Third-Party Claims Administration & Workers Compensation

The City of Hialeah is inviting qualified, licensed firms to submit proposals for a comprehensive, bundled Workers’ Compensation and Third-Party Liability Claims Administration program under solicitation number 2025-26-033. The goal is to partner with a single Third-Party Administrator that integrates all critical functions—including claims adjusting, medical management, telephonic case management, and provider network access—into one cohesive service model. The selected vendor must demonstrate a clear commitment to ensuring injured workers receive only reasonable, necessary, and work-related medical care while actively promoting a swift and healthy return to duty and minimizing the City’s overall liability exposure. Proposals must be submitted by the deadline of August 12, 2026, and will be evaluated based on the vendor’s ability to deliver efficient, cost-effective, and compliant claims administration under Florida law. The contract will be managed by the Human Resources, Risk Management Division, with primary point of contact Franklin Duharte, Risk Administrator, and secondary contact Marilin Gutierrez, Purchasing Aide. The City expects the TPA to operate with transparency, accountability, and a results-driven approach tailored to the needs of a municipal workforce, with all services performed within the State of Florida. The opportunity is open to all eligible firms without specific set-aside restrictions, and detailed information can be accessed through the online procurement portal.