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This Solicitation opportunity from Florida was posted on March 24, 2026. The submission period has ended. Browse the details below for market research, or find similar active opportunities.

Third Party Administration Firefighter's Workman's Compensation Claims Services

Closed
RFP26-0265State & Local

Contract Overview

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

Active Opportunities Like This One

NAICS: 524292
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DEADLINE

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NAICS: 524292
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The City of Cleveland Department of Finance, Division of Risk Management, is soliciting competitive bids for Third-Party Administrative and Actuarial Services under solicitation 2025-RFP-127. The selected Third-Party Administrator will be responsible for managing Ohio Bureau of Workers' Compensation claims and conducting detailed liability claim reviews to reduce premium costs and minimize organizational exposure. Key deliverables include administrative claims handling, the provision of online communication tools, and the delivery of annual unmodified SOC 1 Type II and SOC 2 Type II reports to validate data security and processing controls. Technical requirements mandate that data be encrypted at rest using AES-256 and in transit via TLS 1.3, with strict adherence to PII and data breach notification laws. Proposals are due by October 29, 2026, and will be evaluated through a phased, points-based process. Phase 1 assesses the quality of the proposal, demonstrated ability, OEO compliance, technical components, key personnel credentials, and the proposed schedule, while Phase 2 may involve presentations for shortlisted teams. Compensation will be based on a simple time-based method or a mutually agreed-upon fee schedule. Contractors must maintain comprehensive general liability insurance of at least 2 million dollars and business automobile liability of 1 million dollars. Additionally, successful bidders must comply with the Cleveland Area Business Code, including good-faith efforts to involve certified Minority, Female, and Cleveland Small Business Enterprises, and must file a written affirmative action program within 60 days of contract execution.
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POSTED

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DEADLINE

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NAICS: 524292
New
SLED
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DEADLINE

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NAICS: 524292
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Dhhs-Department Of Health & Human Services

POSTED

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DEADLINE

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NAICS: 524292
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DEADLINE

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NAICS: 524292
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NAICS: 524292
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POSTED

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DEADLINE

in 23 days
NAICS: 524292
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Solicitation # RFP 2435
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Purchasing Division

POSTED

7 days ago

DEADLINE

in 1 day

AI Contract Overview

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The City of Orlando is seeking a qualified Third-Party Administrator (TPA) to manage workers' compensation claims for its self-insured sworn firefighters within the Fire Department. This contract includes handling all existing claims as well as new ones, and requires incorporation of Pharmacy Benefit Management (PBM) services, with the current PBM and Preferred Provider Organization (PPO) services being self-managed by the incumbent TPA, CorVel Corporation, whose contract is expiring. The Fire Department consists of 584 sworn firefighters, and the contract excludes TPA services for other City employees. The City provides extensive historical claims data spanning ten years for proposer review and expects to maintain current processes such as 24-hour injury reporting via AdventHealth and comprehensive claims oversight by its Risk Management Division and a five-member Risk Management Committee, which approves settlements exceeding $25,000. The City has maintained a self-insurance program since 1983, with particular emphasis on claims management and loss control. The Risk Management Division oversees claims adjusting, safety audits, and loss prevention training, while recent changes mean the City no longer carries excess insurance coverage for workers’ compensation claims post-October 2020, although some claims are piercing prior excess limits. Currently, there are 87 claims with approximately half indemnity-related, including six firefighter claims impacting excess coverage. The City also operates an aggressive light duty program, enabling injured employees to return to temporary sedentary work. Proposals are due by April 24, 2026, and inquiries can be directed to the City’s Purchasing Agent, highlighting the City’s commitment to partnering with a professional and experienced claims administration company for this critical municipal service.

General Info

City of Orlando seeks TPA for firefighters' workers' comp claims, including PBM, by April 2026.

