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Workers’ Compensation Claims Administration and Managed Care Services

The City of Escondido is seeking a qualified third‑party administrator to provide workers’ compensation claims administration and managed care services for the City’s self‑insured workers’ compensation program. The selected consultant will be responsible for end‑to‑end claims management, including claim intake, investigation, reserve setting, benefits administration, medical bill review, case management, subrogation, litigation coordination, and regulatory reporting. The City expects the administrator to reduce claim costs and duration, ensure timely and compliant benefit payments, support return‑to‑work efforts, and maintain strong communication with injured employees and City staff. The contract will be for an initial two‑year term with options for three additional one‑year extensions. The administrator must meet detailed performance standards related to caseload management, claim documentation, investigations, fraud control, reporting, system access, and coordination with the City’s human resources and risk management functions.

Government Entity

City of Escondido

State

California

RFP Number

25-22

Budget

Not Assigned

Published Date

Due Date

March 16, 2026, 5:00 pm PDT

Days remaining

11

Proposal Submission

Submit one original and three copies in a sealed envelope labeled with the RFP number by mail or delivery to: City of Escondido, Attn: Cindy Chaney, Human Resources Analyst II, 201 N. Broadway, Escondido, CA 92025.

North American Industry Classification System (NAICS)

541611

541612

541618

Natural Language Tags

Mental Health and Substance Use Consulting

Mental Health and Substance Use Consulting

Organizational Effectiveness Consulting

Organizational Effectiveness Consulting

Public Safety Consulting

Public Safety Consulting

NAICS

541611

541611

# of RFPs: 166

# of RFPs: 166

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541612

541612

# of RFPs: 46

# of RFPs: 46

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541618

541618

# of RFPs: 123

# of RFPs: 123

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Natural Language Tags

Mental Health and Substance Use Consulting

# of RFPs: 16

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Organizational Effectiveness Consulting

# of RFPs: 31

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Public Safety Consulting

# of RFPs: 28

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