RFP 27-20-0610 Workers' Compensation Third Party Claims Administration Services

Forsyth County, Georgia is requesting proposals for Workers' Compensation Third Party Claims Administration Services for its self-insured program covering approximately 2,681 employees, with proposals due October 15, 2026 at 2:00 p.m. EST under RFP 27-20-0610. The contractor must maintain a physical office within Georgia and demonstrate a minimum of three currently active public entity clients with fire or police operations.

The scope encompasses third-party administration of workers' compensation claims across County departments including the Sheriff's Office, Fire Department, Water & Wastewater Operations, Street & Road Construction, Parks, and Senior Center. The audited workers' compensation payroll in 2025 was $133.352 million. The contractor must establish a secure, browser-agnostic web-based Claims and Risk Management Information System (RMIS) with integration to Forsyth County's existing Origami Risk platform, provide Medicare Secondary Payer compliance reporting, and manage claims with aggressive return-to-work coordination. Key Performance Indicators include three-point contact completion within 24 hours (95% compliance target), claim assignment within 4 business hours, and initial reserve establishment within 7 calendar days.

Required personnel include Georgia-licensed Workers' Compensation adjusters with minimum three years' experience, Georgia-licensed Registered Nurse case managers, and an Account Manager with minimum five years' experience in workers' compensation account management. All adjusters, nurse case managers, supervisory personnel, and subcontractors must meet defined credential and experience requirements. The contractor must disclose all subcontractors and vendor partners and ensure compliance with the same contractual, regulatory, and security standards.

The contract term runs January 1, 2027 through December 31, 2031. Proposals are limited to 40 pages excluding required forms and cost proposals. Evaluation is on a 100-point scale: capabilities (20 points), experience and references (15 points), questionnaire responses (30 points), telephonic and field case management (20 points), and RMIS capabilities (15 points). Questions are due October 6, 2026 at 12:00 p.m. EST. Firm names will be read aloud at 2:30 p.m. EST on October 15, 2026. Proposals must be submitted through the EUNA Procurement Portal.