Claims Management Software

The City is seeking a hosted Software as a Service claims management software to streamline its local government claims operations. The agency needs a single, comprehensive system with seamless data flow across modules to handle intake, adjudication, financial tracking, reporting, and compliance. This modern architecture must improve operational effectiveness by transitioning the City to completely paperless claims processing and providing real-time transactions for stakeholders. The scope of work requires a system that supports configurable workflows, claimant self-service portals, mobile capabilities, and automatic reminders for tracking claim status. The software must allow the City to enter incidents before they become claims, link multiple claimants to a single incident, bundle claim files for email, and configure claim numbering schemes by line of insurance. Financial tracking capabilities must include managing reserves, reserve history, zeroing reserves upon closure, and processing both recurring and one-time payments. The selected vendor must provide an integrated document imaging solution, point-in-time and real-time reporting, an email notification system, and a sandbox training environment. The hosted solution must feature a multi-data center deployment through a secure, industry-compliant cloud provider, ensuring data encryption, disaster recovery, and technical support. The City will retain full ownership of all data, requiring the ability to query databases and export data in standard formats. Integration services are required to connect the claims management system with Microsoft Office, existing City applications, and external systems via secure web services and APIs. The agency also requires help desk and technical assistance during both implementation and ongoing operations. Eligible bidders must be onshore organizations based in the United States, and the performance of all work will take place offsite. The agency is looking for budget proposals to cover a contract period of three years. Bidders must submit an intent to bid no later than June 3, 2026. All questions regarding this procurement must also be submitted by the June 3, 2026 deadline.