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California City of Oceanside·California

Workers' Compensation Third Party Claims Administrator

Closes 11/21/2025$1.5M – $6MRequest for ProposalLogin required
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Description

The City of Oceanside is seeking a third-party administrator to provide Workers' Compensation claims administration services. The selected firm will be responsible for handling claims, providing medical bill review services, and performing other related tasks. The City is looking for a firm with experience in Workers' Compensation claims administration and a strong track record of providing excellent customer service. Key aspects of the job include: * Providing claims administration services for the City's Self-Insured Workers' Compensation Program * Handling medical bill review services * Performing utilization review services * Providing pharmacy benefit management services * Maintaining a cost-effective Workers' Compensation program * Ensuring efficient handling of individual workers' compensation claims * Providing up and down communication on all claims * Making claims adjusters available to claimants and the City's Risk Management staff

Attached files

The solicitation documents live at the source — open the bid source above to download them.

Contact

Rhea Prenatt, Laurie Pulliam(Risk Manager)

[email protected], [email protected]

(760) 435-3513, (760) 435-3504

Key dates

Opened
10/23/2025
Questions due
11/3/2025
Closes
11/21/2025
Duration
3 years

Last updated

Details

Type
Request for Proposal
Industry
Insurance
NAICS
524114
Solicitation №
RMWCTPA2026

Budget estimate

$1,500,000 – $6,000,000

The estimated budget for this opportunity is difficult to determine, as the City has not provided a specific budget or estimated contract value. However, based on the scope of work and the services required, it is likely that the contract value will be in the range of $500,000 to $2 million per year, depending on the number of claims and the level of services required. The total contract value over the three-year term could be in the range of $1.5 million to $6 million. Factors that may influence the likely payment range include the number of claims, the complexity of the claims, the level of services required, and the City's budget for Workers' Compensation claims administration.

AI estimate from the solicitation

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