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. The scope of work covers a system that supports configurable workflows, automatic reminders, and the ability to enter incidents that may not become claims. The software must allow the bundling of claim information and attachments into a single email file, support configurable claim numbering by line of insurance, and track reserves, reserve history, and zeroing of reserves. Additionally, the system must link multiple claimants to a single incident, support recurring and one-time payments, provide integrated document imaging, and offer both point-in-time and real-time reporting. The requested solution must feature an email notification system, a training and sandbox environment, and online portals with mobile or offline capabilities for claimant self-service. The agency requires tools to manage workloads, assignments, alerts, and tracking for litigation, subrogation, and recovery. The hosted system must utilize a multi-data center deployment through a secure, industry-compliant cloud provider, ensuring data encryption, monitoring, disaster recovery, and technical support while the City retains full data ownership. The selected provider must deliver integration services to connect the claims system with Microsoft Office, existing City applications, and external systems via secure web services and APIs. Ongoing help desk and technical assistance are required throughout implementation and operations. Eligible bidders must be onshore organizations based in the United States, and the performance of the work will take place offsite. The agency is looking for budget proposals for a contract period that will run for three years. Bidders must submit their intent to bid and all questions no later than June 3, 2026.