City to review open claims, and a single account representative must be available for ongoing support and questions.

Additional requirements include comprehensive management of all Medicare and Medicaid reporting steps and the implementation of a robust Risk Management Information System (RMIS) that supports claims and financial tracking, document storage, standard and custom reporting, and role-based access controls. The administrator must also support data breach notification obligations related to claims data.