City of Hialeah Opengov #2025-26-033

City of Hialeah seeks Third-Party Claims Administration & Workers Compensation services.

The City of Hialeah, Human Resources, Risk Management Division, is seeking a qualified firm to provide a comprehensive Third-Party Claims Administration and Workers' Compensation program. - Government Buyer: - City of Hialeah, Human Resources, Risk Management Division - Scope of Services: - Fully bundled Workers' Compensation and Third-Party Liability Claims Administration - Services include claims adjusting, medical management, telephonic case management, and provider network access - Integration of multiple claims and medical management functions into a single service offering - Unique/Notable Requirements: - Emphasis on meeting the reasonable, necessary, and related medical needs of injured workers - Focus on prompt and healthy return to work - Aggressive management of municipal liability exposures - OEMs and Vendors: - No specific OEMs or vendors are named in the solicitation - Products/Part Numbers: - No products or part numbers are listed; this is a services-only procurement

Description

The City of Hialeah is seeking proposals for a fully bundled Workers' Compensation and Third-Party Liability Claims Administration program from qualified, licensed firms. The City intends to partner with a single Third-Party Administrator (TPA) that integrates claims adjusting, medical management, telephonic case management, and provider network access under a unified service model. The successful proposer must focus on meeting the reasonable, necessary, and related medical needs of injured workers to facilitate an expedient and healthy return to work while aggressively controlling municipal liability exposures.

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