Austin Afo #RFP 5800 SLW3033

City of Austin Solicits Workers' Compensation Third Party Administration Services

The City of Austin is seeking qualified firms to provide third party administration (TPA) services for its workers' compensation claims program. - Government Buyer: - City of Austin (City Government) - OEMs and Vendors: - No specific OEMs or vendors are named; open to all qualified TPA firms with relevant experience - Products/Services Requested: - Comprehensive workers' compensation third party claims administration services - General claims management - Transition management - Handling overpayments and leakage - Late payment management - Financial management - Management Information Systems (MIS) support - Surveillance and legal support - Dedicated claims administration staff (resumes required for key positions) - Unique or Notable Requirements: - Strict performance guarantees with liquidated damages for non-compliance - Mandatory, detailed reporting and compliance with Texas Department of Insurance regulations - Prohibition on the use of artificial intelligence for human decision-making in claims and medical determinations - Disclosure of any regulatory actions within the past five years - Not-to-exceed fee structure for claims administration services - Experience with Texas political subdivisions required

Description

The City of Austin is seeking proposals from qualified workers’ compensation third party administrator firms with public sector experience to provide third party administration services for workers' compensation claims. The scope includes general requirements, transition, overpayments/leakage, late payments, financial, and management information systems requirements. The solicitation is open and responses are due by July 23, 2026, at 2:00 PM. The contact for questions is Sandra Wirtanen.

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