UNSPSC 78142101: Claim management

Coordination and management of logistics related claims against suppliers / authorities in an outsourced model.

UNSPSC 78142101 Claim management (Commodity) covers third-party administration of workers' compensation claims, medical bill review and repricing, pharmacy benefit management, and related claims processing services that state and local governments purchase to manage employee injury and occupational-illness claims. Recent solicitations show school districts, counties, cities, state departments, and transit authorities procuring TPA services to administer self-insured workers' compensation portfolios, process claims for noncomplying employers, manage ancillary services such as bill review and utilization review, and coordinate medical and indemnity payments across diverse employee populations ranging from fewer than 2,000 to approximately 14,000 benefit-eligible workers.

Activity under this code concentrates in Arizona, Florida, Georgia, Texas, and Oregon, with secondary activity in Illinois and other jurisdictions. Representative recent opportunities include the City of Phoenix's five-year TPA procurement (RFP RFPPS270005, due July 31, 2026) seeking comprehensive claims administration for approximately 14,000 employees with performance penalties for service failures; Forsyth County, Georgia's third-party claims administration solicitation (RFP 27-20-0610, due October 15, 2026) for a self-insured program covering approximately 2,681 employees with a contract term running January 1, 2027 through December 31, 2031; the City of Tucson's TPA procurement (RFP 230084) seeking bundled and unbundled proposals for approximately 4,750 employees with preference for fully bundled solutions including bill review, utilization review, pharmacy benefit management, and case management; Northside Independent School District's workers' compensation TPA solicitation (RFP RFP2026128, due October 22, 2026) replacing an expiring contract; and Polk County Public Schools' third-party claim administration services award to Cannon Cochran Management Services, Inc. (ITN 039-DW-0826, recommendation approved August 25, 2026) for a three-year term beginning September 1, 2026 with two optional one-year renewals, managing auto liability, property, general liability, professional liability, and workers' compensation claims across more than 120 schools serving over 117,000 students. The State of Oregon Department of Consumer and Business Services' assigned claims processing RFP (RFP S-44000-00017296, due July 30, 2026) is a high-value procurement with estimated total contract value of $70 million for a five-year initial term and options to renew up to ten years total, processing workers' compensation claims for noncomplying employers, defaulted self-insureds, and decertified groups.