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Cloud-Based Claims Management System

New York State Insurance Fund (NYSIF)New York, USADue Tuesday, December 8, 2026
Client
New York State Insurance Fund (NYSIF)
Solicitation No.
2026-36-INS
Posted
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Category
Software, System and Application
Budget
Looking for Proposals
NAICS
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Set-aside
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Contact
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Description

AI Generated

The agency seeks a vendor to provide and implement a modern, feature-rich, cloud-based claims management system to replace its legacy workers' compensation environment. The buyer requires a solution that automates workflows, improves document management, streamlines business processes, enhances self-service and communication tools, and ensures compliance with state regulatory requirements and reporting obligations. Work performance will occur offsite for a five-year contract period. Eligible bidders must be USA organizations operating onshore. The agency seeks proposal-based budget submissions and allows digital responses via email or online. Interested bidders must submit an Intent to Bid by September 23, 2026, and direct all questions to the buyer no later than October 14, 2026.

Key solicitation details

AI-extracted from 20260901___RFP 2026-36-INS Claims Management Solution.pdf. Confirm against the original documents before bidding.

The New York State Insurance Fund is seeking a cloud-based claims management system to support its workers compensation operations and replace its legacy environment. The project scope includes system implementation, configuration, quality assurance, training, and deployment. Bidding is restricted to onshore USA organizations.

Issued by
New York State Insurance Fund (NYSIF)
RFP release date
September 1, 2026
Intent to Bid due
September 23, 2026
Questions due
October 14, 2026
Proposals due
12/08/26, 2:00 p.m. (Eastern)
How to submit
Electronic via Email or Online USB Flash Drive
Submission details
Submit Administrative, Technical, and Cost Proposals as separate files (prefer unlocked, searchable PDF). Appendix Z Fee Schedule must be submitted in both Excel and PDF formats.
Contract term
Five (5) Years, with two one (1) year extension options
Set-aside
5 points quantitative factor awarded for NYS Certified MWBE, SDVOB, or Small Business Enterprises
Place of performance
Offsite
Insurance and bonding
Workers Compensation and NYS Disability Benefits; Commercial General Liability ($2,000,000 per occurrence, $2,000,000 aggregate); Comprehensive Business Automobile Liability ($1,000,000 per accident). Insurers rated at least A- Class VII by A.M. Best.

How proposals are evaluated

Step 1 Technical Proposal70 points
Step 1 Financial Proposal25 points
Step 1 Quantitative Factor (MWBE, SDVOB, Small Business)5 points
Step 2 Presentation/Interview (Finalists)70 points
Step 2 Financial Proposal (Finalists)25 points
Step 2 Quantitative Factor (Finalists)5 points

Scope of work

  • Cloud-based claims management system software and implementation
  • Automated workflows and document management
  • Inception phase project planning and execution
  • Software configuration and development
  • Quality assurance and pre-production testing
  • Training and knowledge transfer
  • Two-phase rollout and production deployment
  • Data extraction and exit strategy services

Minimum qualifications

  • Onshore (USA Organization Only)
  • Compliance with Mandatory Requirements Certification (Attachment 5)
  • Demonstrated ability to perform required services and recruit/retain qualified staff

Documents to include with the bid

  • Attachment 3 Intent to Bid Form with Certification and Modified NDA
  • Attachment 5 Mandatory Requirements Certification
  • Attachment 6 Claims Management Solution General Questionnaire
  • Attachment 10 Functional Specifications Excel
  • Appendix D MacBride Questionnaire
  • Appendix E Vendor Responsibility Questionnaire
  • Appendix F NYS Certifications
  • Appendix T Vendor Security Survey
  • Appendix V Vendor Assurance of No Conflict of Interest
  • Appendix Z Fee Schedule

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12 available filesDocuments checked

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