TITLE:
title
THIRD PARTY WORKERS' COMPENSATION CLAIMS ADMINISTRATION SERVICES
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DEPARTMENT: CITY MANAGER'S OFFICE, HUMAN RESOURCES DIVISION
PRESENTED BY: KASAMA LEE, HUMAN RESOURCES MANAGER
CONTACT INFORMATION: KASAMA LEE, HUMAN RESOURCES MANAGER, (714) 754-5169
RECOMMENDATION:
recommendation
Staff recommends the City Council:
1. Award the contract for Third Party Workers Compensation Claims Administration Services per Request for Proposal (RFP) to AdminSure, Inc.
2. Authorize the City Manager and City Clerk to execute the five (5) year Professional Services Agreement for the contract (Attachment I).
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BACKGROUND:
As a self-insured public entity, the City contracts with a third-party administrator (TPA) for workers' compensation claim adjusting services. TPA's have personnel with specialized skills and certifications required to effectively and efficiently handle workers' compensation claims caseloads. Specifically, they work with injured employees, medical providers, FEHA and ADA consultants, and attorneys in investigating, negotiating and settling claims filed by injured employees. The TPA acts as the primary handler of claims and serves in an advisory role to City staff by making recommendations on the appropriate disposition (settlement or denial) of claims.
Effective April 1, 2018, the City entered into an agreement with AdminSure, Inc. in order to continue TPA services for the handling of the City's workers' compensation claims. This agreement will end on March 31, 2023. The City competitively bid workers' compensation TPA services, as a proactive and accountability measure, a formal market exploration was necessary to insure the City is receiving the best services at a fair price.
On February 16, 2023, the Purchasing Division advertised a Request for Proposal (RFP) No. 23-10 Third Party Workers' Compensation Claims Administration. RFP No. 23-10 was released with the following schedule:
* Release of RFP February 16, 2023
* Deadline fo...
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