Worcester Worcester #CR-8812-W7

Workers Compensation and Injured on Duty Claims Administration Services for City of Worcester

The City of Worcester is seeking a qualified third-party administrator to manage workers compensation and Injured on Duty (IOD) claims for its employees. - Government Buyer: - City of Worcester, Executive Office of Human Resources - Services Requested: - Comprehensive administration and management of workers compensation and IOD claims - Claims processing, payment administration, medical coordination, reporting, and loss control - Compliance with Massachusetts General Laws (Chapters 152, 41, 100, and 111F) - Nurse case management as needed - Provision of a full-time senior claims adjuster assigned to the City HR office - Maintenance of a computerized claims file system accessible to the City - Scope: - Covers approximately 6,753 city employees and 893 public safety employees - Unique Requirements: - Minimum ten years of experience in workers compensation/IOD administration - Successful experience with Massachusetts municipal accounts - At least four current Massachusetts municipal clients with 500+ employees each - Pricing proposals must include both flat annual and per-case cost structures - All supplemental service costs must be disclosed - City remains self-insured and retains legal services in-house - Contract Duration: - Two years with an option for a third-year renewal - No specific OEMs or vendors are named in the solicitation - No product line items; all requested items are services

Description

The City of Worcester is soliciting proposals for professional administration and management services of workers compensation and Injured on Duty (IOD) claims. The contract term is for two years, from December 1, 2026 through November 30, 2028, with a possible third-year renewal at the City's discretion. The scope includes processing claims, compliance with Massachusetts laws, payment administration, medical coordination, reporting, and loss control services. The City seeks a qualified third-party administrator experienced with Massachusetts municipal workers compensation and IOD cases.

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