RFP 26328 Human Resources – Third Party Administrator for Liability & Medical Malpractice Claims

The County of San Joaquin is soliciting proposals from qualified firms to serve as a Third‑Party Administrator (TPA) for its liability and medical malpractice claims. The contractor will manage all new claims reported after July 1 2027 and any open claims existing on that date, providing full claims administration, investigation, settlement negotiation, reporting, and database management. The contract term is three years with two optional one‑year extensions (up to five years total). Key responsibilities include 24‑hour emergency contact, coordination with County Risk Management and legal counsel, reserve setting, subrogation, and regular statistical reporting. Minimum qualifications require at least ten years of TPA experience with public agencies, knowledge of California Government Code, and staffing capable of handling the County’s volume of claims. The award process includes a non‑mandatory pre‑proposal conference on Nov 10 2026 and proposal submission deadline of Dec 4 2026. • Provide claims administration for liability and medical malpractice claims (new and open) • Maintain 24‑hour emergency contact and assign dedicated adjusters • Conduct investigations, reserve setting, subrogation, and settlement negotiations • Use County‑approved electronic claims management system and generate regular reports • Meet statutory reporting requirements and coordinate with PRISM excess insurers • Contract term: 3 years + up to 2 one‑year extensions (max 5 years) • Minimum 10 years TPA experience with public agencies, California code knowledge, staffed team