Description
Forsyth County, Georgia, is seeking a qualified third‑party administrator (TPA) to manage its workers’ compensation claims for approximately 2,681 county employees. The contractor will provide end‑to‑end claims administration, maintain a secure web‑based Risk Management Information System (RMIS) that integrates with the County’s Origami platform, handle medical case management, reserve setting, escalation, and return‑to‑work coordination, and comply with Medicare Secondary Payer reporting. The contract runs Jan 1 2027 – Dec 31 2031 (5 years) and requires the vendor to have a physical Georgia office and at least three public‑entity clients with fire or police operations.
• Manage all WC claims (medical, indemnity, lost‑time, etc.) for the County’s self‑insured program.
• Provide secure, browser‑agnostic RMIS with MFA, encryption, audit logging, and API integration.
• Deliver monthly/quarterly reports, loss runs, allocation reports, and RTW performance metrics.
• Meet strict communication timelines (initial contact within 1 day, 24‑hour updates to injured employee, employer, and provider).
• Perform Medicare Secondary Payer (MSP) Section 111 reporting and support litigation management as needed.
• Support transition of data if the contract is not renewed and ensure data export for up to three County users.