Denton Ionwave #9087 Addendum 1

City of Denton Workers Compensation Third Party Administrator (TPA) Services Solicitation

The City of Denton, Texas is seeking a qualified Third Party Administrator (TPA) to provide comprehensive workers compensation claims management services for its employees. - Government Buyer: - City of Denton, Texas (Purchasing Office) - Scope of Services: - Full-service workers compensation claims administration, including: - Claim setup, coverage determination, and investigation - Medical bill review and cost containment - Litigation management and catastrophic injury handling - Disability and medical case management - Settlement, reserve management, and subrogation - Fraud identification and compliance with special account instructions - Electronic claim reporting and 24/7 claim intake - Risk Management Information System (RMIS) capabilities, including data reporting, analytics, and user licensing - Transition and run-in claim management, including historical data conversion - Optional services: utilization review, independent medical examination (IME) coordination, pharmacy benefit management (PBM), and surveillance coordination - Notable Requirements: - Aggressive claim handling and quarterly file reviews - Experience with public entities and references required - Detailed staffing plan and proof of financial stability - Innovative, cost-effective solutions expected - Insurance requirements: commercial general liability, errors & omissions, cyber liability, and network risk - All service elements awarded to a single vendor - Pricing to include per-claim fees, hourly rates, annual technology fees, and transition costs - No specific OEMs or vendors are named; the solicitation is open to all qualified TPA providers - The City will consider interlocal cooperative agreements and state/federal contracts for best value

Description

The City of Denton is soliciting proposals for a contract with an individual or business experienced in providing workers compensation third party administrator (TPA) services. The scope includes claim management services, innovative approaches to municipal challenges, and cost-effective solutions. The contract term is one year with options to renew for additional one-year periods. The City intends to award all service elements to a single vendor and requires submissions to be sealed and submitted via IONWAVE or hard copy only.

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