Description
The City of Worcester is seeking a qualified firm to provide comprehensive administration and management services for its Workers Compensation and Injured‑On‑Duty (IOD) programs. The contractor will handle end‑to‑end claim processing, maintain a secure shared claims database, generate extensive loss‑run and reporting packages, support light‑duty and nurse‑case‑manager functions, and coordinate closely with the City’s HR and legal teams over a three‑year period. Minimum qualifications include at least ten years of workers‑comp administration experience, demonstrated work with multiple Massachusetts municipal clients of 500+ employees, and strong financial stability. The award will be based on a “most advantageous” evaluation that weighs technical merit and cost.
• Administer WC and IOD claims from intake through final resolution, including indemnity, medical‑only, and report‑only cases.
• Provide monthly loss‑run reports, quarterly reimbursement requests, and annual liability reports; grant 4‑6 City users system access.
• Supply a dedicated senior‑level IOD claims adjuster (40 hrs/week) plus backup, and optional nurse‑case‑manager services on a case‑by‑case basis.
• Meet insurance, indemnification, non‑assignment, and equal‑opportunity requirements; submit required bonds, insurance certificates, and certifications.
• Demonstrate experience with Massachusetts statutes (M.G.L. 152, M.G.L. 41) and maintain a secure, shared claims‑management platform.