Fontana Planet bids #HR-27-48-SP

Workers’ Compensation Third-Party Claims Administration for the City of Fontana

The City of Fontana is seeking a third-party administrator (TPA) to manage claims for its self-insured Workers’ Compensation Program. - Government buyer: City of Fontana, Purchasing Office and Risk Management Department. - Service requested: Workers’ compensation TPA services for the City’s self-insured program, including claims intake, investigation coordination, reserve setting, benefit administration, medical and legal bill review, employee and provider communication, claim resolution, and regulatory reporting. - Program context: The City retains risk up to $1,000,000 per occurrence and reports 196 open claims across medical-only, indemnity, litigated, and future-medical categories. - Operational requirements: Proposals should address government-client experience, adjuster qualifications and caseloads, the City’s ability to select adjusters, online claim access, reporting and training, information security, supervisory review, risk-control resources, and managed-care approaches to control medical costs and support injured workers. - Additional responsibilities include records maintenance, audits, meetings, regulatory updates, and coordination with excess insurers and allocated service providers. The City pays certain allocated expenses, including defense counsel, investigations, legal costs, and vocational rehabilitation consultants. - No OEMs, named service vendors, products, part numbers, or product quantities are specified.

Description

The City of Fontana is seeking proposals from qualified firms to administer claims for its Self-Insured Workers’ Compensation Program. The work is intended to ensure the program receives high-quality service for the funds expended and to retain the most qualified proposer. The contract duration is three years, with two renewable one-year increments, and the anticipated start is January 2027. Proposals must be submitted electronically.

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