PS- RFP for Third-Party Claims Administration Services for the Alabama Public Employee Injury Compensation Board

This solicitation seeks a qualified Third‑Party Administrator (TPA) to provide end‑to‑end claims administration services for the Alabama Public Education Employee Injury Compensation Program. The TPA will handle claim intake, medical management (including coordination with the Public Education Employee Health Insurance Program), indemnity payment processing after the initial 90‑day employer‑paid period, sub‑rogation, vendor management, audit support, and reporting. The contract is for an initial two‑year term with potential two‑year and one‑year renewals, and the service must be operational no later than October 1 2026. • Core services: claim intake, investigation, eligibility verification (employer‑driven), medical bill review, nurse case management, pharmacy benefit administration, indemnity calculations, and payments. • Required capabilities: Alabama workers‑compensation licensing, experience with public‑sector/education claims, robust claims‑management technology, data security, and ability to integrate with the PEEHIP health‑insurance program. • Deliverables include monthly invoicing, performance reporting, transition planning, and a dedicated communications liaison for statewide school systems. • Volume expectations: approx. 216 medical‑only and 84 lost‑time claims annually. • No fixed price disclosed; vendor will propose per‑claim fees and ancillary service rates.