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, automatic reminders, and the ability to enter incidents that may not become claims. The software must allow the bundling of all claim information and attachments into a single email file, support configurable claim numbering schemes by line of insurance, and track reserves, reserve history, and reserve zeroing. Additionally, the system must link multiple claimants and claims to a single incident, support recurring and one-time payments, feature an integrated document imaging solution, and provide both point-in-time and real-time reporting. The selected vendor must provide a training and sandbox environment to simulate live operations, alongside tools to manage workloads, assignments, alerts, litigation, subrogation, and recovery tracking. The City requires online portals for claimant self-service electronic submission and status tracking, as well as mobile and offline capabilities. The hosting requirements specify a multi-data center deployment using a secure, industry-compliant cloud provider where the City retains full ownership of all data, including the ability to query databases and export data in standard formats. Integration services are required to ensure the system works seamlessly with the City's existing applications, Microsoft Office, and other cloud-based solutions via secure web services and API capabilities. The vendor must also provide help desk and technical assistance during implementation and ongoing operations. The contract period will span three years, and the performance of all work will take place offsite. Eligibility is restricted to onshore organizations based in the United States of America. The City is looking for proposals to determine the budget for this project. Bidders must submit their intent to bid and all questions no later than June 3, 2026.