Self-Insured Workers' Compensation Management Services

The MetroHealth System is seeking a servicing agent to administer and improve its self-insured workers' compensation program, including claims management, case management, reporting, medical payment administration, compliance, and hearing and litigation support.

The MetroHealth System


General
Closed (past due)
Sep 11, 2026 12:00 PM
Aug 26, 2026 10:48 AM
3 years base + 3 × 1 year options
Request for Proposal (RFP)
Private
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Original Solicitation Links
Submission Instructions
Online
Description

The MetroHealth System is seeking a servicing agent to manage and improve its self-insured workers' compensation program and liabilities. Required services include claims intake, investigation, administration, medical case management, return-to-work coordination, medical payment processing, claims reserving, settlement evaluation, compliance with state reporting requirements, loss and management information reporting, analytics, and coordination with MetroHealth Human Resources. The scope also includes hearing and legal representation support, litigation administration, claim reviews, excess insurance reporting, Medicare Section 111 reporting, information-system and ad hoc reporting capabilities, staffing, service-level commitments, performance metrics, pricing, subcontracting and offshoring disclosures, protection of PHI and PII, conflicts disclosures, three similar client references from the last five years, a current certificate of insurance, and confirmation that a W-9 is on file. The expected initial term is three years, with options for additional one-year extensions. Respondents must address the attached bid instructions, Master Purchase Agreement, Intent to Bid Form, Bid Specifications, and Bid Summary.

Classification Codes
NAICS524292Pharmacy Benefit Management and Other Third Party Administration of Insurance and Pension Funds
PSCAL16EMPLOYMENT - MANAGEMENT AND SUPPORT
Smart Codes
workers compensation claims administrationworkers compensation case managementclaims litigation management
Specifications
Service Only
Timeline
Aug 26, 2026-CSP Open Date
Aug 27, 2026-Q&A Opens
Sep 2, 2026-Q&A Closes
Sep 11, 2026-CSP Close Date
Requirements
Required
Scored
  • Minimum 3 references
  • Within the last 5 years
Documents
TitleDate Posted
rfp082626oAug 26, 2026 10:48 AM
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