Missoula County Workers' Compensation and Liability Claims Administration Software

Missoula County is seeking proposals from qualified vendors to provide a comprehensive claims system that meets the County’s self-insured and self-administered workers’ compensation and property casualty programs needs and furthers the delivery of exceptional and efficient services in these areas.

The County is a self-insured local government in Missoula, Montana with approximately 1,000 employees and a claims volume of approximately 65 workers’ compensation claims and 50 property and casualty claims per year. The County currently contracts with Riskonnect (also known as Ventiv Technology) and is currently using Claims Premier (CP) version 3.8.

The primary requirements include implementation of a claims management system with end-to-end claims and policy administration, billing and reporting capabilities, automated workflows, customer support, and integrations. The County is looking to improve processes for claims handling efficiency, data accuracy, and regulatory compliance.

**Implementation Date:** July 1, 2027

Missoula County’s current contract for claims management system terminates on September 14, 2027. However, the County would like to start utilizing the new solution effective July 1, 2027 as this coincides with the start of the fiscal year.

**Contract Term:** Up to 7 years, billed annually.

Missoula County self-insures and self-administers the following lines of coverage relevant to this RFP:

• Workers’ Compensation
• Liability
• Property
• Cyber
• Fine Arts

The County’s primary objective is to procure a fully integrated solution that will deliver improved claims management capabilities. The County expects proposing vendors will offer a product that supports such capabilities as the following:

• Claims management for all lines of coverage described above from intake to closure.
• Electronic claim intake and claimant self-service for online submission and status tracking.
• Diary and claim tracking, including automatic reminders, configurable alerts, and comprehensive task calendars
• Document imaging and correspondence, including secure storage of files, templates populated from database fields, bundling of claim artifacts for email, and paperless workflows.
• Policy Management. [...]
• Asset tracking. [...]
• Complimentary interfaces with ISO ClaimSearch/Fraud indexing, Workday (HCM and Finance modules), EDI Reporting for Montana, and Microsoft Office (email and scheduling)
• Native Workers’ Compensation EDI reporting. [...]
• Native OSHA reporting. The system must generate OSHA 300, 300A and 301 logs based on captured incident and claim data.
• Medicare/CMS Section 111 reporting. [...]
• Mobile and offline capabilities for field and remote access

Vendor will be required to provide the following:

• Project management
• Installation or setup of hosted environment
• Business analyses offering targeted process improvement recommendations to maximize the solution’s potential
• Implementation/configuration
• Data migration
• Systems interfacing
• Testing to including during implementation and ongoing sandbox environment
• Training
• Warranty
• Ongoing support/maintenance

The proposal must be submitted to the County procurement officer by **email**.

Proposals must be labeled with the proposal’s name and received by the procurement officer by the due date and time. Late proposals will NOT be accepted.

The cost proposal must be submitted as a separate document from the written proposal to be considered responsive to the requirements of this RFP. The cost proposal file may be sent in the same email as the rest of the proposal.

The selection committee will review and evaluate the proposals according to the criteria that follow, based on a total number of **150 points**. Phase 1: Written Proposal Review (**100 points**). Phase 2: Interviews and Demonstrations (**50 points**).

The offeror may not modify, withdraw, or cancel a proposal for a 120-day period following the RFP due date.

Contractor will be required to maintain general liability insurance in the amount of one million dollars (**$1,000,000**) per occurrence and two million (**$2,000,000**) in the aggregate. Contractor will be required to provide proof of cyber liability insurance in the amount of three million dollars (**$3,000,000**) per occurrence and in the aggregate.

The contract period will end no later than June 30, 2031.