Opportunity
San Mateo Opengov #2026-RFP-00430
San Mateo County Seeks TPA for Workers’ Compensation Claims and Managed Care Services
Posted
June 01, 2026
Respond By
July 11, 2026
Identifier
2026-RFP-00430
NAICS
524292, 524298
San Mateo County is seeking a qualified Third-Party Administrator (TPA) to manage its self-insured Workers’ Compensation Program. - Government Buyer: - Human Resources Department, County of San Mateo - Products/Services Requested: - Comprehensive Workers’ Compensation Claims Management and Managed-Care Cost Containment Services - Administration of all new and existing claims (currently 694 open claims) - Data management, transition planning, and ongoing reporting - Staffing: 2 Claims Supervisors, 4 Senior Claims Examiners, 1 Future Medical Claims Examiner, 2 Assistant Claims Examiners (with some flexibility) - OEMs and Vendors: - Origami Risk (Risk Management Information System in use) - County contracts with third-party vendors for Bill Review, Utilization Review, Nurse Case Management, and Investigation services (vendors not named) - Unique/Notable Requirements: - TPA must use Origami Risk system (managed by a third-party vendor) - County reserves approval rights for all third-party vendors used by TPA - California claims examiner certification required - Data security and transition planning are emphasized - Pricing based on caseloads per examiner - Contract term: three years, with option for two-year extension
Description
The County of San Mateo is seeking proposals from qualified Third-Party Administrators (TPA) to provide Workers’ Compensation Claims Management and Managed-Care Cost Containment Services for its self-insured Workers' Compensation Program. The services will cover all new and existing claims, with approximately 694 open claims currently. The County employs about 7,250 employees across 29 departments and requires a staffing proposal including Claims Supervisors, Senior Claims Examiners, and other roles. The scope includes administrative services, claims administration, claims system and data management, transition and continuity planning, and pricing based on caseloads.