Workers’ Compensation Claims Administration and Medical Management

Luzerne County is seeking a third-party administrator to provide workers’ compensation claim administration and medical management services for its self-insured program under a one-year contract with two optional one-year extensions.

Luzerne County > Purchasing Department


General
Open
Nov 10, 2026 09:00 PM
Oct 20, 2026 09:28 AM
1 year base + 2 × 1 year options
Request for Proposal (RFP)
Local
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Original Solicitation Links
Contact
maryann.amesbury@luzernecounty.org
+15708206337
20 North Pennsylvania Avenue, Wilkes-Barre, PA, USA
Submission Instructions
Online

or

Mail
Luzerne County Purchasing Department, Attention: Mary Ann Amesbury, Penn Place Office Building, Suite 223A, 20 North Pennsylvania Avenue, Wilkes-Barre, PA 18711
Description

Luzerne County seeks a qualified third-party administrator to provide professional workers’ compensation claims administration and medical management for the County’s self-insured program. Services include reviewing claims and determining compensability, establishing reserves, processing or denying claims within delegated authority, filing required Pennsylvania workers’ compensation forms, maintaining claim files, and providing regular payment, loss-run, and financial reports. The administrator will also support claim investigations, subrogation, hearings, litigation coordination, medical bill repricing, and communication with injured employees and County staff. Proposals must describe the organization, staffing, qualifications and experience, claims-handling approach, communications, security and continuity practices, and transition plan. Responders must also provide pricing for the requested services and a sample professional services agreement. The contract is stated as a three-year term in the agreement provisions, while Appendix A describes an initial one-year term with two one-year extensions; the solicitation therefore contains conflicting term language. Subcontracting requires the County’s prior written consent, and the instructions state that submitting with the intent to subcontract the contract may be grounds for rejection unless prior written approval is obtained.

Classification Codes
NAICS524291Claims Adjusting
PSCG009Non-Government Insurance Programs
Smart Codes
workers' compensation claims administrationmedical claims managementclaims adjusting services
Specifications
Service Only
Timeline
Nov 04, 2026 09:00 PM-Questions Due
Nov 10, 2026 09:00 PM-Proposal Submission Deadline
Requirements
Required
  • Commercial General Liability — $1,000,000.00
  • Automobile Liability — $1,000,000.00
  • Excess (Umbrella) Liability — $2,000,000.00
  • Workers’ Compensation
  • Employer’s Liability — $100,000.00
  • Professional Liability — $1,000,000.00
Scored
  • Minimum 2 references
  • Client point of contact required for each reference
No
Documents
TitleDate Posted
rfp102026iOct 20, 2026 09:28 AM
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