Cleveland Opengov #2025-RFP-127

Cleveland seeks workers’ compensation claims administration and liability review services

The City of Cleveland is seeking a third-party administrator to handle workers’ compensation claims and review liability claims for its Risk Management Division. - Government buyer: City of Cleveland — Department of Finance, Division of Risk Management. - OEMs and named platforms: No OEM is identified as supplying a product for this procurement. The work references the Ohio BWC TPA Portal, Ohio Industrial Commission systems, Origami Risk Management Platform, and Microsoft Teams; these are referenced systems or platforms, not identified bidders or contracted vendors. - Services requested: - Administer Ohio Bureau of Workers’ Compensation claims, including intake, investigation, compensability analysis, claimant/employer/provider contact, reserve management, documentation, and claim-file maintenance. - Review general liability, auto, and workers’ compensation claims; investigate potential third-party liability and support subrogation and recovery. - Provide claim reporting, loss analysis, actuarial and budgeting support, quarterly claim reviews, and litigation coordination. - Provide a dedicated claims representative and integrate with Ohio BWC and Industrial Commission systems, Origami Risk, and Microsoft Teams for electronic reporting, hearing tracking, and data exchange. - Notable requirements: Ohio business licensure; 24/7 online access; documented initial three-point contact within 48 hours or two business days of claim receipt; required claim-review and reporting timelines; annual unmodified SOC 1 Type II and SOC 2 Type II reports; encryption at rest of at least AES-256 and encryption in transit using TLS 1.3. - Products, quantities, and part numbers: No products, quantities, or part numbers are specified; this is a services procurement. - Period of performance: Begins on the agreement’s effective date and continues until the work is completed and approved by the City, unless canceled earlier. No fixed duration or option periods are stated.

Description

The City of Cleveland is seeking proposals from qualified third-party administrators to manage Ohio Bureau of Workers' Compensation claims and conduct detailed liability claim reviews. The work includes claims administration, investigation and reporting, reserve and subrogation management, and support for workers' compensation and liability claims. The provider must integrate with Ohio BWC and Industrial Commission systems, Origami Risk Management Platform, and Microsoft Teams, and meet specified operational, legal, security, and reporting requirements. Proposals must include separate technical and price submissions; the estimated value is not stated.

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