Mailbox Only- RFP for Worker's Compensation Claims Administration

The City of Fresno is seeking a qualified firm to administer its self‑insured workers’ compensation program, handling claim intake, adjustment, investigation, litigation support, and reporting for a large municipal workforce. The contract begins July 1 2027 and spans an initial three‑year term with optional annual extensions. The proposer must maintain a local office, provide certified adjusters, meet caseload targets, and satisfy extensive insurance and bonding requirements. • Deliver full‑service claims administration for ~ 3 k new claims and ~ 2.8 k open claims annually, including medical‑bill review, legal coordination, and ADR support. • Operate a Fresno‑based service office with state‑certified adjusters (target ≤ 165 claims per adjuster) and meet strict performance standards (e.g., claim file creation within 1 working day). • Provide quarterly/annual reporting, maintain required insurance coverages, and furnish a $1 M fidelity bond; optional extensions up to four additional years.