Richmond Planet bids #76591v2

City of Richmond Seeks Third-Party Administration for Workers’ Compensation Claims and Managed Care Services

The City of Richmond, California is seeking qualified third-party administrators (TPAs) to manage its self-insured workers’ compensation program. - Buyer: City of Richmond, Human Resources Management Department, Risk Management Division - Scope of Services: - Administration of self-insured workers’ compensation claims - Bill review services for medical and related expenses - Utilization review to assess medical necessity and appropriateness - Nurse case management for proactive, quality care - Contract Structure: - Three-year contract term - City may award separate contracts for each service or a single contract for all - Notable Requirements: - Demonstrated experience with public entity workers’ compensation self-insurance - Compliance with California State laws and local Richmond ordinances (including Local Employment, Business Opportunity, Ban the Box, and Sanctuary City Contracting Ordinances) - Electronic proposal submission via the City’s secure online system - Local hiring and workforce reporting obligations for contracts valued at $100,000 or more - Minimum qualifications and insurance requirements - No specific OEMs or vendors are named; opportunity is open to qualified TPAs and managed care service providers

Description

The City of Richmond is seeking competitive proposals from qualified third-party administrators for the administration of the City's self-insured workers' compensation claims. The scope includes bill review, utilization review, and nurse case management services, collectively called managed care services. The City aims to contract experienced firms with knowledge of public entity workers' compensation self-insurance and compliance with California State laws. The contract term is intended to be three years starting January 1, 2027, with the possibility of awarding separate or combined contracts for the services.

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