Workers Compensation Administration Claim Service and Medical Management Service

Luzerne County requires a third-party claims administrator to provide workers' compensation administration claim and medical management services for its self-insured program. The scope encompasses consulting, operations, and administrative services for the claims fund, including reviewing submitted claims to determine compensability under applicable laws. Additional responsibilities include preparing biweekly indemnity forecasts, reporting to excess insurance carriers, submitting subrogation reports, attending hearings, seeking prior approval for specified actions, providing healthcare provider network access, and maintaining professional liability insurance. Eligibility is limited to onshore USA organizations that are recognized, qualified providers with the required capability, experience, and professional liability insurance. Proposals must be submitted as hard copies by mail or delivery by November 10, 2026, at 4:00 PM EST. Questions must be submitted via the PennBid portal using the "Ask a Question" feature by November 4, 2026, at 4:00 PM EST. Required submission documents include Appendix A Specifications, Appendix B Questionnaire Form, Appendix C Non-Collusion Affidavit, Appendix D General Terms and Conditions, Appendix E Proposed Contract (if applicable), and Appendix F Signature Page and Certification. The contract period spans three years, and the budget requires vendors to submit proposals.