Write with Gemini 4 Hydrogen — ~40% less drafting time and over 5× fewer fabricated claims.

OpenSolicitation RFP-00121

Workers' Compensation Third Party Administrator Services for City Employees

Buyer
City of Modesto
Place of performance
City of Modesto, CA (onsite or offsite)
Submission deadline
Dec 15, 2026

Draft your response

Create a free account to draft a response using this RFP and your company documents.

1 proposal a month on Free · No credit card required

Team preparing a proposal together
0 of 5 free RFP views today

What the buyer needs

AI summary

The City of Modesto seeks a qualified vendor to provide workers' compensation third party administrator services for approximately 1,700 full-time and part-time employees. The required scope includes injury reporting, claims and medical management, nurse case management, bill review, litigation and SIU investigation management, return-to-work program administration, and staff training. Onshore USA organizations may bid, and the awarded contractor must maintain a City of Modesto business license. Proposers must submit questions by November 24, 2026, and submit proposals electronically through the City's OpenGov Procurement portal prior to 11:00 am on December 15, 2026. A selection committee will evaluate proposals on a 100-point scale, where price is one factor, and the City may award one or more agreements. The contract term is two years with three one-year extension options, and pricing must remain firm for the first two years.

Scope of work

  • Claims administration and management for self-insured workers' compensation program
  • Bill review services for all invoices received
  • Utilization review services and medical treatment evaluation
  • Nurse case management and medical administration
  • Return-to-work program administration
  • Litigation and investigation management
  • Trust account payment processing and reconciliation
  • Monthly, quarterly, and annual loss and injury reporting

Minimum qualifications

  • Licensed with the California Department of Industrial Relations, Self-Insurance Plans (SIP)
  • Minimum five (5) years' experience working with public agencies with public safety employees
  • Claims Manager, Supervisor, and Adjusters state-certified as Self-Insurance Administrators
  • Claims Supervisor with minimum five (5) years' California public agency claims experience
  • Senior Claims Adjusters with minimum five (5) years' workers' compensation claims experience
  • Medical-only Claims Adjusters with minimum three (3) years' workers' compensation claims experience
  • City of Modesto Business/Delivery license required prior to beginning service

Documents to include with your response

  • Pricing Schedule
  • Proposer Exceptions, Clarifications, Amendments (if applicable)
  • Proposer Customer References
  • Financial Interest Disclosure
  • Proposer Company History Statement
  • Proposer Financial Statements
  • Addenda Acknowledgement
  • Proposer Experience and Certifications
  • Programs
  • Third-Party Administrator Questionnaire

How to submit

Method
Electronic via the City's OpenGov Procurement portal
Instructions
Submit electronically through the OpenGov Procurement portal at https://procurement.opengov.com/portal/modestogov/projects/294833. No hard copy proposals or other formats will be accepted.