RM-195731 RFP Self-Funded Workers’ Compensation Program TPA

The New Jersey Turnpike Authority is seeking a qualified third‑party administrator (TPA) to manage its self‑funded workers’ compensation program. The scope includes full claims administration, medical bill re‑pricing and provider‑access network services, and the provision of risk‑management information systems to support the Authority’s workers’ comp operations. Bidders must demonstrate competency in claims handling, expertise in health‑care cost containment, and the ability to deliver robust IT solutions for reporting and analytics. • Claims administration – intake, processing, adjudication, and settlement of workers’ comp claims. • Medical bill re‑pricing & provider network – negotiate pricing, maintain provider directories, and ensure cost‑effective medical services. • Risk‑management information system – develop/maintain a reporting platform for claim analytics, trend monitoring, and compliance. • Deliver a self‑funded model that reduces the Authority’s exposure while maintaining statutory compliance. • Must be capable of handling large claim volumes typical of a state‑level transportation authority.