Third-Party Administrative and Actuarial Services

The City of Cleveland is seeking a third-party administrator to manage Ohio workers' compensation claims, perform liability and subrogation reviews, and provide related actuarial and reporting services.

City of Cleveland > Department of Finance > Division of Risk Management


General
Open (open)
2025-RFP-127
Oct 29, 2026 09:00 PM
Oct 01, 2026 03:25 PM
Small Business
Request for Proposal (RFP)
Local
Ask AI about this solicitation
Contact
sgorby@clevelandohio.gov
+12166642598
601 Lakeside Avenue East, Cleveland, OH, USA
Submission Instructions
Description

The City of Cleveland is seeking a qualified third-party administrator to manage Ohio Bureau of Workers' Compensation claims and related liability claim functions. Services include claim intake and investigation, compensability reviews, reserve management, claimant and medical-provider communications, statutory reporting, payment documentation, litigation and settlement support, subrogation identification and recovery assistance, claims summaries, loss runs, and quarterly claims reviews. The provider must support electronic access and data integration with the Ohio BWC TPA Portal, Ohio Industrial Commission systems, Origami Risk Management Platform, and Microsoft Teams, including FROI/SROI reporting, APIs, SFTP, and flat-file exchanges. The scope also includes actuarial and liability analysis, regulatory compliance assistance, dedicated claims representation, security controls, annual SOC 1 Type II and SOC 2 Type II reports, and encryption of data at rest and in transit. Proposals must include technical and price proposals, vendor information, three client references, an approach and staffing narrative, work-product samples, and required City and equal-opportunity forms.

Classification Codes
NAICS524292Pharmacy Benefit Management and Other Third Party Administration of Insurance and Pension Funds
PSCR699Other Administrative Support Services
Smart Codes
workers compensation claims administrationliability claims reviewactuarial services
Specifications
Service Only
Timeline
Oct 1, 2026-RFP Published
Oct 16, 2026 06:00 PM-Pre-Proposal Conference (optional)
Oct 19, 2026 04:00 AM-Provider Questions Due
Oct 23, 2026-RFP Addendum Publication
Oct 29, 2026 09:00 PM-Proposal Submission Deadline
Requirements
Required
  • Comprehensive General Liability — $2,000,000.00
  • Business Automobile Liability — $1,000,000.00
  • Professional Liability
  • Workers' Compensation and Employer's Liability — $1,000,000.00
  • Cyber Liability — $5,000,000.00
  • Technology Errors and Omissions — $5,000,000.00
Scored
  • Minimum 3 references
  • Client point of contact required for each reference
No
Documents
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