Claims Management Software System

The New Jersey Schools Insurance Group (NJSIG) has issued a Request for Proposal (RFP) designated as NJSIG-2025-003 for a comprehensive Claims Management Software System, targeting approximately 363 boards of education and charter school districts throughout New Jersey. The procurement seeks to replace the current Origami Risk platform and manage approximately 600,000 claim records with a cloud-hosted solution that provides robust features including data encryption, multifactor authentication, disaster recovery capabilities, comprehensive reporting and analytics, bill import and check printing functionality, and the ability to handle various claim types and managed care organizations. Proposers must submit both an all-inclusive hourly rate proposal and a firm fixed price proposal, with mandatory compliance forms and detailed insurance requirements. Key system requirements include support for EDI reporting, Medicare reporting, future payment scheduling, and integration with existing systems. Critical proposal dates include questions due by May 14, 2025, answers posted by May 21, 2025, and final proposals due on May 28, 2025, at 10:30 A.M. ET, with the NJSIG Board of Trustees expected to approve the contract on June 11, 2025.

The RFP does not explicitly outline specific set-aside designations or restrictions for disadvantaged enterprises. The software system must guarantee 97% service uptime and provide priority technical support, with a required test environment for NJSIG to validate system performance. While the current system is from Origami Risk, the RFP does not definitively state they are an incumbent vendor for the new contract. Although no specific budget range is explicitly stated, the comprehensive nature of the project and the requirement for a sophisticated claims management system suggests a significant investment. The system must be capable of integrating with existing technological infrastructure and supporting complex claims management processes across hundreds of educational districts. Potential vendors should be prepared to demonstrate extensive capabilities in cloud-based software solutions, claims management, reporting functionalities, and technical support infrastructure.