Multnomah County Department of Management, Risk Management Division RFP-88-2023

Workers' Compensation Claims Administration Services

The Multnomah County Department of Management, Risk Management Division, is the government buyer seeking to purchase Workers' Compensation Claims Administration Services. The contract involves a Third Party Administrator (TPA) to manage the County's self-insured workers compensation program, which includes claims processing, reporting, compliance, and cost containment. The awarded services include claims examination by a full-time senior claims examiner supported by a claims assistant and supervisory team, handling approximately 179 claims annually with fluctuating open claims between 120 and 150. The TPA is responsible for monthly, quarterly, and annual reporting, claim reviews, loss analysis reports, claim form provision, legislative updates, banking processes compliant with County financial requirements, and claims management including payment authorization, litigation coordination, subrogation, vocational rehabilitation, and interaction with Managed Care Organizations and ancillary service providers. The contract term is five years with an option to renew for an additional five years. Unique contract requirements include the use of a County-owned positive pay controlled disbursement checking account with daily validation, compliance with Oregon state laws, and adherence to detailed handling instructions developed jointly with the County's Risk Management Workers Compensation Team. The contract encourages participation from Minority-Owned, Women-Owned, and Emerging Small Businesses. No specific OEMs or vendors are named in the document. The place of performance is Multnomah County, Oregon, with the County's Risk Management Division as the primary office involved.

Description

The Multnomah County Department of Management, Risk Management Division, is seeking Proposers from whom it may purchase Workers’ Compensation Claims Administration Services. The contract is intended to provide claims administration services including claims processing, reporting, and compliance with Oregon state laws. The contract term is five years with an option to renew for an additional five years. The awardee is responsible for claims management, reporting, and coordination with the County's Workers Compensation team.

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