Workers' Compensation Claims Administration
City of Hayward > Human Resources Department
Original Solicitation Links
Contact
Submission Instructions
Description
The City seeks a qualified, California-licensed third-party administrator to administer its self-insured workers' compensation program. Services include claims reporting, investigation, adjustment and resolution; employee and City staff support; medical bill review and utilization review coordination; litigation management; payment and financial administration; claims reporting and data management; and assistance with return-to-work efforts. The administrator must provide a dedicated claims unit, qualified assigned personnel, and comply with applicable California requirements and the referenced PRISM claims-administration standards. Proposals should describe the firm's qualifications, staffing and transition plan, service approach, workplan, and technology and data-security practices. Respondents must provide references, relevant experience, resumes, a proposed schedule of charges and not-to-exceed budget, financial-capacity information, and an itemized fee proposal. The anticipated contract term is three years, with two one-year renewal options based on satisfactory performance.
Classification Codes
Smart Codes
Specifications
Timeline
Requirements
- Minimum 3 references
- Within the last 5 years
- Client point of contact required for each reference
Documents
| Title | Date Posted |
|---|---|
| D - Non-Collusion Affidavit | Nov 12, 2026 09:28 PM |
| E - Nondiscriminatory Affirmative Action Cert Statement | Nov 12, 2026 09:28 PM |
| A - City of Hayward Professional Services Agreement – EXAMPLE | Nov 12, 2026 09:28 PM |
| B - General Provisions | Nov 12, 2026 09:28 PM |
| C - Contract Bonds | Nov 12, 2026 09:28 PM |
| G - PRISM_Addendum_A_Final_070119 | Nov 12, 2026 09:28 PM |
| Project Document | Nov 12, 2026 09:28 PM |
| F - Non-nuclear | Nov 12, 2026 09:28 PM |
| Third_Party_Administration_of_Workers'_Compensation_Benefits.pdf | Nov 12, 2026 09:28 PM |
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