25D - AGMT WORK COMP ADMIN - Laserfiche WebLink

Home Browse Search

Agreement with AdminSure for General Liability and Workers' Compensation Claims September 4, 2018 Page 2 and assets is paramount in creating and maintaining a safe place to work, live and visit. In an effort to reduce expenditures, the Department is implementing a forward -thinking and pro -active process toward managing the City's ongoing exposure to risk. To facilitate this, the Department has determined that utilizing a Third Party Administrator (TPA) for General Liability and Workers' Compensation claims management will enable the Risk Management Division to pro -actively focus on Safety and Hazard Mitigation, thus potentially reducing overall.. City claims and litigation expenses. Third Party Administrators have personnel with specialized skills and certifications required to effectively and efficiently handle Workers' Compensation and Genera) Liability claims caseloads. Specifically, they work with injured employees, general public/residents, medical providers, contractors/vendors and attorneys to investigate, negotiate and settle claims. Additionally, the selected Third Party Administrators have expertise working specifically in municipalities with police departments. The City will still be actively involved in any litigation and will have final authority on settlement decisions, though the TPA which will be handling all day-to-day workers' compensation and general liability claims. This service arrangement is not relinquishing City control over these processes but allowing experts to focus solely on the service to our customers, cost effectiveness, timely processing and closure of claims as well as expediency in providing the highest level of care to the City's injured workers. This structure provides a transparent approach and quantifiable results. Additionally, by using a Third Party Administrator to handle General Liability and Workers' Compensation claims administration functions, the City will be able to manage customer expectations and have objective oversight. In response to the Request for Proposals, six vendors submitted proposals and one vendor declined to bid. Following extensive evaluation of the proposals, the top three were invited to participate in a panel interview process. The panel was comprised of one member highly experienced in General Liability, one member highly experienced in Workers' Compensation, one administrative member of the Santa Ana Police Department, and one municipal Risk Manager. The vote of the panel was unanimous in selecting AdminSure, Inc. as the firm that would provide the best overall service, claims management, and oversight to the City. AdminSure, Inc. has an outstanding reputation for excellent customer service and fiscally efficient oversight of claims for both Workers' Compensation and General Liability. Out of AdminSure's 76 public sector clients, 66 have Police or Sherriff departments. Servicing these entities requires a high level of expertise in the specific laws and issues surrounding safety employees. AdminSure has brought excellent results to these programs. AdminSure's State of California Audit Scores indicate 100% compliance with best practices/performance standards. AdminSure, Inc. also provides detailed information regarding customer service delivery. AdminSure's services are streamlined but very detail -oriented, thus providing the utmost attentlgn to claimants' needs in a very cost-effective manner. 25D-2