Documents

4

RFP26-0265_Exhibit_1_-_Contract.pdf

PDF

RFP26-0265_Exhibit_2_-_10_Years_Historical_Claims_Data.pdf

PDF

RFP26-0265_Exhibit_3_-_Claim_Review_Form.pdf

PDF

Third Party Administration Firefighter_s Workman_s Compensation Claims Services.pdf

PDF

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Timeline

PhaseClosed
Posted

Solicitation

Response Deadline

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Organization & Contact Information

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AgencyFlorida → Risk Management
Contacts1 person available
OfficeOrlando, FL, 32801, USA
Organization / AgencyFlorida → Risk Management
Office AddressOrlando, FL, 32801, USA
Contacts
Tara UrdinineaCPP, Purchasing Agent III

Interested Companies (16)

Sedgwick Claims Management Service, Inc. (Sedgwick)Memphis, TN
Davies Claims North AmericaLakewood Ranch, FL
Little greenst petersbourg, FL

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Full Description

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This RFP is being issued by the City of Orlando (the "City") whereas the City currently utilizes the services of a Third-Party Administrator ("TPA") for the purposes of adjusting workers' compensation claims for the City's self-insured sworn firefighters within the City's Fire Department. The successful proposer will assume handling of all prior claims from the City's Fire Department as well as new claims. Pharmacy Benefit Management (PBM) shall be incorporated into the proposal's responsive documents. The current PBM is Mitchell Pharmacy Solutions, and the current PBM is self performed by the current TPA. Preferred Provider Organization (PPO) is self performed by the current TPA. TPA services for other City employees are not within the scope of this RFP. The City currently utilizes the TPA services of CorVel Corporation for sworn firefighters within the City's Fire Department. The City's current Contract with CorVel Corporation is expiring. Therefore, the City is seeking proposals from qualified and professional claim administration companies. The City's Fire Department currently has five hundred and eighty-four (584) sworn firefighters. Ten Year Historical Claims Data: Ten (10) years of historical sworn firefighters' workers compensation claims data is provided in Exhibit "Two" of this RFP. There are 1 to 2 Utilization Review and 1 to 2 Field Case Management referrals per year. The City's Risk Management Division The City's Risk Management Division, under the Risk Management Division Manager, oversees the activities of TPA. A Risk Management Committee, comprised of five (5) senior City officials, meets monthly to review and approve all claim settlements of $25,000 or greater. First Report of Injury (FROI) Dedicated Injury/Exposure Hotline: The City currently utilizes AdventHealth to accept 24 hours a day Workers Compensation First Report of injury/illness via the City employee calling a dedicated injury/exposure hotline that takes the First Report of Injury (FROI) from either the employee or the supervisor. Risk Management and the Third-Party Administrator will then receive an email with the FROI and a likely referral to an Advent health facility for initial treatment. Currently, the City intents to continue to use AdventHealth for claims reporting for completion of the FROI and triage/treatment. Self-Insurance Program Background: The City has been self-insured since 1983 and has utilized TPA services for the City's sworn firefighters since 2010. The City's formal risk management and self-insurance program is comprised of several important components, including: Claims Management/Loss Control Emphasis: The City's elected officials and top management teams have a long-standing commitment to a sound risk management program with special emphasis on claims management and loss prevention/reduction. The Risk Management Division provides administration and oversight of the claims adjusting function. Employees with the Risk Management Division perform safety audits and implement loss prevention programs, including loss prevention training for the City. Through September 30, 2020, the City currently had excess carrier coverage that covered all City self-insured programs. As of October 1, 2020, the City no longer has excess carrier coverage over worker's compensation claims. There are currently eighty-seven (87) claims and approximately half of those are indemnity claims. There are currently six (6) sworn firefighter claims that are piercing the excess carrier's coverage. Risk Management Committee: This Committee is charged with responsibility for, and guidance of, the self-insurance program. The Committee is comprised of high-level administrative executives who are uniquely familiar with, and committed to, the goals of the program. This Committee is also responsible for the review and approval of all settlements greater than $25,000. Light Duty Program: The City has an aggressive light duty program and most employees can be temporarily placed in sedentary positions.

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