Administration & Management - Workers' Comp. & IOD / HR

The City of Worcester is procuring a third‑party administrator to fully manage its workers‑compensation and Injured‑On‑Duty (IOD) claims for a three‑year base term (with a possible one‑year renewal). The contractor must provide claim intake, investigation, medical billing, benefit payments, reporting, litigation support, on‑site senior adjuster presence, nurse case‑management, loss‑control services, and pharmacy benefit management. The award will be made to the most advantageous proposal, which was ultimately awarded to FutureComp/USI Insurance. The contract includes flat annual fees for workers’ compensation ($90,455) and IOD ($98,550) plus unit‑price rates for medical bill review, utilization review, case‑management, and loss‑control. The City requires compliance with Massachusetts statutes, electronic case‑management access, and quarterly/annual reporting. • Full‑service administration of WC and IOD claims, including medical and indemnity processing. • On‑site senior adjuster (≥40 hrs/week) and optional nurse case‑management. • Additional cost‑containment services: PPO savings, pharmacy benefit management, utilization review, and loss‑control consulting.