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Claims Administrator Services

New JerseyNew Jersey, USADue Tuesday, August 11, 2026
Client
New Jersey
RFP Number
MB-10329
Posted
Category
Medical Billing and Coding
Budget
Looking for Proposal
NAICS
Set-aside
Contact

Description

AI Generated

The agency is seeking claims administrator services for excess general liability, police professional liability, auto liability, and workers' compensation claims. This includes managing, supervising, and adjusting claims that may exceed the self-insured retention limit of an affiliated commission or county and require payment from the fund. The agency also requires supervision and direction of member TPAs to ensure quality investigations, adequate reserves, and timely reserve changes. The scope of work covers providing direction to primary TPAs on claims that may reach the excess layer of coverage and reporting claims to the fund's excess carriers. The selected administrator must maintain claim files in accordance with state statutes, regulations, and fund policies, and attend fund, claims committee, and management meetings. Monthly financial reports detailing and reconciling imprest transfers, claim payments, and other financial transactions are also required. The claims management system must offer a historical claims database with remote access by valuation date and current claim information. Eligibility requires the vendor to be onshore, located within the USA only. Performance of the work will be onsite. The contract period is for one year. All questions must be submitted no later than July 27, 2026. Responses can be submitted digitally via email or online. The agency is looking for proposals.

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