Third Party Administration Firefighter's Workman's Compensation Claims Services

The City of Orlando is seeking a third-party administrator to handle workers' compensation claims for its sworn firefighters. The successful proposer will provide pharmacy benefit management and preferred provider organization medical services. The contract will have a three-year term with the option to extend for up to seven additional 12-month periods. The proposer must have at least five years of experience providing similar services to governmental entities and at least three years of experience handling first responder claims. Key responsibilities include providing claim reviews, status reports, and settlement evaluations, as well as investigating and managing claims. The proposer must also provide a dedicated account manager and maintain a diary system for tracking claims. Some key points to consider: * The City has 584 sworn firefighters and currently uses CorVel Corporation for TPA services. * The City has a self-insured program and has been self-insured since 1983. * The City's Risk Management Division oversees the activities of the TPA and has a Risk Management Committee that meets monthly to review and approve claim settlements. * The proposer must provide quarterly claim reviews and formal status reports on files with total incurred reserves of $25,000 or more. * The proposer must also provide a realistic reserve for each claim and review reserves at least every six months. * The City has a light duty program and most employees can be temporarily placed in sedentary positions. * The City requires the proposer to have experience with workers' compensation claims and to be licensed and in good standing in the state of Florida for Third-Party Claim Administration. * The City also requires the proposer to provide a detailed proposal outlining their experience, approach, and pricing for the services. * The City will evaluate proposals based on factors such as experience, qualifications, and price. * The City reserves the right to reject any or all proposals and to negotiate with the selected proposer.