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This Government Contract opportunity from Department Of Justice was posted on April 22, 2025. The submission period has ended. Browse the details below for market research, or find similar active opportunities.

Medical Claims Adjudication Services

Awarded
15BPCC25C00000014Federal

Contract Overview

Solicitation details, issuing organization, response deadlines, documents, and interested companies for this government contract opportunity.

Active Opportunities Like This One

NAICS: 524291
International
Agricultural Crop Insurance AdjusterThis subcontract opportunity is for an Agricultural Crop Insurance Adjuster to provide professional loss adjusting and appraisal services for tree fruit and grape crops on behalf of the Province of British Columbia's Ministry of Agriculture and Food. The selected provider will be responsible for determining potential crop yields through plant counts, assessing damage from uninsurable causes, and measuring harvested volumes. Additionally, the contractor must sample crops for quality loss in accordance with the Canadian Grade Compendium: Volume 2 and deliver detailed appraisal reports and documented loss assessments. To successfully execute the contract, the provider must possess a digital camera, laptop, and cell phone. The solicitation was posted on October 9, 2026, with a response deadline of December 5, 2026. This role operates under NAICS code 524291 and involves working as a subcontractor for prime contractors managing these specific agricultural projects.
Ministry of Agriculture and Food

POSTED

11 days ago

DEADLINE

in about 2 months
NAICS: 524291
International
MULRFQ 2728-2
Solicitation # MULRFQ 2728-2
Solicitation MULRFQ 2728-2 is a Request for Qualifications issued by the Ministry of Agriculture and Food for the Province of British Columbia to establish a Multi-Use List of Qualified Suppliers. The objective is to identify qualified providers for Production Insurance Claims Adjusting services specifically for tree fruit and grapes. The scope of work includes conducting appraisals to determine potential crop yields, performing underwriting inspections, confirming warranties, managing loss control, and reporting on the health and vigour of plants. These services will be performed across various regions of British Columbia, including the Okanagan Valley, Similkameen Valley, Vancouver Island, Fraser Valley, and the Kootenays. The qualification process is conducted in three stages, beginning with a review of mandatory criteria, followed by a point-based evaluation of desirable qualifications where a minimum overall score of 73 is required to pass, and concluding with reference checks. Respondents must provide their own transportation and mandatory equipment, including a digital camera, laptop, and cell phone, while possession of an ATV and hand-held GPS is considered desirable. Qualified suppliers will be eligible to receive future Competition Notices on a non-exclusive, as-needed basis. Submissions must be in English and include the Respondent Qualification Form, Resource Qualification Forms for key personnel, and required resumes, with a response deadline of December 5, 2026.
Ministry of Agriculture and Food

POSTED

11 days ago

DEADLINE

in about 2 months
NAICS: 524291
International
Insurance Claims Adjusting Services
Solicitation # 2026-142-T
The Town of Halton Hills is soliciting bids for a qualified independent claims adjusting firm licensed by the Financial Services Regulatory Authority of Ontario to provide professional claims adjusting services on an as-required basis. The scope of work encompasses a wide range of claim types, including general liability, property damage, automobile liability, professional liability, environmental liability, and drone liability. The successful contractor will be responsible for claim investigations, liability assessments, settlement negotiations, and litigation support. Key performance requirements include completing routine field inspections within five business days, urgent inspections within 24 to 48 hours, and responding to Town inquiries within one business day. Bidders must designate a Lead Adjuster with at least five years of experience in municipal liability claims, along with a qualified Backup Adjuster and a management-level contact for escalations. Evaluation is based on qualifications, experience, and past performance, requiring at least three client references from the last five years, two of which must be municipal. Submissions must be made electronically by October 27, 2026, at 2:00 p.m. local time. The contract requires adherence to Ontario provincial standards, including the Occupational Health and Safety Act and the Accessibility for Ontarians with Disabilities Act, and mandates compliance with MFIPPA privacy legislation. Payments will be made in Canadian currency via electronic transfer within 30 days of receiving an approved invoice.
Town of Halton Hills

