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Workers' Compensation Claims Administration

This bid is for third-party administration of a self-insured workers' compensation program at 777 B Street, Hayward, CA 94541.

Due
December 11, 2026
28 days left
Location
Hayward, CA
California
Posted on
OpenGov
Notice ID
27-014

Please quote third-party administration of a self-insured workers' compensation program for 844 employees at 777 B Street, Hayward, CA 94541.

  • Program: 844 employees with a $500,000 self-insured retention per occurrence; latest year had 55 new medical-only cases, 44 new indemnity cases, and 211 open indemnity cases across all years.
  • Term: Three years with two optional one-year renewals.
  • Services: Claims investigation and administration, benefit payments, medical bill and utilization review, return-to-work support, litigation management, subrogation, Medicare and excess insurance reporting, and payment account management.
  • Staffing: Dedicated claims unit with a full-time certified Claims Supervisor and certified examiners; no more than 125 open claims per Senior Claims Examiner.
  • Qualifications: California TPA license, a claims office near the San Francisco Bay Area, and at least five years administering self-insured claims under California requirements.
  • Transition: Transfer existing claims and payment data within 30 days of contract award; provide secure online access, custom reporting, and PRISM-compliant claims administration.

Please confirm availability and send your quote by December 11, 2026.

The original documents

Deadline: December 11, 2026

See the original on procurement.opengov.com

Bidding it yourself? Get the full package and submit on OpenGov before December 11, 2026.

What they need

  • Program size844 employees; $500,000 self-insured retention per occurrence. Latest annual figures include 55 new medical-only cases, 44 new indemnity cases, and 211 open indemnity cases across all years.
  • TermThree years with two optional one-year renewals.
  • ServicesClaims investigation and administration, benefit payments, medical bill and utilization review, return-to-work support, litigation management, subrogation, Medicare and excess insurance reporting, and payment account management.
  • StaffingDedicated claims unit with a full-time certified Claims Supervisor and certified examiners; maximum 125 open claims per Senior Claims Examiner.
  • QualificationsCalifornia TPA license, claims office near the San Francisco Bay Area, and at least five years of experience administering self-insured claims under California requirements.
  • Systems and transitionTransfer existing claims and payment data within 30 days of contract award; provide secure online access, custom reporting, and services compliant with PRISM claims administration standards.
  • PricingItemized, not-to-exceed pricing for the full term, with medical bill review, utilization review, network services, and any additional fees listed separately.

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