Administration & Management - Workers' Comp. & IOD / HR

The City of Worcester is procuring a comprehensive administration and management services package for its workers‑compensation and injured‑on‑duty (IOD) programs. The contractor will handle claim intake, investigation, adjudication, payment processing, medical coordination, reporting, litigation support, loss‑control consulting, and provide a secure online portal for HR staff. Compensation is structured as a flat annual fee for each program plus per‑case fees for medical‑bill review, utilization review, case management, loss‑control, and other ancillary services. The contract runs for two years with a possible one‑year extension at the City’s discretion. • Provides full‑service third‑party administration of WC and IOD claims for a self‑insured municipality. • Requires a senior‑level adjuster on‑site ≥ 40 hrs/week and a backup adjuster, plus optional nurse case‑management and surveillance services. • Compensation includes $90,455 (WC) + $98,550 (IOD) flat fees annually plus per‑service fees (e.g., $1.10 per medical‑bill line, $80 per utilization review, $105 per loss‑control hour).