POSTED

19 days ago

DEADLINE

in 7 days
NAICS: 524291
International
Request for Proposal (RFP) for Insurance Claims Adjusting Services
Solicitation # C03-46
The City of Greater Sudbury is seeking primary and secondary service providers to deliver independent insurance claims adjusting, investigation, evaluation, and resolution services to support its Risk Management program. The scope of work includes claims intake, field investigations, municipal liability analysis, loss assessment, and litigation support for both insured and self-insured claims, including specialized environmental and infrastructure losses. Key operational requirements include 24/7 emergency response protocols for catastrophic events, a requirement for the lead adjuster to attend major scenes within two hours, and the completion of physical field inspections within three to five business days. The selected provider must maintain an office within 200 km of the City and ensure all adjusters are licensed with the Financial Services Regulatory Authority of Ontario. The contract features an initial one-year term starting March 1st, with the City holding the option to extend for four additional one-year terms. Proponents must be Non-US Suppliers and demonstrate specific expertise in Ontario’s Minimum Maintenance Standards to defend against winter maintenance and pothole claims. Evaluation is conducted through a multi-stage process involving pass/fail eligibility criteria—including financial capacity and health and safety compliance—followed by scored technical and financial assessments. Compensation is based on a fee structure comprising hourly rates, claim set-up fees, and data ownership fees, with invoicing typically occurring upon the closure of each claim file.
City of Greater Sudbury

POSTED

25 days ago

DEADLINE

in 7 days
NAICS: 524291
SLED
Medicaid Claims Management SoftwareThis subcontract for Medicaid Claims Management Software involves the supply and maintenance of a specialized claims submission system for prime contractors working on Spring Independent School District projects. The software is designed to validate SHARS billing requirements, specifically focusing on the verification of IEPs and parental consent, while ensuring strict adherence to Federal Compliance Guidelines for Medicaid billing. The contractor is responsible for delivering a fully operational and validated system capable of maintaining 99 percent accuracy with a permissible error rate of plus or minus 3 percent. This opportunity is associated with Arlington ISD in Texas, with a response deadline set for June 30, 2027.
Arlington ISD

POSTED

4 months ago

DEADLINE

in 8 months
NAICS: 524291
SLED
Stop-Loss Claims AdministrationThis subcontract for Stop-Loss Claims Administration involves providing administrative processing for prime insurance carriers supporting Illinois State Toll Highway Authority employee benefits projects. The selected provider will be responsible for reviewing medical claims against established thresholds, validating member eligibility, and calculating reimbursement amounts. All operations must be conducted using claims management software and data handling systems that adhere to strict HIPAA compliance standards. The contract requires the provider to maintain HIPAA Compliance certification and Professional Liability Insurance to ensure data security and operational risk management. Key deliverables include the submission of processed claim reports and the execution of reimbursement disbursements. The work is associated with NAICS code 524291 and is centered in Downers Grove, Illinois.
Insurance

POSTED

8 months ago

DEADLINE

N/A

General Info

Agency

Department Of Justice → Privatization - Co

NAICS

524291 - Claims Adjusting

Place of Performance

Washington, DC, USA

Set-Aside

NONE

Documents

1

J&A for Medical Claims Adjudication Services - Apprio Inc

PDF, Low priorityjustification-and-authorization
Low

AI Contract Breakdown

Uniform Contract Format

Contract not broken down yet

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Timeline

PhaseAwarded
Posted

Justification (J&A)

Awarded

Contract was awarded

Submission Closed

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Organization & Contact Information

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AgencyDepartment Of Justice → Privatization - Co
Contacts1 person available
OfficeWASHINGTON, DC, 20534, USA
Organization / AgencyDepartment Of Justice → Privatization - Co
Office AddressWASHINGTON, DC, 20534, USA
Contacts
Mason Lacy Contracting Officer
contact@example.gov

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DEADLINE

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6 months ago

DEADLINE

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