TPA Workers' Compensation

The Southwest Ohio Regional Transit Authority (SORTA) seeks a qualified third‑party administrator (TPA) to manage its self‑insured Workers’ Compensation program. The contractor will provide end‑to‑end claims administration, medical management, cost containment, litigation support, regulatory compliance, reporting, and strategic consulting for a five‑year contract. The scope includes claim intake, benefits calculation, reserve analysis, medical bill auditing, return‑to‑work programs, sub‑rogation, audits, and data reporting, with quarterly and annual deliverables. Proposals must be submitted electronically by November 4, 2026, and a non‑mandatory pre‑proposal meeting is scheduled for October 15, 2026. • Full lifecycle workers’ compensation claims administration • Medical management, IME coordination, and return‑to‑work services • Cost‑containment strategies, sub‑rogation, and financial controls • Legal and investigative support, including representation before the Ohio Industrial Commission • Compliance with Ohio Bureau of Workers’ Compensation and audit requirements • Quarterly, bi‑weekly, and annual reporting, including actuarial data • Policy development, training, and safety consulting • Five‑year contract term with annual service fee payments