Workers' Compensation Third-Party Administration Services

The City of Cincinnati is seeking a third-party administrator to provide workers' compensation administration services, including claims processing, pharmacy benefit management, and return-to-work program management. The selected vendor will be responsible for administering all aspects of the City's self-insured workers' compensation program. Key requirements include experience with self-insured workers' compensation claims for public entities in Ohio, a robust pharmacy benefit manager strategy, and the ability to provide telephonic nurse case management services. The contract term is expected to be three years, with the option to renew for up to three additional one-year terms. • The City's workers' compensation program is self-insured, with approximately 9,000 employees. • The selected vendor will be responsible for processing all workers' compensation claims, including those related to firefighter cancer. • The vendor must have experience with Ohio Bureau of Workers' Compensation rules and regulations. • The vendor must be able to provide case management services to employees with restrictions. • The vendor must be able to coordinate functional capacity evaluations and ergonomic-safety assessments.