Workers Compensation Third Party Administration

Background

The School District of Greenville County (District) is seeking proposals for Workers Compensation Third Party Administration services for its Self-Insured Workers Compensation Insurance Program. The District serves approximately 77,000 students and employs around 12,000 staff members across more than 100 schools and facilities. This solicitation aims to enhance the management of workers' compensation claims and ensure compliance with South Carolina Worker’s Compensation Statutes.

Work Details

The successful proposer will provide comprehensive claim administration services from the first report of injury until the closure of claims, including reopened claims. Key responsibilities include: - Receiving reports of injury via online, fax, or telephone; - Reviewing claims for compensability; - Conducting investigations; - Filing required reports with authorities; - Assigning necessary services such as defense counsel or nurse case management; - Establishing claim reserves; - Facilitating return-to-work programs; - Notifying excess carriers according to their guidelines. Additionally, the TPA must maintain a Claim Administration Manual specific to SDGC, respond to inquiries within 24 hours, conduct annual claim review meetings for significant claims, and hold annual stewardship meetings. The contract will commence on July 1, 2026, with options for renewal for up to four additional years.

Period of Performance

The contract will begin on July 1, 2026, and may be renewed annually for up to four consecutive one-year terms based on mutual agreement.

Place of Performance

Services will be performed in Greenville County Schools located in Taylors, South Carolina.

Bidder Requirements

Proposers must submit their bids through the Procurement Portal by June 18, 2026. They are required to provide detailed information about their company’s history, capabilities in K-12 services, team qualifications, customer service philosophy, and any relevant certifications or awards. Proposals must include a signed Proposal Response Certification statement and identify any proposed subcontractors.