Third Party Workers' Compensation Claims Administration

The City of Huntington Beach is seeking a qualified third‑party administrator (TPA) to manage its workers’ compensation program for all city employees, covering both existing open/closed claims and any new claims filed during the contract term. The vendor must provide end‑to‑end claims administration, medical management, reserve setting, fraud detection, sub‑rogation support, and comprehensive reporting, while integrating with the City’s risk‑management processes and Alternative Dispute Resolution (ADR) program. The contract is a three‑year fixed‑fee arrangement with two optional one‑year extensions, and the City expects a technology‑enabled, user‑friendly portal for real‑time access to claim data. • Full‑service TPA for workers’ compensation claims (open, closed, and new) for city employees, including police and fire personnel. • Mandatory staffing standards, California‑certified examiners, and a dedicated claims‑unit supervisor. • Required read‑only online portal, monthly/annual reporting, trust‑account management, and adherence to strict ADR and California regulatory requirements.