UNSPSC 71161611: Technical consultant services for claim management

Claim management technical consultant contract is a service provided by expert staff in a particular area of science or engineering, most often for projects in these fields. Consulting firms employ engineers, scientists, skilled technicians, and scientific project managers, contract engineer, Quality standardizer ,Claim management etc.

UNSPSC 71161611 Technical consultant services for claim management (Commodity) covers third-party administration and claims processing services that state and local governments procure to manage workers' compensation, auto liability, health plan claims, and pharmacy benefits for their employees and constituents. Solicitations under this code reflect a mix of transactional claims administration—intake, compensability determination, payment processing, subrogation recovery—and advisory work on claims strategy, cost containment, and regulatory compliance. Issuing bodies span city governments, county commissioners, school districts, state departments, public universities, and special-purpose districts; the City of Phoenix, State of Oregon Department of Consumer and Business Services, and Chatham County appear as repeat active buyers in recent months. Work ranges from firefighter and municipal employee workers' compensation TPA services to pharmacy benefit management for county employee populations, health plan claims audits, and specialized functions such as claims editing software platforms and flexible spending account administration. Cities and counties managing self-insured employee benefit programs dominate the solicitation activity, along with state departments administering public-sector claims on behalf of noncomplying employers.

Geographically, recent activity concentrates in the Southwest (Arizona, Florida), Southeast (Georgia, South Carolina), and Pacific Northwest (Oregon), with additional solicitations in Utah, Texas, and South Dakota. Representative recent opportunities include the City of Phoenix RFP for Worker's Compensation Third Party Administration (Claims Management Services (RFPPS270005, due July 31, 2026) seeking a five-year TPA contract for approximately 14,000 benefit-eligible employees with on-site staffing requirements and performance guarantees including penalties for claim mishandling; the State of Oregon Department of Consumer and Business Services RFP for Assigned Claims Processing Agent Services (S-44000-00017296, due July 30, 2026) for an estimated $70 million cumulative contract covering noncomplying and insolvent employers with an initial five-year term and option to renew for up to ten years total; and Atlanta Public Schools RFP for Workers Compensation Third-Party Administrator Services (2612180226PAR, due April 3, 2026) managing approximately 6,330 employees' claims across 140 lost-time and 100 medical-only open cases. Collier County's pharmacy benefits procurement (RFP 25-8414, due April 9, 2026) for 2,400 employees and 4,800 covered members seeking comprehensive PBM administration with transparent pricing and rebate pass-through reflects the code's expanding scope beyond traditional workers' compensation into health plan cost management.